Hexaware Technologies

System Analyst - Manufacturing

Hexaware Technologies  •  United States (Onsite)  •  2 hours ago
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Job Description

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
Hexaware Technologies

About Hexaware Technologies

At Hexaware, we're not just a global technology and business process services company; we're a community of 31,600+ Hexawarians dedicated to one singular purpose: creating smiles through the power of great people and technology. With a presence in 58 offices across 28 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.

Industry
IT & Software
Company Size
10,000+ employees
Headquarters
Navi Mumbai, IN
Year Founded
Unknown
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