IT Business Systems Analyst Expert

Role : Expert Business Analyst Medicaid Managed Care Contract Compliance Tracking

Location : Remote

Position Summary

DHHS Information Systems and Technology (IS&T) is seeking a skilled Expert Business Analyst to lead the implementation and ongoing support of a Contract Compliance Tracking System. This role is central to ensuring compliance with federal and state Medicaid managed care oversight requirements through effective system design, stakeholder engagement, issue resolution, and continuous improvement. The ideal candidate will bring deep domain knowledge of Medicaid Managed Care, strong analytical and documentation skills, and a proactive approach to process improvement and stakeholder collaboration.

Key Responsibilities

Lead business analysis activities for the design, implementation, and maintenance of the Medicaid Contract Compliance Tracking system

Develop and manage system requirements, workflows, business rules, and process documentation

Perform extensive data validation and data mapping.

Create and execute comprehensive test cases for UAT, system integration, and regression testing

Engage with internal stakeholders and end users to support user testing, feedback collection, and training

Serve as a liaison between business units, technical teams, and MCOs to ensure requirements are clearly understood and delivered

Develop, track, and maintain project deliverables including requirements documents, process flows, use cases, test plans, and user manuals

Oversee dashboarding and reporting features to track compliance metrics, corrective action plans, and key performance indicators

Monitor and manage production support issues, facilitate triage, and ensure timely resolution

Identify and implement opportunities to improve compliance workflows and tracking mechanisms

Support issue management processes, including documentation, prioritization, root cause analysis, and resolution trackingRequired Credentials and Experience

Minimum 5 years of experience as a Business Analyst, with at least 3 years focused on Medicaid Managed Care or other state / federal health programs

Strong knowledge of Medicaid Managed Care programs, federal regulations (e.g., CFR 42 MCO oversight / compliance processes

Demonstrated experience gathering business requirements, creating process flows, and documenting business rules

Hands-on experience with test case development and execution

Proven ability to engage end users and facilitate UAT and production support

Excellent communication skills, both written and verbal

Proficiency with tools such as JIRA, Confluence, Visio, Excel, and report / dashboard platforms (e.g., Power BI or Tableau)Preferred Credentials and Experience

Bachelor's degree in Business, Health Administration, Information Systems, Public Policy, or related field

Prior experience implementing or supporting compliance or case tracking systems in a state Medicaid agency

Familiarity with Medicaid Enterprise Systems (MES), CMS reporting requirements, and audit readiness practices

Experience with workflow automation and dashboard / reporting design

Knowledge of Agile / Scrum methodology and tools

Experience coordinating across business, IT, and policy teams in a government environment

Estimated Duration

11 / 17 / 2025 - 11 / 30 / 2026