Functional Consultant

Functional Consultant, Albany, NY, US

Functional Consultant

Summary: Functional Consultant to support the Enrollment track of a NY State Medicaid LTSS modernization program. The role focuses on requirements, solution design articulation, and HIPAA transaction support including 834 and 278 interchanges.

Key Requirements

• 4–7 years of experience as a Business / Functional Consultant in healthcare and/or public sector programs
• Strong Medicaid and LTSS knowledge, including enrollment and managed care
• Hands-on experience with HIPAA 834 or 278 transactions, including segments, loops, code sets, and companion guides
• Experience with NY eMedNY and related inbound/outbound transaction interchange
• Ability to produce BRDs/FRDs, process flows, data mappings, and interface specifications
• Strong client-facing communication skills; able to work with State, MCO, and vendor stakeholders
• Experience partnering with development and QA teams on requirements clarification, testing, and defect triage
• Proficiency with JIRA, Confluence, Visio, and MS Office Preferred:
• Experience supporting both HIPAA 834 and 278 transactions
• 3 years supporting Enrollment on a Medicaid platform
• Work experience with eMedNY
• Familiarity with Managed Long Term Care enrollment concepts and non-MAGI workflows
• SQL/basic data analysis for reconciliation and defect investigation
  
  

Benefits At IntelliBee

• Long-Term Stability: Join us on a multi-year opportunities with room to grow.
• Comprehensive Health Coverage: Access quality healthcare benefits to keep you and your family well.
• Future Planning: Enroll in our 401(k) program and invest in your financial security.
• GC Assistance: We support immediate Green Card processing, if required.
  
  

Date Posted:20-Oct-2026