Business Data Analyst-Medicaid and Medicare Experience

Business /Data Analyst (2 positions) - Medicaid and Medicare experience (Mandatory) Job Profile Summary We are seeking a talented individual for a Data/Systems Business Analyst who functions as the liaison between the developer, product manager, and internal/external clients, reviewing, analysing, evaluating and documenting the technical component of data or systems business requirements for data/systems enhancements or new client implementations. Typically, manages a small implementation or a phase(s) of a larger implementation of moderate complexity. Essential Job Functions • Reviews, analyses, and evaluates data/systems business requirements for existing and new development. • Documents technical and business specifications and functional needs, and modifies existing requirements • Leads the data analysis and profile efforts for new client implementations and system enhancements. • Facilitates technical meetings with IT and the business project team. • Provides data mappings, user interface specifications, and processing logic as per business requirements to the Developer. • Communicates with clients, developers and other team members. • Tests development efforts and assists clients in user acceptance testing. • Creates and maintains a project plan, documents meeting notes and distributes to team. • Provides regular status reports to clients, developers, and management as needed. • Provides mentorship and guidance to junior Analysts on the team as needed. • Create and maintain test cases derived from source‑to‑target data mappings, leveraging AI‑assisted tools to improve accuracy, coverage, and efficiency. Basic Qualifications • Bachelor's degree in computer sciences or related field preferred • Experience working with different database structures (e.g., transaction based vs. data warehouse) • Strong knowledge of SQL is a must • Experience in a US Healthcare Business Analyst position experience (8 to 14 years for Senior Professional; 15+ years for Advisor) with 4 or more years of Medicaid and Medicare experience preferred. Strong US healthcare domain knowledge is required, with good experience in Claims, Member, Provider is a must • Experience working with different database structures (e.g., transaction based vs. data warehouse) • Data mappers in the Health Plan construct. Very little tech. SQL experience and knowledge of using day-to-day AI tools. • Need to understand the Health Payer data and the company. • Need to understand Health Payer data and communicate well. • BA who does ETL Design. Terminology in industry is source-to-target mapping work. • The ability to read and understand ER diagrams is highly desired • Knowledge and/or certifications in software development methodologies, such as Scrum, are desired, but not required Other Qualifications • Ability to drive project timelines to completion with a cross-functional team. • Must be familiar with relational database concepts and client-server concepts. • Ability to communicate both verbally and in writing, fluently in English. • Ability to develop professional relationships. • Ability to be a high-impact player on multiple simultaneous engagements • Willingness to travel Work Environment • Client or office environment / may work remotely • Occasional evening and weekend work