Medicaid Business Analyst
United States
$120k - $160k/year
Full-time
Remote
1 month ago
About the role
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 Technology
Why Consider This Job Opportunity
What To Expect (Job Responsibilities)
What Is Required (Qualifications)
How To Stand Out (Preferred Qualifications)
#HealthcareTechnology #DataIntegration #BusinessAnalyst #CareerOpportunity #CompetitiveCompensation
We 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
Employer Industry: Healthcare Technology
Why Consider This Job Opportunity
- Salary up to $170,000
- Comprehensive benefits package including health, dental, life, disability, and vision insurance
- Retirement benefits with a 401k plan
- 13 paid holidays per year and paid time off
- Opportunities for education assistance or tuition reimbursement
- Supportive and collaborative work environment that values employee input and teamwork
What To Expect (Job Responsibilities)
- Review and analyze Account Transfer XML files for data discrepancies and structural gaps between the Exchange and Medicaid systems
- Troubleshoot and resolve production data issues related to failed or "stuck" account transfers
- Coordinate with Medicaid stakeholders to define and maintain Source-to-Target Mapping (STTM) documents
- Act as the primary point of contact for Medicaid agencies, monitoring system-to-system traffic health
- Support System Integration Testing (SIT) and User Acceptance Testing (UAT) by developing test cases for data mapping and XML validation
What Is Required (Qualifications)
- Proficiency in reading and validating XML/XSD; strong SQL skills for data reconciliation
- 3-5+ years of experience in Medicaid, Healthcare IT, or Insurance Exchange environments focused on data integration
- Proven experience in Gap Analysis and complex data mapping
- Strong communication skills to translate technical XML issues into business impacts for stakeholders
How To Stand Out (Preferred Qualifications)
- Experience with EDI or health data standards (HL7/NIEM)
- Familiarity with Medicaid systems and processes
- Strong analytical skills with a focus on data integrity and quality assurance
#HealthcareTechnology #DataIntegration #BusinessAnalyst #CareerOpportunity #CompetitiveCompensation
We 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
Skills
AnalystIT Services and IT Consulting