Role: Business Analyst
Job Description:
- Business Analyst — CMdS Claims, Member & Finance Implementation (MES)
- Experience: 12+ years Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance Role summary Serve 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. _
Key responsibilities Delivery & analysis:
- Own requirements and functional design for assigned 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 edit
Skills Required
- 12+ years of experience
- Experience with Medicaid Enterprise Systems (MES)
- Experience with MMIS modernization
- Experience with Medicaid claims, member, and finance processes
- Experience translating legacy system behavior and Medicaid policy into functional requirements
- Experience defining epics, user stories, acceptance criteria, and definition of done
- Experience partnering with development, QA, architecture, and business stakeholders
Hexaware Technologies Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Hexaware Technologies and has not been reviewed or approved by Hexaware Technologies.
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Healthcare Strength — Feedback suggests health insurance is a standout element, often described as strong and comparable or better than many employers. Medical coverage and related protections are repeatedly highlighted as reliable pillars of the package.
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Parental & Family Support — Parental leave options, including extended paid leave in some locations, are offered and seen as valuable for family needs. Feedback suggests these policies complement core medical coverage for a more complete family safety net.
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Wellbeing & Lifestyle Benefits — Wellbeing resources such as an Employee Assistance Program, wellness initiatives, on-site gyms, and engagement activities provide lifestyle support. These offerings are reinforced by flexible work options and shift-related extras where applicable.
Hexaware Technologies Insights
What We Do
At Hexaware, we're not just a global technology and business process services company; we're a community of 27,000 Hexawarians dedicated to one singular purpose: creating smiles through the power of great people and technology. With a presence in 40+ offices across 19 countries, we empower enterprises worldwide to embark on their digital transformation journey with unparalleled scale and speed. As an employer, we're more than just a workplace. We put our people first, foster diversity and inclusivity, and prioritize their growth through robust learning and development programs. Our culture is a canvas for innovation as we work toward our shared vision of becoming the world’s most loved digital transformation partner. Exciting, isn’t it? Visit www.hexaware.com to join us in embracing the magic of technology, as we passionately advocate for its potential to transform lives today and shape a brighter future. Together, we'll make the digital world a better place.
