Remote Senior Medicaid Tech & Policy Analyst

Conduent; United States; Remote; USD 81,000 - 105,000; Full time

Benefits offered by this job

Health and Welfare Benefits

Retirement Savings

Paid time off

Job summary

Conduent is seeking a Senior Medicaid Technical Business Analysis Engineer with deep expertise in Medicaid operations, policy, and claims processing. The role partners with business stakeholders, product teams, architects, and QA to translate regulatory and business requirements into effective system solutions that improve efficiency, compliance, and member outcomes.

You will analyze data, investigate issues, design and validate enhancements, and support UAT and implementation while aligning

Qualifications

• Experience interpreting Medicaid policies, CMS regulations, and state healthcare program requirements.
• Strong knowledge of Medicaid claims processing and payment systems.
• Ability to understand and apply Medicaid payment methodologies in business analysis and testing.
• Excellent communication and collaboration with business and technical stakeholders.
• 8+ years in healthcare, MMIS domain preferred, with large-scale systems experience.

Responsibilities

• Partner with business stakeholders to gather, analyze, and document business and system requirements.
• Investigate suspended claims, operational issues, and system defects to identify root causes and recommend solutions.
• Collaborate with development and QA teams to design, test, and validate system enhancements and operational improvements.
• Review Medicaid policy updates, CMS mandates, and client directives to assess impacts on processes and system functionality.
• Conduct research using billing manuals, design documentation, and regulatory guidance to support decision-making.
• Document and improve business processes to increase operational efficiency and effectiveness.

Skills

Medicaid policy interpretation

Medicaid claims processing

SQL

Analytical thinking

Communication

Stakeholder collaboration

Job description

Conduent is seeking a Senior Medicaid Technical Business Analysis Engineer with deep expertise in Medicaid operations, policy, and claims processing. The role partners with business stakeholders, product teams, architects, and QA to translate regulatory and business requirements into effective system solutions that improve efficiency, compliance, and member outcomes.

You will analyze data, investigate issues, design and validate enhancements, and support UAT and implementation while aligning