Senior Business Analyst, MMIS Finance

Conduent

. Lead business and functional requirements for the MMIS Financial Management module from requirements gathering through implementation and production validation .

Posted 10/6/2026full-timeRemote • United StatesSenior💰 $85,470 - $111,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in business analysis within Medicaid MMIS financial management, focusing on requirements gathering, stakeholder facilitation, and financial process documentation. Proficient in analyzing claims payment cycles and ensuring compliance with Medicaid policies and regulatory standards.

Highest-signal resume keywords

Business Analyst ExperienceMedicaid MMIS/MES KnowledgeSQL ProficiencyRequirements DocumentationAgile Delivery Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Requirements GatheringFinancial Process AnalysisClaims AdjudicationData MappingUser Story DevelopmentAcceptance Criteria DefinitionReconciliation RulesTraceability ManagementDefect TriageRoot-Cause Analysis

Soft Skills

Stakeholder CommunicationFacilitation SkillsCollaboration

Tools & Technologies

Azure DevOpsJiraX12 Validation ToolsGainwellQNXTHealthRulesFacets

Industry Keywords

Medicaid Payment OperationsCMS Reporting837P Transactions835 TransactionsMedicare CrossoverFinancial ManagementNCPDP TransactionsFMAPMITA Financial ManagementX12 820 Transactions

Tech Stack

Tools & technologies

AzureSQL

About the role

Key responsibilities & impact

Lead business and functional requirements for the MMIS Financial Management module from requirements gathering through implementation and production validation
Facilitate stakeholder workshops and document current-state financial processes
Identify gaps and define target-state business and system needs
Develop requirements, user stories, acceptance criteria, process flows, decision tables, data mappings, interface requirements, and reconciliation rules
Analyze the end-to-end financial lifecycle, including claims payment, payment cycles, warrants and EFT, remittance advice, receivables, recoveries, recoupments, refunds, offsets, voids, reissues, and reconciliation
Trace claims and financial transactions across adjudication, payment, remittance, banking, general-ledger interfaces, and financial reporting
Collaborate with finance, program, development, architecture, and QA teams to define screens, work queues, interfaces, batch cycles, and system behavior
Maintain requirements traceability, manage backlog priorities and requirement changes, and resolve business and testing questions
Support SIT, UAT, regression testing, defect triage, root-cause analysis, and production validation
Ensure payment cycles and financial postings reconcile
Assess Medicaid policy, regulatory, and CMS reporting impacts
Communicate financial concepts and system behavior to technical and nontechnical stakeholders

Requirements

What you’ll need

Business Analyst experience with Medicaid MMIS/MES, healthcare payer systems, claims payment, or comparable financial operations
Knowledge of claims adjudication, provider payment, accounts payable and receivable, recoveries, adjustments, refunds, offsets, and reconciliation
Working knowledge of 837P, 837I, and 837D transactions
Strong knowledge of the 835, including CAS, PLB, and payment balancing
Knowledge of Medicare crossover, coordination of benefits, and third-party liability or recovery processes affecting Medicaid payment
Ability to use SQL and X12 validation tools
Experience with requirements documentation, stakeholder facilitation, traceability, SIT, UAT, defect triage, and production validation
Eight or more years of business analysis or healthcare systems experience, including MMIS financial management or Medicaid payment operations (preferred)
Experience with CMdS or Medicaid enterprise/healthcare payer platforms such as Gainwell, QNXT, HealthRules, or Facets (preferred)
Knowledge of CMS-64, FMAP, 1099 reporting, MITA Financial Management, X12 820, or NCPDP transactions (preferred)
Experience with Agile delivery and backlog tools such as Azure DevOps or Jira (preferred)

Benefits

Comp & perks

Health and welfare benefits tailored to employee and family needs, starting on the first day of employment
Retirement savings plan
Paid time off
Paid holidays
Voluntary dental and vision programs
Life and disability insurance
Bonus or incentive eligibility based on business need
Remote work from home
Career growth and advancement opportunities
Award-winning work environment and diversity culture