

Medicaid Enterprise Systems (MES) Business Analyst - US VIRGIN ISLANDS
β - Featured Role | Apply direct with Data Freelance Hub
This role is for a Medicaid Enterprise Systems (MES) Business Analyst with a contract length of over 6 months, offering a pay rate of $110,000 - $125,000 per year. Key skills include 5+ years in claims processing and business analysis, and required travel to the US Virgin Islands 1-2 times quarterly.
π - Country
United States
π± - Currency
$ USD
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π° - Day rate
568.1818181818
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ποΈ - Date discovered
July 19, 2025
π - Project duration
More than 6 months
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ποΈ - Location type
Hybrid
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π - Contract type
Unknown
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π - Security clearance
Unknown
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π - Location detailed
St Thomas, VI 00802
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π§ - Skills detailed
#GDPR (General Data Protection Regulation) #Project Management #Strategy #REST (Representational State Transfer) #"ETL (Extract #Transform #Load)" #Business Analysis #Storage #AI (Artificial Intelligence) #Security #Data Processing #SharePoint #Cloud
Role description
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Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sectorβs IT environment. Our team is on the forefront of helping to solve the government's most complex IT challenges. If you are seeking a role that offers the opportunity to work on rewarding projects, consider a career with Cloud and Things.
β’ This is an exempt position. Salary commensurate with experience
β’ Overview:β―
We are seeking a Medicaid Enterprise Systems (MES) Business Analyst to support a clientβs Medicaid Management Information System (MMIS) Eligibility and Enrollment (EE) functions. The role involves supporting ongoing operations of the Medicaid EE solution in collaboration with RedMane, maintaining the fee-for-service (FFS) MMIS with Gainwell, and assisting in the implementation of Provider Enrollment and Electronic Visit Verification (EVV) solutions, also with Gainwell.
Duties:
Work to be conducted in the AST Time Zone, remotely, but with travel to the USVI 1-2 times per quarter.
Focus on the USVIβs Department of Human Services (DHS) Medicaid Agency Program (MAP)
Help to support the agencyβs contract management efforts.
Communicate project and delivery status to our clients, team members, and other interested parties, including the facilitation of client meetings.
Provide systems expertise with a strong understanding of the vendor marketplace and systems implementations.
Collaborate effectively and build strong working relationships with team members, including client contacts and vendor partners, to help ensure alignment, clear communication, and shared project goals.
Utilize knowledge and experience to lead and project manage client projects, particularly Medicaid systems projects. This includes helping develop client deliverables such as complex analysis reports, ongoing status reports, data and technical strategy plans, and presentations.
Mandatory Qualifications:
Bachelor's Degree (BA/BS)βMay substitute four years of applicable experience for degree
5+ years experience supporting a PMO.
5+ years experience functioning as a Business Analyst.
3+ years experience managing vendors and vendor contracts.
3+ years experience supporting vendor contracts through the Statement of Work (SOW) development, review, and approval processes.
5+ years experience with claims processing, provider enrollment, member eligibility and enrollment, electronic visit verification, and contract management.
Proficient with Microsoft desktop applications and standard document repositories such as MS SharePoint.β―
Required to travel 1-2 times per quarter to the US Virgin Islands.
Cloud and Things complies with all applicable federal, state, and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race,β―color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other category protected by applicable federal, state, or local laws.β―
AI-Assisted Resume Evaluation Notice
Cloud and Things β Talent Management
Notice to Candidates
Cloud and Things utilizes artificial intelligence (AI) tools to assist our recruiting team in evaluating candidate applications for streamlining; consistency, efficiency, and thoroughness. All hiring decisions are ultimately made by our human recruiting professionals.
How AI Is Used
Our AI tools assist by:
Analyzing resumes against job requirements
Supporting our recruiters in candidate data evaluation
Ensuring consistent review standards across all applications
Important: AI serves as a support tool only. As noted above, all candidate selection and hiring decisions are made by experienced human recruiters. Your unedited resume will be processed by our AI tools as part of this evaluation.
Your Data and Privacy
Cloud and Things Data Handling:
Your information is processed securely and used exclusively for recruitment purposes
Cloud and Things may store your resume in our Applicant Tracking System (ATS) indefinitely for future job matching opportunities
You may opt out of long-term ATS storage by emailing your name and your request to opt out of storing your resume in the ATS to: security@cloudandthings.com
All personal information is handled confidentially in accordance with our privacy policy
AI Tool Data Processing:
AI processing data is retained for a maximum of 90 days, after which it is deleted
All data sent to AI tools is encrypted in transit and at rest
AI tools comply with applicable privacy laws including GDPR and CCPA
Personal data is anonymized or minimized wherever possible during AI processing
Your Participation
By submitting your application, you acknowledge this notice and consent to AI-assisted evaluation as part of our recruitment process. You may opt out only by choosing not to submit your resume for consideration.
Job Types: Full-time, Contract
Pay: $110,000.00 - $125,000.00 per year
Education:
Bachelor's (Required)
Experience:
claims processing, E&E , EVV, and Contract mgmt: 5 years (Required)
supporting a Project Management Office (PMO): 5 years (Required)
functioning as a Business Analyst: 5 years (Required)
managing vendor contracts: 3 years (Required)
supporting SOW development, review, and approval processes: 3 years (Required)
Willingness to travel:
25% (Required)
Work Location: Hybrid remote in St Thomas, VI 00802