Medicaid Enterprise Systems (MES) Business Analyst

Our goal is to solve problems and deliver results for our clients. At Cloud and Things, you can be a part of transforming the public sector’s IT environment. Our team is on the forefront of helping to solve the government's most complex IT challenges. If you are seeking a role that offers the opportunity to work on rewarding projects, consider a career with Cloud and Things.    This is an exempt position. Salary commensurate with experience* Overview:

 We are seeking a Medicaid Enterprise Systems (MES) Business Analyst to support a client’s Medicaid Management Information System (MMIS) Eligibility and Enrollment (EE) functions. The role involves supporting ongoing operations of the Medicaid EE solution in collaboration with RedMane, maintaining the fee-for-service (FFS) MMIS with Gainwell, and assisting in the implementation of Provider Enrollment and Electronic Visit Verification (EVV) solutions, also with Gainwell. DutiesWork to be conducted in the AST Time Zone, remotely, but with travel to the USVI 1-2 times per quarter.

Focus on the USVI’s Department of Human Services (DHS) Medicaid Agency Program (MAP) Help to support the agency’s contract management efforts. Communicate project and delivery status to our clients, team members, and other interested parties, including the facilitation of client meetings. Provide systems expertise with a strong understanding of the vendor marketplace and systems implementations. Collaborate effectively and build strong working relationships with team members, including client contacts and vendor partners, to help ensure alignment, clear communication, and shared project goals. Utilize knowledge and experience to lead and project manage client projects, particularly Medicaid systems projects.

This includes helping develop client deliverables such as complex analysis reports, ongoing status reports, data and technical strategy plans, and presentations. Mandatory QualificationsBachelor's Degree (BA/BS)—May substitute four years of applicable experience for degree 5+ years of recent experience with Direct State Medicaid Agency Experience such as HHS and/or DOH in any state. 5+ years experience supporting a PMO. 5+ years experience functioning as a Business Analyst. 3+ years experience managing vendors and vendor contracts. 3+ years experience supporting vendor contracts through the Statement of Work (SOW) development, review, and approval processes.

5+ years experience with claims processing, provider enrollment, member eligibility and enrollment, electronic visit verification, and contract management. Proficient with Microsoft desktop applications and standard document repositories such as MS SharePoint.   Required to travel 1-2 times per quarter to the US Virgin Islands. Cloud and Things complies with all applicable federal, state, and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other category protected by applicable federal, state, or local laws.

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