Medicaid Business Analyst
Location: Richmond, VA
Job Type: Contract
Company: IDR
Category: Business Analysis
Job Description Apply Now
The Medicaid Business Analyst plays a critical role in supporting healthcare organizations as they transition and modernize their Medicaid operations. As a Medicaid Business Analyst, you will leverage your specialized knowledge of Medicaid processes and modernization strategies to facilitate smooth transitions and improve operational efficiency. This full-time opportunity offers a chance to work within a collaborative, growth-oriented environment in a region recognized for its dynamic healthcare sector. If you are passionate about Medicaid operations and eager to make a measurable impact, we encourage you to apply by clicking the job application button.
Medicaid Business Analyst - SummaryThe Medicaid Business Analyst is responsible for providing expertise in Medicaid systems and operations, with a strong focus on modernization and process improvement. This role involves supporting the early phases of system modernization, developing detailed requirements for vendor selection processes, and acting as a key liaison among stakeholders, vendors, and operational teams. The Medicaid Business Analyst will help organizations transition from legacy platforms to innovative, vendor-operated solutions, ensuring continuity and compliance throughout every stage of the process. Success in this role requires deep analytical skills, a thorough understanding of Medicaid services, and the ability to communicate complex requirements clearly to both technical and non-technical audiences.
Duties & Responsibilities- Support the planning and execution of Medicaid system modernization initiatives, focusing on strategy and operational improvements.
- Develop, document, and manage detailed requirements for Fiscal Agent Request for Proposals (RFPs), ensuring alignment with organizational needs and regulatory requirements.
- Assist in the transition planning from legacy Medicaid systems to new, vendor-operated technology solutions, mitigating risks and ensuring process continuity.
- Conduct in-depth analysis of current Medicaid operations to identify gaps, inefficiencies, and opportunities for modernization.
- Serve as a liaison between state stakeholders, technology vendors, and internal operational teams to facilitate clear communication and successful project outcomes.
- Participate in occasional travel for important stakeholder meetings or workshops, typically once per quarter or every four to five months, to ensure project alignment and gather key insights.
- Maintain high-quality documentation and manage stakeholder expectations throughout the project lifecycle.
- Competitive compensation package designed to attract experienced professionals in Medicaid operations.
- Comprehensive benefits including medical, dental, vision, and life insurance for employees and eligible dependents.
- Access to employee stock ownership programs, fostering long-term investment and loyalty.
- Supportive, team-oriented company culture with opportunities for professional development and career advancement.
- Recognition as one of the industry’s leading organizations, with award-winning client and talent engagement programs.
- Five or more years of experience as a Business Analyst or Consultant with a focus on Medicaid operations.
- Direct experience in developing requirements for Fiscal Agent RFPs and supporting state agency initiatives.
- Comprehensive understanding of Medicaid operational services, including claims processing, provider management, and fiscal operations.
- Previous work experience with state agencies, consulting firms, or Medicaid-focused vendors is highly desirable.
- Demonstrated familiarity with Medicaid modernization strategies and fiscal agent transition processes.
- Exceptional written and verbal communication skills, with the ability to clearly convey technical and business requirements to diverse audiences.
- Proficiency in documentation, stakeholder management, and independent project execution.
- Analytical, detail-oriented professional with a background in Medicaid system operations and modernization.
- Proactive problem-solver who can identify operational inefficiencies and recommend effective solutions.
- Collaborative team player with strong interpersonal skills and the ability to build relationships with stakeholders at all organizational levels.
- Thrives in dynamic, fast-paced environments and is able to manage multiple priorities effectively.
- Motivated to contribute to meaningful change in healthcare operations and improve service delivery for Medicaid beneficiaries.
- This position supports organizations committed to advancing healthcare innovation and quality management in Medicaid services.
- Work is completed in a team-oriented environment, with an emphasis on professional growth and continuous learning.
- Opportunities for occasional travel help expand your professional network and gain insights into best practices across the healthcare industry.
- The East Coast region offers a vibrant healthcare landscape and excellent opportunities for career advancement.
- All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. IDR is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, we invite employees to voluntarily self-identify their race or ethnicity, gender, and veteran status (if applicable). Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. You may access this form here.
If you are ready to take your career to the next level and play a vital role in the modernization of Medicaid operations, we encourage you to apply for the Medicaid Business Analyst position by clicking the job application button. Join a team dedicated to making a positive difference in healthcare and advancing your professional journey today.