Subject Matter Expert

Infinite Computer Solutions; New Jersey; On-site; USD 110,000 - 160,000; Full time

Job summary

Infinite Computer Solutions in New Jersey seeks a Senior Business Analyst – Medicaid/MMIS SME to lead requirements, document BRDs/FRDs, and translate complex Medicaid business needs into clear functional and technical specs.

You will collaborate with product owners, stakeholders, and development teams, ensure CMS/HIPAA compliance, and mentor analysts within an Agile delivery framework. This role emphasizes MMIS expertise and Medicaid domain leadership.

Qualifications

• 7–12 years of experience in Medicaid domain with 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.

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 experience

Requirements gathering

BRD/FRD documentation

Agile/Scrum

Stakeholder engagement

Job description

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