Senior Medicaid Technical Business Analysis Engineer

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

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:

Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday.

Working For You

Perks and rewards designed for you:

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.

Join Us

At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates. We strive to create a culture where you can:

Bring your authentic self to work

Grow and thrive, both personally and professionally

Make a difference with our clients, in our communities, and with the millions of people we support

When you join Conduent, you are engaged in creating the future - both our company’s and your own. With more than 60,000 associates across 24 countries, we will provide you the opportunity to grow with a team of people who will challenge and inspire you to be the best!

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