Elite Technical is seeking a Senior Business Analyst with specific experience within Medicaid, Clinical Utilization Management and Appeals and Grievances. Our client, a major healthcare insurance organization, is transition away from the CareManager Platform and will be transition towards OnBase or Healthedge Guiding Care; we are seeking a Senior Business Analyst to get involved from the beginning of this effort in order to create requirements and policies within the Medicaid guardrails. You will have the responsibility to ensure that the business's need for changes to processes, policies and/or information systems are identified, understood, defined, documented and acted upon by eliciting, analyzing, documenting, validating, specifying and verifying the needs of business or user. The incumbent is accountable for leading the gathering and synthesizing of business requirements for high complexity software, systems, processes and/or services and translating them into specifications ensuring the business objectives are met. As the functional expert, the incumbent serves as a strategic conduit between the business area and the technical or software development team through which requirements flow.

This position is 100% remote with no restrictions on candidate residence. Please contact Elite Technical right away for consideration.

Required Skills

- Education Level: Bachelor's Degree (In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.)
- 8 years experience as a Business Analyst
- Must have experience with Medicaid experience, and basic knowledge around Healthcare Utilization Management and Appeals/Grievances processes.
- CareManager (preferred) or OnBase or Guidingcare (Healthedge) clinical platforms = at least one is required.
- Must have Jira for documentation purposes
- Expert understanding of business analysis core competencies (requirements gathering/writing, user stories, etc...)
- Prior business analysis coaching and mentoring experience