Senior Business Analyst - Medicaid Provider Enrollment Modernization

Senior Business Analyst – Medicaid Provider Enrollment Modernization

Location: Remote - U.S.

About Us:

Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of both technical and business services in support of Health and Human Services-related projects. Feel free to learn more at www.s2tech.com.

Why S2Tech?:

• Stable, privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service


• 25+ years providing IT and Business services to private customers and government programs throughout the United States


• Expansive client portfolio and active projects – employees benefit from innovative project exposure and in-house skill development training/courses  


• Corporate culture that emphasizes the importance of family and promotes a healthy work-life balance


• Offer competitive pay and a range of benefits, including:




• Medical / Dental / Vision Insurance – insurance premium assistance provided


• Additional Insurance (Life, Disability, etc.)


• Paid Time Off


• 401(k) Retirement Savings Plan & Health Savings Account


• Various training courses to promote continuous learning


• Corporate Wellness Program




• Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities, allowing them to link their professional & educational goals

Job Overview:

S2Tech is seeking a Senior Business Analyst to support a Medicaid provider enrollment modernization initiative. The Business Analyst will work with state program representatives, project leadership, technical teams, operations staff, and third-party vendors to analyze current provider enrollment processes and define requirements for portal, workflow, integration, and data-quality improvements.

The position will support enhancements involving a provider-facing enrollment portal, OnBase workflow automation, integration between OnBase and the Medicaid Management Information System (MMIS), and improvements to provider enrollment data and operational processes.

Responsibilities:

• Facilitate discovery sessions with Medicaid policy, provider enrollment, operations, technical, security, and vendor stakeholders


• Analyze existing provider enrollment processes, workflows, business rules, system interfaces, forms, notices, and operational pain points


• Elicit, document, validate, and maintain business, functional, nonfunctional, data, and integration requirements


• Translate business needs into clear user stories, use cases, process flows, business rules, requirements traceability documentation, and acceptance criteria


• Support requirements for a provider-facing portal that allows providers to initiate, save, and submit enrollment applications, upload documentation, and track application status


• Document portal workflows, page flows, data requirements, user roles, and navigation needs in coordination with UI/UX and development teams


• Support requirements related to authentication, role-based access, accessibility, security, and integration with enterprise identity-management solutions


• Analyze and document OnBase workflow enhancements supporting provider screening, licensing validation, risk-level assignment, notifications, site visits, fraud indicators, provider status changes, and work-queue automation


• Work with OnBase, MMIS, portal, and integration teams to define data mappings, interface requirements, ingestion rules, validation rules, exception handling, and two-way data exchanges


• Analyze provider enrollment data and processes involving National Provider Identifiers, taxonomy, licenses, affiliations, revalidation, provider ownership, group and individual relationships, and ordering, referring, and prescribing providers


• Help identify opportunities to reduce manual processing, improve data quality, strengthen workflow visibility, and automate provider enrollment activities


• Coordinate with business and technical stakeholders to clarify requirements, resolve gaps, manage requirement changes, and evaluate downstream impacts


• Review system designs and technical artifacts to confirm alignment with approved business requirements


• Support sprint planning, backlog refinement, demonstrations, defect review, and other Agile delivery activities


• Develop test scenarios and expected results based on approved requirements and business rules


• Support system integration testing, user acceptance testing, regression testing, defect triage, and validation of implemented functionality


• Maintain requirements traceability from initial business need through design, development, testing, and implementation


• Prepare status updates, meeting notes, decision logs, risk and issue documentation, and other project artifacts as assigned

Required Qualifications:   

• At least seven years of experience as a Business Analyst supporting complex information technology or systems-modernization projects


• Experience eliciting, documenting, validating, and managing detailed business and functional requirements


• Experience developing process flows, user stories, use cases, business rules, data requirements, acceptance criteria, and requirements traceability matrices


• Experience working with business stakeholders, developers, architects, testers, operations teams, and third-party vendors


• Experience analyzing system interfaces, data exchanges, workflow automation, and cross-system dependencies


• Experience supporting system development, integration, testing, defect resolution, and implementation activities


• Strong facilitation, analytical, problem-solving, documentation, and written and verbal communication skills


• Ability to translate complex policy and operational needs into clear, actionable requirements for technical teams


• Ability to manage multiple workstreams, priorities, and stakeholders in a complex project environment


• Experience working in Agile or hybrid Agile delivery environments

Preferred Qualifications: 

• Experience with Medicaid, healthcare, or other health and human services programs


• Knowledge of Medicaid provider enrollment, screening, revalidation, licensing, affiliations, sanctions, exclusions, ownership, and provider data management


• Experience supporting an MMIS or another large public-sector healthcare system


• Experience with OnBase workflows, document management, work queues, e-forms, or related automation capabilities


• Experience supporting provider-facing portals or online application systems


• Experience defining requirements for APIs, system interfaces, data ingestion, data validation, and bidirectional integrations


• Familiarity with provider-related data sources and screening systems, including NPPES, LEIE, and SAM.gov


• Knowledge of National Provider Identifiers, provider taxonomy, ordering/referring/prescribing requirements, and provider affiliation structures


• Experience with identity-management technologies such as Okta, SAML, or comparable authentication solutions


• Familiarity with ADA and WCAG accessibility requirements


• Experience supporting state government or federally funded systems-modernization projects


• Experience with Jira, Azure DevOps, Confluence, Visio, or comparable requirements and process-modeling tools

Education:

• Bachelor’s degree in business, information systems, healthcare administration, computer science, or a related discipline


• Relevant professional experience may be considered in place of a degree


• Business analysis or Agile certification, such as CBAP, CCBA, PMI-PBA, Certified Scrum Product Owner, or equivalent, is preferred

S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.