Business Analyst – Claims / Benefits (Medicaid MMIS)

Job description

Title: Business Analyst – Claims / Benefits (Medicaid MMIS) Job Summary: We are seeking an experienced Business Analyst with strong Medicaid/MMIS expertise to support adult long-term care provider enrollment systems and related healthcare operations for a State of Wisconsin project. The ideal candidate will have hands-on experience with Medicaid systems, data analysis, policy support, and cross-functional coordination in a complex healthcare environment. Key Responsibilities: - Serve as the primary point of contact for assigned systems and operational projects. - Support operational administration of the adult long-term care (LTC) provider enrollment system. - Lead project lifecycle activities including requirements gathering, design reviews, UAT coordination, and production validation. - Analyze and troubleshoot system issues, data inconsistencies, and operational defects. - Work closely with vendors, stakeholders, and internal teams to resolve technical and business process issues. - Perform data extraction and analysis using SAS, Tableau, Excel, and related tools. - Analyze healthcare policies, Medicaid regulations, HIPAA compliance standards, and operational procedures. - Devel...