Medicaid Prior Authorization Business Analyst - Hybrid

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

Job summary

The Panther Group is seeking a Business Analyst with Medicaid prior authorization expertise for our client in the Quincy, MA area. This hybrid role combines onsite work in Quincy with remote work as needed.

You will gather requirements, support SDLC activities, and help ensure regulatory compliance and accurate data analysis. Ideal candidates have healthcare claims experience, strong SQL skills, and the ability to communicate clearly with cross-functional teams to design and implement system

Qualifications

• Experience in SDLC, data analysis, and SQL is highly desirable.
• Strong understanding of healthcare claims processing and prior authorizations.
• HIPAA familiarity and ability to document requirements clearly.
• Excellent written and verbal communication for cross-functional teams.

Responsibilities

• Lead and participate in joint application design sessions with stakeholders.
• Gather, document, and validate business and system requirements.
• Develop test strategies, scenarios, and test cases based on requirements.
• Execute test runs, review results, and sign off on testing.
• Collaborate with vendors and ensure requirements are implemented and tested.
• Provide data queries and analysis to support requirements and decisions.

Skills

SQL

Data analysis

Requirements gathering

SDLC

Healthcare operations

Communication

Education

Bachelor's degree in Business/IT/Healthcare

Job description

The Panther Group is seeking a Business Analyst with Medicaid prior authorization expertise for our client in the Quincy, MA area. This hybrid role combines onsite work in Quincy with remote work as needed.

You will gather requirements, support SDLC activities, and help ensure regulatory compliance and accurate data analysis. Ideal candidates have healthcare claims experience, strong SQL skills, and the ability to communicate clearly with cross-functional teams to design and implement system