Medicaid/MMIS Senior Business Analyst — SME

Infinite Computer Solutions

New Jersey

On-site

USD 120,000 - 150,000

Full time

4 days ago

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Job summary

Infinite Computer Solutions is seeking a Senior Business Analyst – Medicaid/MMIS SME in New Jersey to lead requirements gathering, analyze business processes, and document BRDs/FRDs and user stories. You will act as a subject-matter expert across claims, eligibility, enrollment, and provider modules while collaborating with product owners and development teams.

You will translate complex business needs into actionable functional and technical requirements, ensure CMS/HIPAA compliance, and mentor

Qualifications

7–12 years of experience in Medicaid domain and MMIS
Deep understanding of claims processing, eligibility, and provider management systems
Proven experience in business analysis, stakeholder engagement, and documentation
Hands-on experience with Agile/Scrum methodologies

Responsibilities

Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules
Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)
Translate complex business needs into clear functional and technical requirements
Collaborate with stakeholders, product owners, and development teams
Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations
Support defect management and production support
Identify process improvements and support system modernization initiatives
Mentor business analysts and contribute to Agile delivery