Medicaid Systems Analyst (Eligibility / Interfaces / Business Rules)

Stealth Talent Solutions; City of Albany (NY); Sur place; USD 83 000 - 124 000; Plein temps

Avantages offerts par ce poste

Onsite in Albany

Résumé du poste

Stealth Talent Solutions partners with a leading New York State Medicaid modernization program in Albany to build hands-on talent for key roles. This is a long-term engagement through mid-2029 with phased extensions.

We’re seeking practitioners who actually built the systems—analysts who wrote eligibility rules, developers who connected enrollment data to the MMIS, and specialists who know how notices are generated and data is mapped.

Qualifications

• 5+ years hands-on Medicaid/MMIS experience in BA/analyst/developer/technical analyst roles.
• Experience configuring eligibility, enrollment, interfaces, notices or business rules.
• Albany area or onsite Tuesday to Thursday.

Responsabilités

• Work on core eligibility engine logic for MAGI/Non-MAGI and renewals.
• Design, specify or build data exchanges between eligibility systems, MMIS and partners.
• Document, configure or validate business rules including long-term care and managed care enrollment.
• Handle notices requirements, templates and generation logic for member notices.
• Map, convert and validate data across legacy and modernized systems.

Connaissances

Medicaid systems

Business analyst

Systems analysis

EDI X12

SQL

Description du poste

Stealth Talent Solutions is partnering with a leading consulting firm on the New York State Department of Health’s Medicaid modernization program, one of the largest Medicaid transformations in the country. The engagement is funded through mid-2029, with additional phases expected after that.

We’re building a bench of hands-on Medicaid systems talent for specific roles that open throughout the year.

This is not a management role. The team is looking for the people who actually built the systems: the analyst who wrote the eligibility rules, the developer who built the interface that sends enrollment data to the MMIS, the person who knows how notices get generated.

What you’ll work on

• Eligibility and enrollment: core eligibility engine logic, MAGI / Non-MAGI rules, renewals
• Interfaces: designing, specifying or building data exchanges between eligibility systems, the MMIS and external partners
• Business rules: documenting, configuring or validating rules, including long-term care and managed care enrollment
• Notices: requirements, templates and generation logic for member notices
• Data: mapping, conversion and validation across legacy and modernized systems

What we’re looking for

• 5+ years hands‑on on Medicaid or MMIS systems in a BA, systems analyst, developer or technical analyst role
• Direct experience building, configuring or specifying eligibility, enrollment, interfaces, notices or business rules
• Experience with eMedNY, NY State of Health (NYSOH), WMS or other New York State systems is a strong plus
• Experience with other state Medicaid or integrated eligibility systems is welcome
• X12 EDI (834, 270/271, 837), SQL or data mapping experience is a plus
• Based in the Albany area, or able to be onsite Tuesday to Thursday

Why apply

• Long-term work on a high-profile, multi-year program
• Roles open regularly, so we can match you to the right fit, not just the first opening