Senior Business Analyst

Conduent

HybridPosted July 29, 2026

About the role

Senior Business Analyst for CMdS Claims, Medicaid Enterprise Systems (MES). The role serves as the 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.

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Senior Business Analyst

Conduent

HybridPosted July 29, 2026

About the role

Senior Business Analyst for CMdS Claims, Medicaid Enterprise Systems (MES). The role serves as the 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.

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EN RU

Sign In Sign up Get My Matches — Free

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Key responsibilities: Delivery & analysis - Own requirements and functional design for CMdS modules (Claims, Member, Finance, and related interfaces). - Define epics, user stories, and definition of done; prioritize against Medicaid policy, MES certification goals, and release plans. - Facilitate working sessions; clarify requirements for developers and QA; resolve functional questions during build and test. - Track scope, dependencies, risks, and decisions; maintain traceability from legacy rule to CMdS design to test evidence.

Functional design (Claims, Member, Finance) - Claims: 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. - Member: Lead design for eligibility spans, aid category / benefit package assignment, enrollment, MCO/FFS indicators, and interfaces from state eligibility systems into CMdS Member. - Finance: Lead de

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Key responsibilities: Delivery & analysis - Own requirements and functional design for CMdS modules (Claims, Member, Finance, and related interfaces). - Define epics, user stories, and definition of done; prioritize against Medicaid policy, MES certification goals, and release plans. - Facilitate working sessions; clarify requirements for developers and QA; resolve functional questions during build and test. - Track scope, dependencies, risks, and decisions; maintain traceability from legacy rule to CMdS design to test evidence.

Functional design (Claims, Member, Finance) - Claims: 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. - Member: Lead design for eligibility spans, aid category / benefit package assignment, enrollment, MCO/FFS indicators, and interfaces from state eligibility systems into CMdS Member. - Finance: Lead de

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Based on: Senior Business Analyst

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Product Fintech SaaS Remote-first Berlin