Senior Business Analyst: Medicaid MES/CMdS Expert

Conduent State Healthcare, LLC; Atlanta (GA); On-site; USD 85,000 - 111,000; Full time

Benefits offered by this job

Health insurance

Dental and vision insurance

Retirement savings plan

Paid holidays & PTO

Job summary

Conduent is seeking a Senior Business Analyst for CMdS Claims, Medicaid MES modernization. You will translate legacy MMIS rules into CMdS design and work with development, QA, and stakeholders to deliver MES-aligned solutions replacing legacy processes.

You will lead design for Claims, Member, and Finance modules, define epics and user stories, and ensure alignment with Medicaid policy and MES certification goals during build, SIT, and UAT.

Qualifications

• 10+ years of business analysis experience in Medicaid MMIS/MES.
• Experience writing functional design and acceptance criteria for complex adjudication and financial rules.
• Experience embedded with development and QA teams in Agile or hybrid SDLC.

Responsibilities

• Own requirements and functional design for CMdS modules (Claims, Member, Finance).
• Define epics, user stories, and acceptance criteria; prioritize against Medicaid policy and MES goals.
• Collaborate with development, QA, architecture and stakeholders to deliver MES-aligned solutions.

Skills

Business analysis

Medicaid MES

Agile

Facilitation

Stakeholder communication

Education

Bachelor's degree

Tools

Conduent CMdS

Health Enterprise

QNXT

Facets

Job description

Conduent is seeking a Senior Business Analyst for CMdS Claims, Medicaid MES modernization. You will translate legacy MMIS rules into CMdS design and work with development, QA, and stakeholders to deliver MES-aligned solutions replacing legacy processes.

You will lead design for Claims, Member, and Finance modules, define epics and user stories, and ensure alignment with Medicaid policy and MES certification goals during build, SIT, and UAT.