Business Analyst - Medicaid Systems

Strong interpersonal skills and the ability to work effectively with project managers, developers, Business Analysts, Systems Analysts, Software Quality Assurance (SQA) Analysts, business users, data processing personnel, and external agency representatives. The person hired for this position will join a collaborative Medicaid Management Information System (MMIS) team supporting the Provider Reimbursement and Claims Processing functional areas of the Massachusetts Medicaid (MassHealth) program.

Business Analyst – Medicaid Systems
Location: Quincy, MA
Work Arrangement: Hybrid
Schedule: Monday–Friday, 9:00 AM–5:00 PM
Pay: $60 - $65 / hour W2
Position Overview
We are hiring a Business Analyst for our client located in the Quincy, MA area. The person hired for this position will join a collaborative Medicaid Management Information System (MMIS) team supporting the Provider Reimbursement and Claims Processing functional areas of the Massachusetts Medicaid (MassHealth) program.

Please note: No C2C, Subcontracting or Visa Sponsorship of any kind is available for this position. 
 

The Business Analyst will support the development, testing, and implementation of system projects and enhancements that meet business objectives and program requirements. This role requires a strong understanding of healthcare operations, health plan management, and the systems development lifecycle (SDLC). Candidates with Medicaid systems experience, particularly knowledge of claims processing and the MassHealth program, are preferred.

The successful candidate will work closely with business stakeholders, vendors, developers, and project teams to ensure system solutions meet business requirements and comply with applicable federal and state regulations. Responsibilities span the full project lifecycle, including gap analysis, requirements gathering, design, development, documentation, testing, implementation, and post-release stabilization.

Work Location and Schedule: This is a hybrid position based in Quincy, MA, with a standard schedule of Monday through Friday, 9:00 AM to 5:00 PM. The role combines in-office and remote work, with scheduling subject to operational needs.
Key Responsibilities

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  Lead and participate in joint application design sessions with business stakeholders.
  
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  Gather, document, and validate business and system requirements.
  
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  Develop test strategies, test scenarios, and test cases based on documented requirements.
  
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  Execute and review test runs and provide sign-off on testing components.
  
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  Participate in all phases of the SDLC, including analysis, design, development, testing, implementation, and stabilization.
  
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  Collaborate with vendors to ensure business requirements are fully defined, documented, and tested.
  
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  Support the development of end-user training materials and system documentation.
  
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  Monitor system changes during release stabilization and help develop and implement corrective action strategies as needed.
  
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  Communicate project updates, system changes, and impacts to relevant stakeholders.
  
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  Represent the MMIS team in business meetings as needed.
  
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  Provide support to program staff, vendors, and other stakeholders regarding MMIS-related questions and concerns.
  
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  Perform data queries and analysis to support business decisions and system requirements.
  
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  Provide backup support to other Business Analysts as needed.
  
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  Ensure system functionality aligns with business objectives and applicable healthcare regulations.
  

Required Qualifications

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  Bachelor's degree or higher in Business, Information Technology, Healthcare Administration, or a related field, with at least three years of relevant experience; equivalent experience in a healthcare administration setting will also be considered.
  
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  Experience performing business analysis across multiple phases of the systems development lifecycle.
  
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  Strong analytical, problem-solving, communication, and documentation skills.
  
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  Ability to work independently and collaboratively with cross-functional teams.
  
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  Ability to analyze business needs, document findings, and recommend effective solutions.
  

Preferred Qualifications

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  Experience with Medicaid systems, MassHealth, or Medicaid Management Information Systems (MMIS).
  
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  Knowledge of healthcare claims and payment processing, including HIPAA-related transactions.
  
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  Strong data analysis skills and proficiency with SQL.
  
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  Familiarity with Agile methodologies and SDLC practices.
  
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  Experience developing requirements, coordinating testing, and supporting system implementations.
  
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  Strong interpersonal skills and the ability to work effectively with project managers, developers, Business Analysts, Systems Analysts, Software Quality Assurance (SQA) Analysts, business users, data processing personnel, and external agency representatives.
  
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  Demonstrated ability to evaluate complex business and system issues, document findings, and recommend solutions.
  

Additional Information

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  Hybrid work arrangement based in Quincy, MA.
  
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  Standard business hours are Monday through Friday, 9:00 AM–5:00 PM.
  
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  Candidates with Medicaid claims processing and MassHealth program knowledge are strongly preferred.