Subject Matter Expert

Infinite Computer Solutions; New Jersey; On-site; USD 120,000 - 150,000; Full time

Job summary

Infinite Computer Solutions is seeking a Senior Business Analyst – Medicaid/MMIS SME in New Jersey to lead requirements gathering, analyze business processes, and document BRDs/FRDs and user stories. You will act as a subject-matter expert across claims, eligibility, enrollment, and provider modules while collaborating with product owners and development teams.

You will translate complex business needs into actionable functional and technical requirements, ensure CMS/HIPAA compliance, and mentor

Qualifications

• 7–12 years of experience in Medicaid domain and MMIS
• Deep understanding of claims processing, eligibility, and provider management systems
• Proven experience in business analysis, stakeholder engagement, and documentation
• Hands-on experience with Agile/Scrum methodologies

Responsibilities

• Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules
• Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)
• Translate complex business needs into clear functional and technical requirements
• Collaborate with stakeholders, product owners, and development teams
• Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations
• Support defect management and production support
• Identify process improvements and support system modernization initiatives
• Mentor business analysts and contribute to Agile delivery

Skills

Medicaid domain

MMIS

Agile/Scrum

Stakeholder engagement

Documentation

Requirements gathering

Education

Graduate

Tools

Facets

QNXT

MES

HL7/FHIR

Job description

• Role: Senior Business Analyst – Medicaid/MMIS SME (D04)

Job Description

• Role: Senior Business Analyst – Medicaid/MMIS SME (D04)

Key Responsibilities

• Act as a Medicaid/MMIS SME across claims, eligibility, enrollment, and provider modules
• Lead requirements gathering, business process analysis, and documentation (BRDs, FRDs, user stories)
• Translate complex business needs into clear functional and technical requirements
• Collaborate with stakeholders, product owners, and development teams
• Ensure compliance with CMS guidelines, HIPAA, and state Medicaid regulations
• Support defect management, and production support
• Identify process improvements and support system modernization initiatives
• Mentor business analysts and contribute to Agile delivery

Requirements

• 7–12 years of experience in Medicaid domain, with strong MMIS experience
• Deep understanding of claims processing, eligibility, and provider management systems
• Proven experience in business analysis, stakeholder engagement, and documentation
• Hands‑on experience with Agile/Scrum methodologies
• Strong analytical, communication, and problem‑solving skills

Preferred Qualifications

• Experience with MMIS platforms (Facets, QNXT, MES, etc.)
• Knowledge of HL7/FHIR and healthcare data exchange standards
• Experience working with state Medicaid agencies or healthcare payers

Qualifications

Graduate

Range Of Year Experience-Min Year

8

Range Of Year Experience-Max Year

10