Medicaid MES Business Analyst - CMdS Claims & Finance

Infinite Computer Solutions; New Jersey; Presencial; USD 120.000 - 160.000; Jornada completa

Descripción de la vacante

Infinite Computer Solutions seeks a senior Business Analyst for CMdS Claims, Member & Finance on a Medicaid modernization program. Translate legacy MMIS behaviors into CMdS designs and acceptance criteria, partnering with dev, QA, architecture, and stakeholders to deliver MES-aligned solutions.

The role covers end-to-end design for Claims, Member, and Finance modules, including data mapping, gap analysis, and configuration workbooks, ensuring regulatory compliance and certification readiness.

Formación

• 12+ years business analysis in Medicaid MMIS/MES
• Experience writing functional design & acceptance criteria
• Experience in Agile or hybrid SDLC environments
• Ability to map legacy MMIS rules to CMdS configurations
• Strong facilitation and stakeholder communication skills

Responsabilidades

• Own requirements and functional design for CMdS modules (Claims, Member, Finance)
• Define epics, user stories and acceptance criteria aligned to Medicaid policy
• Lead design discussions with development and QA, resolving edge cases
• Produce BRDs, FRDs, flows, data mappings, and configuration workbooks

Conocimientos

Medicaid domain knowledge

Requirements elicitation

Agile / hybrid SDLC

Facilitation & stakeholder comms

BRD/FRD writing

Educación

Bachelor’s degree in Business, Information Systems or related field

Herramientas

Conduent CMdS

QnXT

Facets

Descripción del empleo

Infinite Computer Solutions seeks a senior Business Analyst for CMdS Claims, Member & Finance on a Medicaid modernization program. Translate legacy MMIS behaviors into CMdS designs and acceptance criteria, partnering with dev, QA, architecture, and stakeholders to deliver MES-aligned solutions.

The role covers end-to-end design for Claims, Member, and Finance modules, including data mapping, gap analysis, and configuration workbooks, ensuring regulatory compliance and certification readiness.