What are the responsibilities and job description for the Business Analyst - Healthcare & Medicaid Modernization position at Palmetto IT Enterprises?
Job Description
About the Role
We’re looking for a Business Analyst with deep experience in healthcare and Medicaid systems to join our team. In this role, you’ll act as the bridge between business stakeholders and IT teams — translating needs into clear, actionable solutions that improve healthcare operations. You’ll play a key role in supporting our Medicaid Enterprise System (MES) Modernization, ensuring compliance, efficiency, and innovation.
If you thrive in fast-paced, cross-functional environments and want your work to have a real impact on healthcare delivery, this is the role for you.
What You’ll Do
About the Role
We’re looking for a Business Analyst with deep experience in healthcare and Medicaid systems to join our team. In this role, you’ll act as the bridge between business stakeholders and IT teams — translating needs into clear, actionable solutions that improve healthcare operations. You’ll play a key role in supporting our Medicaid Enterprise System (MES) Modernization, ensuring compliance, efficiency, and innovation.
If you thrive in fast-paced, cross-functional environments and want your work to have a real impact on healthcare delivery, this is the role for you.
What You’ll Do
- Serve as a liaison between business units and IT, ensuring alignment from requirements to delivery.
- Analyze healthcare operations, identify opportunities for process improvements, and recommend automation solutions.
- Redesign and document business processes to support new Medicaid technology initiatives.
- Translate high-level business requirements into detailed functional specifications for IT teams.
- Facilitate discussions across multiple projects, build agreements, and keep initiatives moving forward.
- Lead business design sessions, cross-functional meetings, and integration efforts for MES Modernization.
- Support audits, certifications, and compliance-related activities tied to Medicaid and CMS requirements.
- Mentor team members, provide training, and drive adoption of new processes and systems.
- Develop and monitor KPIs to measure progress toward business integration goals.
- 7 years of experience in commercial healthcare
- 6 years of experience eliciting, analyzing, and documenting business rules and processes
- 3 years of experience in State Medicaid payer system integration and delivery
- 3 years working on cross-functional projects
- 3 years familiarity with MITA business architecture principles
- 3 years experience with standard data structures, EDI processes, and file formats
- 3 years experience communicating effectively with all levels of stakeholders — from frontline staff to executive leadership and vendors
- Ability to thrive in a professional, diverse team environment
- Exceptional attention to detail
- Knowledge of CMS Federal Certification requirements and processes
- Project management experience
- Hands-on experience with MMIS (project or operations)