Senior Medicaid Technical Business Analysis Engineer

Conduent, Inc.; Oregon; Hybrid; USD 81,000 - 105,000; Full time

Job summary

Conduent, Inc. seeks a Senior Medicaid Technical Business Analysis Engineer with extensive Medicaid operations, policy, and claims processing expertise.

You will translate regulatory and business requirements into system solutions, collaborating with stakeholders, architects, developers, and QA to support claims processing operations and drive efficiency and compliance. The role emphasizes problem solving, data analysis, and cross-functional collaboration to improve member outcomes while

Qualifications

• 8+ years of healthcare industry experience, preferably MMIS domain.
• Experience interpreting Medicaid policies, CMS regulations, and state program requirements.
• Strong knowledge of Medicaid claims processing and payment systems.
• Ability to research and evaluate documentation, policies, billing manuals, and technical specifications.
• Excellent communication and collaboration with business and technical stakeholders.

Responsibilities

• Partner with business stakeholders to gather, analyze, and document requirements.
• Investigate suspended claims, operational issues, and system defects to identify root causes and solutions.
• Collaborate with development and QA teams to design, test, and validate system enhancements.
• Review Medicaid policy updates and CMS mandates to assess impacts on processes and functionality.
• Develop test strategies and plans for state policy requirements and payment methodologies.
• Support UAT activities and facilitate implementation of system changes.
• Analyze data and trends to provide actionable insights for reporting.

Skills

Medicaid policies

SQL

Claims processing

Regulatory compliance

Business analysis

Stakeholder communication

Problem solving

Data analysis

MMIS

Microsoft Office

Tools

Relational databases

Job description

Senior Medicaid Technical Business Analysis Engineer

Join Our Team: Conduent is seeking a Senior Medicaid Technical Business Analysis Engineer with a strong background in Medicaid operations, policy, and claims processing. This role is ideal for a problem solver who thrives at the intersection of business and technology, enjoys tackling complex operational challenges, and can translate regulatory and business requirements into effective system solutions. As a key member of our team, you will collaborate with business stakeholders, product teams, architects, developers, and QA professionals to support claims processing operations, investigate system and business issues, evaluate policy changes, and drive solutions that improve efficiency, compliance, and member outcomes.

What You'll Do

• * 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 business processes and system functionality.
• * Conduct research using billing manuals, design documentation, and regulatory guidance to support issue resolution and decision‑making.
• * Document and improve business processes to increase operational efficiency and effectiveness.
• * Serve as a liaison between business and technical teams, ensuring clear communication and alignment throughout the project lifecycle.
• * Develop test strategies, test scenarios, and test plans that validate state policy requirements and payment methodologies.
• * Support User Acceptance Testing (UAT) activities and facilitate successful implementation of system changes.
• * Analyze data and trends to provide actionable insights and support operational reporting needs.

Required Qualifications

• * Experience interpreting and applying 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 activities.
• * Strong analytical, troubleshooting, and problem‑solving skills.
• * Ability to independently research and evaluate documentation, policies, billing manuals, and technical specifications.
• * Excellent communication and collaboration skills with both business and technical stakeholders.
• * Professional presence with the ability to manage multiple priorities in a fast‑paced environment.
• * 8+ years of healthcare industry experience, preferably within the MMIS (Medicaid Management Information System) domain.
• * Proven experience supporting large‑scale Medicaid systems and operational processes.
• * Working knowledge of SQL and relational database concepts.
• * Strong presentation, facilitation, and organizational skills.
• * Proficiency in Microsoft Office applications, including Outlook, Word, and Excel.
• * Excellent written and verbal communication skills with a strong customer‑focused mindset.
• * Ability to work independently while driving initiatives from analysis through implementation.

Flexible Working

At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too. In this role, you can expect the following working conditions:

Working For YouPerks and rewards designed for you:

• Remote work : Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday.
• Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.
• Retirement Savings: We will support you as you save for your future.
• Career Growth Opportunities : We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
• Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.
• Great Work Environment : We are proud of our award‑winning culture and the recognition we've received for our diversity efforts.

Pay Transparency

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $81,197 - $105,450

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to . You may also click here to access Conduent's ADAAA Accommodation Policy.