Medicaid Prior Authorization BA — Hybrid, Data-Driven Impact

The Panther Group; Quincy (MA); Hybrid; USD 73,000 - 104,000; Full time

Job summary

The Panther Group is hiring a Business Analyst for Medicaid prior authorizations in Quincy, MA. This hybrid role combines onsite presence with remote work as needed, with a pay rate up to $64.29 per hour depending on experience.

You will gather requirements, support SDLC, and work with stakeholders, vendors, and QA teams to ensure system changes meet regulatory and business needs. SQL and data analysis are highly valued.

Qualifications

• Experience supporting SDLC phases and requirements gathering.
• Knowledge of Medicaid systems, claims processing, and PA workflows.
• Proficiency in SQL and data analysis for business insights.
• Excellent written and verbal communication for documentation.

Responsibilities

• Lead and participate in design sessions with stakeholders.
• Gather, document, and validate business and system requirements.
• Support all project life-cycle phases from design to post-release.
• Develop test strategies and cases; execute testing and sign-off.
• Ensure changes meet regulations and align with HIPAA rules.
• Collaborate with vendors and internal teams; prepare training materials.

Skills

Business analysis

Healthcare claims processing

SQL

Data analysis

Communication

Agile

X12 interoperability

Education

Bachelor's degree or higher in Business, IT, Healthcare, or related field

Job description

The Panther Group is hiring a Business Analyst for Medicaid prior authorizations in Quincy, MA. This hybrid role combines onsite presence with remote work as needed, with a pay rate up to $64.29 per hour depending on experience.

You will gather requirements, support SDLC, and work with stakeholders, vendors, and QA teams to ensure system changes meet regulatory and business needs. SQL and data analysis are highly valued.