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Popular BA title, metro locations, and broad skillset increase qualified applicant density.
High because payer/MMIS and claims adjudication expertise is industry-specific and not widely transferable.
High due to mandatory payer/MMIS domain expertise and technical requirements like SQL and system implementation.
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Own end-to-end requirements gathering and documentation for healthcare payer systems including commercial payer and Medicaid solutions.
Collaborate with clients, internal SMEs, and development teams to translate business needs into use cases, process maps, and technical requirements ensuring alignment and clarity.
Validate solutions through demos, manage feedback, and troubleshoot critical issues to ensure timely resolution and high-quality delivery.
Experience in healthcare payer domain with focus on commercial payer solutions or Medicaid Management Information System (MMIS).
Knowledge of claims processing, adjudication, member enrolment, and care management concepts mandatory.
Ability to write and run SQL queries with understanding of relational databases and web services basics.
Work Experience Required: Not explicitly mentioned in the JD.
Proven ability to engage with diverse stakeholders including state business users, clients, and technical teams in a structured environment.
Experienced in requirements traceability, gap analysis, and familiarity with product lifecycle from functional and non-functional requirements perspective.
Comfortable working across client and internal teams, driving product features and coordinating with architects and QA teams.