Medicaid Business Analyst

About Vimo:

Vimo® started as the “Expedia” of health insurance and has evolved into a leader in transforming government IT infrastructure with its proven SaaS and AI technology. Our innovative approach to health insurance shopping and enrollment has expanded beyond exchanges, and we are now reinventing how states administer safety net programs such as Medicaid, SNAP (food stamps), child care, and unemployment insurance. With our cutting-edge technology, we are helping agencies serve more people, faster, and transforming healthcare service delivery as we know it.

Job Summary:

The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will perform gap analysis on XML schemas, define field-level mapping, and coordinate directly with Medicaid partners to ensure seamless data flow in production. 

Key Responsibilities:

• XML Data & Gap Analysis:
  • Review and analyze Account Transfer XML files to identify data discrepancies, structural gaps, or missing fields between the Exchange and Medicaid systems.

  • Troubleshoot and resolve production data issues related to failed or "stuck" account transfers.

• Field-Level Mapping & Documentation:

  • Lead the coordination with Medicaid stakeholders to define and maintain Source-to-Target Mapping (STTM) documents for all shared data elements.
  • Maintain a centralized repository of agreed-upon mapping logic, data dictionaries, and transformation rules.

• Medicaid Liaison & Traffic Monitoring:

  • Act as the primary point of contact for Medicaid agencies, conducting regular "pulse checks" to monitor system-to-system traffic health.
  • Report on transmission success rates and proactively identify trends in data rejection or service interruptions.

• Integration Testing & Validation:

  • Support System Integration Testing (SIT) and User Acceptance Testing (UAT) by developing test cases specifically for data mapping and XML validation.
  • Verify that incoming data correctly triggers the intended enrollment actions in the target system.