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Medicaid Technical Requirements Analyst

Key Facts

Remote From: 
Part time
Senior (5-10 years)
English

Other Skills

  • Analytical Skills
  • Communication

Roles & Responsibilities

  • 5+ years of experience as a Business Analyst, Systems Analyst, Technical Analyst, or Requirements Analyst supporting Medicaid, eligibility, healthcare, or human services systems.
  • Experience documenting business requirements, functional requirements, technical specifications, and process workflows.
  • Strong understanding of eligibility systems, notice generation processes, business rules, data mapping, and system integrations.
  • Excellent analytical, documentation, and stakeholder communication skills.

Requirements:

  • Analyze current-state notice generation processes, system triggers, eligibility actions, reason codes, data mappings, and delivery workflows.
  • Document notice-related business rules, system dependencies, integration requirements, data sources, and technical constraints.
  • Develop detailed notice-level requirements and design specifications, including trigger logic, dynamic content, variable fields, acceptance criteria, and traceability requirements.
  • Support validation and classification of notice inventories across Medicaid and public assistance programs.

Job description

Job Title: Medicaid Technical Requirements Analyst

Job Type:

 

Part-Time

Job Location:

 

Remote

Job Summary:

 

GenesisConsulting is seeking a Medicaid Technical Requirements Analyst to support a largestate Health and Human Services (HHS) agency responsible for administeringpublic assistance programs, including healthcare coverage, nutritionassistance, and economic support services for millions of residents. This role will bridge policy, operations, andtechnology teams to define detailed notice requirements, system dependencies,trigger logic, data elements, integration points, and implementationspecifications required to modernize eligibility and benefits notices.

 

The analyst willplay a critical role in translating business, policy, and operationalrequirements into build-ready technical requirements and design specificationsfor system integrators and development teams.

Duties andResponsibilities:

 

·        Analyze current-state notice generation processes, system triggers,eligibility actions, reason codes, data mappings, and delivery workflows.

·        Document notice-related business rules, system dependencies,integration requirements, data sources, and technical constraints.

·        Develop detailed notice-level requirements and design specifications,including trigger logic, dynamic content, variable fields, acceptance criteria,and traceability requirements.

·        Support validation and classification of notice inventories acrossMedicaid and public assistance programs.

·        Work closely with eligibility system teams, architects, developers,data analysts, and business stakeholders to identify technical dependencies andimplementation considerations.

·        Define data elements, source systems, merge logic, reason codemappings, delivery rules, and notice generation requirements.

·        Develop requirements traceability matrices and implementation-readydocumentation.

·        Support testing preparation, acceptance criteria development, andimplementation planning activities.

·        Participate in requirements workshops, design reviews, stakeholdermeetings, and governance forums.



Requirements

·        5+ years of experience as a Business Analyst, Systems Analyst,Technical Analyst, or Requirements Analyst supporting Medicaid, eligibility,healthcare, or human services systems.

·        Experience documenting business requirements, functional requirements,technical specifications, and process workflows.

·        Strong understanding of eligibility systems, notice generationprocesses, business rules, data mapping, and system integrations.

·        Experience developing traceability matrices, acceptance criteria, andimplementation-ready requirements packages.

·        Excellent analytical, documentation, and stakeholder communicationskills.

 

Preferred Qualifications:

·        Experience supporting Medicaid eligibility systems, integratedeligibility platforms, or public assistance modernization programs.

·        Knowledge of MyACCESS, FLORIDA, Medicaid Enterprise Systems, SNAP,TANF, or related HHS programs.

·        Experience supporting system implementation, testing, or modernizationinitiatives.

Minimum Education:

 

·        Bachelor’s Degree in Information Systems, Computer Science, BusinessAdministration, Healthcare Informatics, Management Information Systems, PublicAdministration, or a related field. Equivalent experience supporting Medicaideligibility or public assistance systems may be substituted.

 

 



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