Business Analyst - Medicaid Behavioral Health (Remote)

Business Analyst – Medicaid Behavioral Health

Location: Remote

About Us:

Known for “Delighting the Client” through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT consulting company serving clients in over a quarter of the United States. We are widely recognized as a leading provider of technical and business services in support of Health and Human services-related projects. Feel free to learn more at www.s2tech.com.

Why S2Tech?:

• Stable privately-owned company with a strong reputation for building long-term client relationships through the delivery of consistent value-based service
• 25+ years providing IT and Business services to private customers and government programs throughout the United States
• Expansive client portfolio and active projects – employees benefit from innovative project exposure and in-house skill development training/courses  
• Corporate culture that emphasizes the importance of family and promotes a healthy work-life balance
• Offer competitive pay and a range of benefits, including:
• Medical / Dental / Vision Insurance – insurance premium assistance provided
• Additional Insurance (Life, Disability, etc.)
• Paid Time Off
• 401(k) Retirement Savings Plan & Health Savings Account
• Various training courses to promote continuous learning
• Corporate Wellness Program
• Be part of a company that gives back through its non-profit organization, Fortune Fund, which was launched in 2001. The goal of the Fortune Fund is to close the rural/urban divide by ensuring children in rural communities in India and the United States understand the importance of education & are aware of professional career opportunities allowing them to link their professional & educational goals

Job Overview:

We are seeking a highly skilled Medicaid Behavioral Health Business Analyst to support the transition of functionality from a legacy system into a state Medicaid Management Information System (MMIS). This role will focus on ensuring accurate and efficient claims processing and payment for both fee-for-service (FFS) and managed care organizations (MCOs). The ideal candidate will have expertise in Medicaid behavioral health programs, as well as claims processing and payment workflows.

Responsibilities:

• Business Analysis & Requirements Gathering:

• • Analyze and document current-state business processes and system functionality
  • Work with stakeholders to define and document future-state requirements for MMIS integration
  • Identify gaps between legacy system functionality and MMIS capabilities

• Claims Processing & Payment:

• • Understand and document FFS and MCO claim lifecycle processes, including adjudication, remittance, and payment workflows
  • Support system configuration to align with behavioral health claim processing requirements
  • Assist in designing validation rules, edits, and audits for behavioral health claims

• Behavioral Health Program Support:

• • Provide subject matter expertise on Medicaid behavioral health policies, services, and regulations
  • Ensure alignment of system changes with state Medicaid and federal program guidelines
  • Collaborate with policy and program teams to incorporate regulatory changes

• Testing & Implementation Support:

• • Develop and execute test cases for claims processing scenarios
  • Validate system outputs to ensure accurate claim adjudication and payment
  • Assist in UAT (User Acceptance Testing) with business and technical teams

• Stakeholder Communication & Training:

• • Work closely with business, IT, and vendor teams to ensure project alignment
  • Provide training and documentation to end users on new processes and system functionality
  • Participate in meetings, workshops, and presentations with Medicaid program staff, MCOs, and other stakeholders

Qualifications:

• Bachelor's degree in Computer Science, Information Technology, or a related field
• 5+ years of experience as a Business Analyst in Medicaid or healthcare IT projects
• Strong understanding of Medicaid behavioral health programs, policies, and services
• Hands-on experience with claims processing and payment systems, particularly for FFS and MCOs
• Familiarity with MMIS platforms and system modernization efforts
• Strong skills in business process analysis, documentation, and gap analysis
• Experience in testing, validation, and UAT for healthcare IT systems
• Proficiency in tools such as JIRA, Visio, Excel, SQL, and reporting tools
• Excellent communication and stakeholder management skills

Preferred:

• Knowledge of EHR/EMR systems used in behavioral health
• Certification in Business Analysis (CBAP) or related field

S2Tech is committed to hiring and retaining a diverse workforce. We are an equal opportunity employer making decisions without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected class.