Senior Business Analyst (MMIS Finance)

Senior Business Analyst, MMIS Finance

About the Role

• Lead business and functional requirements for the MMIS Financial Management
• module from requirements gathering through implementation and production
• validation. Translate Medicaid payment operations into clear requirements for
• business, technical, and testing teams.

Responsibilities

• Facilitate stakeholder workshops, document current-state financial

processes, identify gaps, and define target-state business and system needs.

• Develop business and functional requirements, user stories, acceptance

• criteria, process flows, decision tables, data mappings, interface
• requirements, and reconciliation rules.

• Analyze the end-to-end financial lifecycle, including claims payment,

• preliminary and final payment cycles, warrants and EFT, remittance advice,
• receivables, recoveries, recoupments, refunds, offsets, voids, reissues, and
• reconciliation.

• Trace claims and financial transactions across adjudication, payment, 835 or

• paper remittance, banking, general-ledger interfaces, and financial
• reporting.

• Collaborate with finance, program, development, architecture, and QA teams to

• define screens, work queues, interfaces, batch cycles, and system behavior.
• Maintain requirements traceability, manage backlog priorities and requirement
• changes, and resolve business and testing questions throughout delivery.

• Support SIT, UAT, regression testing, defect triage, root-cause analysis, and

• production validation, ensuring payment cycles and financial postings
• reconcile.

• Assess Medicaid policy, regulatory, and CMS reporting impacts and communicate

• financial concepts and system behavior to technical and nontechnical
• stakeholders.

Requirements

• Business Analyst experience with Medicaid MMIS/MES, healthcare payer systems,

claims payment, or comparable financial operations.

• Knowledge of claims adjudication, provider payment, accounts payable and

receivable, recoveries, adjustments, refunds, offsets, and reconciliation.

• Working knowledge of 837P, 837I, and 837D transactions and strong knowledge

of the 835, including CAS, PLB, and payment balancing.

• Knowledge of Medicare crossover, coordination of benefits, and third-party

liability or recovery processes that affect Medicaid payment.

• Ability to use SQL and X12 validation tools to trace claims, payments,

receivables, remittances, and downstream financial data.

• Experience with requirements documentation, stakeholder facilitation,

traceability, SIT, UAT, defect triage, and production validation.

Preferred Qualifications

• Eight or more years of business analysis or healthcare systems experience,

including MMIS financial management or Medicaid payment operations.

• Experience with CMdS or another Medicaid enterprise or healthcare payer

platform such as Gainwell, QNXT, HealthRules, or Facets.

• Knowledge of CMS-64, FMAP, 1099 reporting, MITA Financial Management, X12

820, or NCPDP transactions.

• Experience with Agile delivery and backlog tools such as Azure DevOps or

Jira.

Flexible Working

• At Conduent, we want you to be yourself. We recognize that everyone is different
• and that how people want to work and deliver at their best is different for
• everyone too.
• In this role, you can expect the following working conditions:

• Remote work: Enjoy the convenience of working from home and maximize your time
• by unplugging at the end of your workday.

Working For You

• Perks and rewards designed for you:
• Health and Welfare Benefits: Our health and welfare benefits can be tailored

to fit you and your family's needs and start on the first day of employment.

• Retirement Savings: We will support you as you save for your future.

Career Growth Opportunities

• We help you thrive, so together, we can grow. We provide opportunities to
• advance your career with a vast portfolio of businesses and a global footprint.

• Paid time off: We provide attractive paid time off packages designed for you

to enjoy your life away from work.

• Great Work Environment: We are proud of our award-winning culture and the

recognition we’ve received for our diversity efforts.

Join Us

• At Conduent, we are one team, one mission. We understand that our success is
• directly related to the success of our associates. We strive to create a culture

where you can

Bring your authentic self to work. Grow and thrive, both personally and

professionally

Make a difference with our clients, in our communities, and with the millions of

people we support

• When you join Conduent, you are engaged in creating the future - both our
• company’s and your own. With more than 60,000 associates across 24 countries, we
• will provide you the opportunity to grow with a team of people who will
• challenge and inspire you to be the best!

• Pay Transparency Laws in some locations require disclosure of compensation
• and/or benefits-related information. For this position, actual salaries will
• vary and may be above or below the range based on various factors including but
• not limited to location, experience, and performance. In addition to base pay,
• this position, based on business need, may be eligible for a bonus or incentive.
• In addition, Conduent provides a variety of benefits to employees including
• health insurance coverage, voluntary dental and vision programs, life and
• disability insurance, a retirement savings plan, paid holidays, and paid time
• off (PTO) or vacation and/or sick time. The estimated salary range for this role
• is $85,470 - $111,000.

• Through our dedicated associates, Conduent delivers mission-critical services
• and solutions on behalf of Fortune 100 companies and over 500 governments -
• creating exceptional outcomes for our clients and the millions of people who
• count on them. You have an opportunity to personally thrive, make a difference
• and be part of a culture where individuality is noticed and valued every day.

• Conduent is an Equal Opportunity Employer and considers applicants for all
• positions without regard to race, color, creed, religion, ancestry, national
• origin, age, gender identity, gender expression, sex/gender, marital status,
• sexual orientation, physical or mental disability, medical condition, use of a
• guide dog or service animal, military/veteran status, citizenship status, basis
• of genetic information, or any other group protected by law.

• For US applicants: People with disabilities who need a reasonable accommodation
• to apply for or compete for employment with Conduent may request such
• accommodation(s) by submitting their request through this form that must be
• downloaded:  click here to access or download the form

[https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf].

• Complete the form and then email it as an attachment to FTADAAA@conduent.com
• [FTADAAA@conduent.com]. You may also click here to access Conduent's ADAAA

Accommodation Policy

[http://downloads.conduent.com/content/usa/en/document/cdt_adaaa_accommodation_pol.pdf].