Senior Business Analyst - Medicaid - SQL
$74,300–$106,100 year
RemoteUnited States
Job Summary
Lead the DC Medicaid program by serving as a primary analyst for complex, multi-system claims and financial processing activities. Develop deep understanding of end-to-end medical claims and financial processes to evaluate data, confirm system performance parameters, and identify processing issues. Analyze contact center workflows, tools, and performance metrics to detect adverse trends, anomalies, and improvement opportunities. Partner with supervisors to support operational data analysis, query datasets for performance initiatives, and collaborate across functional areas. Engage directly with state client stakeholders on data-related issues. Apply analytical and relational database tools, including SQL, Excel, and Access, to quantify trends, assess impacts, and uncover anomalies. Analyze, design, and document enhancements to business processes that support operational effectiveness.
Required Qualifications
- 6+ years of experience as a Business Analyst in the Healthcare Industry
- Residency and work location must be within the contiguous United States (48 states)
- Video cameras are required to be on for all interviews and meetings, both internal and client‐facing
- Standard working hours are 8:00 AM – 5:00 PM EST
- Flexibility to work outside normal business hours when necessary to support critical processes or remediation efforts
Desired Qualifications
- 3+ years of Medicaid or Medicare experience preferred
- Understanding of computer programming concepts, including configuration, development, and batch processing
- Advanced proficiency with analytical tools such as Microsoft Excel, Access, SQL, and requirement‐mapping tools such as ALM platforms
- Strong client‐facing communication skills with the ability to translate client needs into actionable objectives
- Strong analytical and business process re‐engineering capabilities
- Executive presence and the ability to communicate effectively with business leaders, clients, and technical teams
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