Business Analyst with Medicaid/MMIS (Claims/Finance/Members) experience- Remote

The Dignify Solutions, LLC New York, NY Open
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The Dignify Solutions, LLC is looking for Business Analyst with Medicaid/MMIS (Claims/Finance/Members) experience- Remote in New York, NY.
This local job opportunity with ID 3923008437 is live since 2026-10-28 20:25:35.
Job Description
Job Description
  • 12+ years of Business Analysis experience with strong Medicaid MMIS/MES domain expertise.
  • Hands-on experience with Health Enterprise, QNXT, Facets, or similar Medicaid claims platforms.
  • Strong experience in at least 2 of 3 areas: Claims, Member/Eligibility, Finance.
  • Experience with Medicaid claims processing, adjudication, adjustments/voids, encounters, Medicare crossover, remittance, and payment processing.
  • Strong knowledge of Medicaid eligibility, enrollment, aid categories, benefit packages, MCO/FFS, TPL, capitation, ASO, and FFP.
  • Experience modernizing/replacinglegacy MMIS/mainframe systems with commercial Medicaid platforms.
  • Ability to create BRDs, FRDs, user stories, functional designs, process flows, data mappings, and acceptance criteria.
  • Experience working closely with Development, QA, Architecture, SIT/UAT, and defect triage teams.
  • Knowledge of HIPAA X12 837/835, COBA/crossover, interfaces, and Medicaid financial accounting.
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