{"id":1623462,"url":"https://alion.io/job/conduent-business-analyst-mmis","title":"Business Analyst (MMIS)","company":{"id":1772445,"name":"Conduent","domain":"conduent.com","url":"https://alion.io/company/conduent-com","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Oracle","truth_index":{"grade":"B","score":77,"open_postings":40,"ghost_share":0,"stale_share":0.925,"repost_share":0,"time_to_fill_p50_days":28,"computed_at":"2026-10-29T05:49:05Z"}},"role":"Analytics","role_family":"Analytics","seniority":"senior","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Atlanta, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":70000,"max":90000,"currency":"USD","period":"year","gross":null,"usd_annual":90000},"salary_estimate":null,"experience_years_min":6,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Agile","optional":false},{"name":"COBOL","optional":false},{"name":"HIPAA","optional":true}],"status":"live","first_seen_at":"2026-07-28T13:09:03Z","employer_posted_date":"2026-07-28","last_verified_at":"2026-10-29T16:00:47Z","board_verified":true,"closed_at":null,"days_open":93,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":92},"description":"Business Analyst - CMdS Claims, Member & Finance Implementation (MES)\nExperience: 6+ years\nDomain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance\nRole summary\nServe as Business Analyst for CMdS product development and implementation on a Medicaid modernization program. Translate legacy MMIS claims, member, and finance behavior and state Medicaid policy into CMdS functional design, requirements, and acceptance criteria. Partner with development, QA, architecture, and business stakeholders to deliver MES-aligned solutions that replace or integrate with legacy adjudication, eligibility/enrollment, and financial accounting processes.\nKey responsibilities\nDelivery & analysis\nOwn requirements and functional design for assigned CMdS modules (Claims, Member, Finance, and related interfaces).\nDefine epics, user stories, and definition of done; prioritize against Medicaid policy, MES certification goals, and release plans.\nFacilitate working sessions; clarify requirements for developers and QA; resolve functional questions during build and test.\nTrack scope, dependencies, risks, and decisions; maintain traceability from legacy rule to CMdS design to test evidence.\nFunctional design (Claims, Member, Finance)\nClaims: Lead functional design for claim intake, claim type assignment, validity/pricing edits, adjustment/void, crossover, encounters, remittance, and related edit disposition behavior; map legacy rules to CMdS configuration and customizations.\nMember: Lead design for eligibility spans, aid category / benefit package assignment, enrollment, MCO/FFS indicators, and interfaces from state eligibility systems into CMdS Member.\nFinance: Lead design for payment cycles, budget account / category of service, fund splits, ASO / F/EA and other administrative payment paths, financial transactions, and reporting/accounting controls.\nProduce BRDs, FRDs, process flows, data mapping, gap analysis, and configuration workbooks suitable for build and UAT.\nCollaboration with Development & QA\nWork side-by-side with developers on design walkthroughs, edge cases, and defect triage.\nPartner with QA to define test scenarios, expected results, and regression packs (positive/negative, adj/void, crossover, encounter, finance posting).\nSupport SIT, UAT, and parallel/run-compare activities against legacy MMIS outcomes.\nValidate that implementations meet Medicaid policy and MES operational readiness (security, audit, reporting, interfaces).\nStakeholder & MES engagement\nRun workshops with business owners, SMEs, fiscal, and operations.\nAlign designs to CMS MES expectations (modularity, interoperability, standards-based interfaces, certification evidence).\nSupport change management: training outlines, release notes, and operational runbooks for CMdS go-live.\nRequired qualifications\n6+ years business analysis experience in Medicaid MMIS / MES, with deep hands-on work in at least two of: Claims, Member/Eligibility-Enrollment, Finance/Financial Accounting.\nProven experience developing and implementing claims systems / MMIS / MES platforms, such as Conduent CMdS (Conduent Medicaid Suite), Health Enterprise, QNXT, Facets, or comparable commercial Medicaid/claims suites.\nExperience modernizing or replacing legacy MMIS (COBOL/mainframe or equivalent) with a commercial Medicaid platform.\nStrong Medicaid domain knowledge, including:FFS vs managed care; capitation vs ASO / administrative services models\nClaim types, media sources, edits/EOBs, adjustments/voids, Medicare crossover, encounters\nAid categories, benefit packages, eligibility spans, timely filing, TPL concepts\nProvider payments, remittance advice, budget/object codes, COS, fund source / FFP concepts\nCMS / state Medicaid policy drivers relevant to MES implementation and certification\n\nDemonstrated ability to write clear functional design and acceptance criteria for complex adjudication and financial rules.\nExperience working embedded with development and QA teams in Agile or hybrid SDLC.\nExcellent facilitation, documentation, and stakeholder communication skills.\nPreferred qualifications\nHands-on CMdS configuration or implementation (Claims, Member, Finance, Reference, Service Auth).\nFamiliarity with HIPAA X12 (837/835), COBA/crossover, EVV-related claim flows.\nExperience supporting CMS MES certification artifacts and evidence packages.\nPrior lead BA experience on multi-module MES releases.\nSoft skills\nComfortable owning ambiguity when legacy rules are incomplete; drives decisions with SMEs.\nBalances policy accuracy with delivery timelines.\nCredible with technical teams and business executives alike.\nEducation\nBachelor’s degree in business, Information Systems, Health Informatics, or related field (or equivalent experience).\nPay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $70,000 - $90,000.","description_format":"text","description_chars":5483,"description_truncated":false,"requirements":{"experience_years_min":6,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":true},"security_clearance":false,"languages":[]},"benefits":["Health insurance","Insurance coverage","Retirement plans"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-10-01T20:54:10Z"}],"visa":[],"liveness":{"score":12,"band":"cold","label":"Long shot","p_open":1,"p_active":0.413,"p_room":0.28,"age_days":92,"expected_fill_days":28,"reasons":["conf:0","stale_co","velocity","win:tail","crowd:brand"],"computed_at":"2026-10-29T05:49:05Z"},"pay":{"stated_usd_annual":90000,"is_top_pay":false},"html_url":"https://alion.io/job/conduent-business-analyst-mmis","json_url":"https://alion.io/job/conduent-business-analyst-mmis.json","meta":{"generated_at":"2026-10-29T16:21:58Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":24456,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-30T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1772445},"rest":"https://alion.io/mcp/rest/get_company?id=1772445"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fconduent-business-analyst-mmis"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fconduent-business-analyst-mmis"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fconduent-business-analyst-mmis"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/conduent-business-analyst-mmis\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fconduent-business-analyst-mmis"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":1623462}},{"tool":"search_jobs","arguments":{"company":"conduent.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":1623462},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. Docs: https://alion.io/developers"}}