Medicaid SME Business Analyst - Remote

Pinnacle Method Consulting's mission is to help job seekers reach their career peak by accessing top-tier opportunities. We are not a staffing firm or agency. Pinnacle Method does not hire for these roles—we systematically source and verify them from premier employers.Employer Industry: Healthcare ServicesWhy Consider This Job Opportunity Salary up to $163,700 annually Comprehensive benefits package including equity stock purchase and 401k contribution Opportunity for career advancement and growth within the organization Flexible remote work options available Chance to make a significant impact on health outcomes and community well-being Supportive and collaborative work environment with talented peersWhat To Expect (Job Responsibilities) Serve as the Medicaid subject matter expert for claims, recipient eligibility, and provider enrollment Interpret Medicaid policy and program rules, translating them into data and reporting requirements Develop and maintain key documentation such as Business Requirement Documents and Functional Requirement Documents Collaborate with technical teams to guide database design aligned with Medicaid business needs Proactively identify risks, dependencies, and gaps in requirements or data readinessWhat Is Required (Qualifications) 5+ years of experience working with Medicaid programs, MMIS, or healthcare analytics 5+ years of experience in Medicaid Claims Processing or similar systems 5+ years of experience supporting Enterprise Data Warehouse or large-scale data modernization initiatives 5+ years of experience with Microsoft Office applications 3+ years of experience in SQL analyzing large healthcare datasetsHow To Stand Out (Preferred Qualifications) Experience working directly with state Medicaid agencies or Medicaid system vendors Experience in Agile or hybrid delivery environments Experience with Azure DevOps Knowledge of Medicaid Enterprise Systems (MES) and modular architectures#HealthcareServices #Medicaid #DataAnalysis #RemoteWork #CareerGrowthWe prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.#PinnacleMethodConsulting