Engineering Structures Jobs No Experience Jobs in Appleton Remote

Job Title: HR - Principal Talent Acquisition Operations Specialist

Duration: 9 Months

Location: Washington D.C. 20001

Job Type: Temporary Assignment

Work Type: Remote

Work Schedule: M-F 8AM – 5PM

Payrate:$35. /hr.

Overview

TekWissen is a global workforce management provider headquartered in Ann Arbor, Michigan that offers strategic talent solutions to our clients world-wide. The below job opportunity is to one of Our clients who is a global leader in analytical testing, deliver a comprehensive portfolio of complete solutions - systems, software, consumables, and on-site and online services - with one overarching purpose: to help make the world healthier, cleaner, and more sustainable.

MUST haves -

• 5+ years' directly relevant experience in:
• Agency recruitment - headhunting and recruiting contractors/consultants (not just direct hire positions)
• Pharma/Biotech cGMP industry experience
• 2+ years' minimum experience headhunting senior- and executive-level, technical roles. or roles like Senior Automation Engineers, Principal Validation Engineers, Senior Project Managers (pharma industry), Capital Project Managers, Capital Project Design Engineers (greenfield sites)
• Extensive experience in LinkedIn Recruiter, hunting for qualified talent and conducting InMail outreach and follow-up

Note: This is a fully remote role.

TekWissen Group is an equal opportunity employer supporting workforce diversity.

Remote working/work at home options are available for this role.

Company Overview:

Cardio Partners, a division of Sarnova, is a national leader in emergency prevention and an ardent advocate in the fight against Sudden Cardiac Arrest (SCA). Cardio Partners offers complete cardiac solutions to our customers including equipment, consultation, end-to-end training, and program management. As an authorized master distributor of all FDA-approved defibrillator devices, the company provides customers the best-in-class value for new and recertified equipment. Customers’ emergency preparedness needs are met via Cardio Partners’ nationwide CPR training courses and state-of-the-art program management services.

Responsibilities and Qualifications

Summary:

As a Strategic Account Executive, you will own, protect and grow long-term relationships with existing large, high-value, complex enterprise clients, including Fortune 500 companies. These accounts are long-term contracted customers and represent a significant portion of our revenue, requiring a proactive, consultative and detail-oriented approach to ensure satisfaction, retention, and growth. Your role involves providing exceptional customer service, administrative support, and presenting white-glove, consultative solutions to senior-level customer stakeholders.

Organizational Impact:

This role is pivotal in maintaining and growing revenue from our most important clients, ensuring long-term partnerships and loyalty. By delivering a white-glove service experience and identifying upselling opportunities, you will contribute to overall customer satisfaction and revenue growth.

Essential Duties and Responsibilities:

• Serve as the primary point of contact for assigned strategic accounts, ensuring a high level of client satisfaction and engagement
• This role follows a land‑and‑expand model, with approximately 70% focused on strategic account management and 30% on identifying and driving growth opportunities within existing accounts
• Manage all aspects of client relationships, including inquiries, administrative tasks, and escalations, with professionalism and urgency
• Coordinate complex, large-scale deployment of products or services with external and internal partners
• Identify and promote upselling opportunities for additional products and services that align with client needs
• Develop and execute account plans that support client objectives while driving incremental revenue for the company
• Coordinate with internal teams, such as Customer Success, Operations, and Product Development, to deliver seamless support and solutions to clients
• Conduct regular check-ins, business reviews, and performance reporting for clients to reinforce value and strengthen relationships
• Ensure contract compliance and assist with renewals or amendments as necessary
• Maintain detailed records of client interactions, product usage, and sales activity in CRM systems
• Stay informed about industry trends, competitor offerings, and client business developments to anticipate needs and provide proactive solutions
• Represent the company at client events, trainings, and industry gatherings to reinforce relationships and promote additional offerings
• Collaborate with sales leadership to refine account management strategies and share client feedback for continuous improvement
• Nationwide travel to meet with customers, attend events, or other business related reasons is required. Travel expectation is 30% per month.
• Additional job duties as assigned

Skills/Experience Required:

• Education: Bachelor’s degree in business, sales or marketing
• 5+ years of experience in account management, client success, or consultative/solution-based sales roles, preferably with large enterprise clients
• Proven track record of managing high-value accounts and delivering exceptional customer service
• Ability to effectively manage and sell complex, consultative solutions that require aligning products, services, and stakeholders to meet broader customer objectives
• Ability to identify upselling opportunities and present tailored solutions to clients
• Excellent interpersonal and communication skills, with the ability to build trust and influence senior-level stakeholders
• Strong organizational skills and attention to detail, with the ability to manage complex administrative tasks effectively
• Proficiency in CRM tools (e.g., Salesforce) and Microsoft Office Suite
• Self-motivated, proactive, and able to work independently in a fast-paced environment
• Sound judgment and analytical skills with demonstrated ability to analyze complex issues and develop alternative solutions
• Entrepreneurial mindset with the ability to proactively identify challenges, think critically, and develop solutions in collaboration with internal partners Effective time management and organizational skills
• Strong written communication skills with ability to prepare clear, concise business proposals
• Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Sarnova is an Equal Opportunity Employer. We offer a competitive salary, commensurate with experience, along with a comprehensive benefits package, including 401(k) Plan. EEO/M/F/Veterans/Disabled. Our mission is to be the best partner for those who save and improve patients’ lives. Excellence in delivering upon our mission is dependent upon having a diverse team that is empowered to bring their full, authentic self to work each day. We strive to create a workplace that reflects the communities we serve, and we are passionate about creating an inclusive workplace that promotes and values diversity.

#CardioPartners

Remote working/work at home options are available for this role.

Account Manager – Decorative Films and Materials

Location: Home Base (Preferably MI, OH, or MN area)

Industry: Functional Films / Advanced Materials

A leading Japanese manufacturer of functional films and materials is seeking an Account Manager to join its expanding U.S. team. This role is responsible for maintaining and growing sales of decorative material products for architectural applications (furniture, interior, building materials decorative films) across the United States and emerging markets in the Americas.

Key Responsibilities

• Manage and grow existing customer accounts while developing new business opportunities through strong relationships and superior customer service
• Perform all aspects of sales activities, including customer support, sales presentations, sample development, order processing, production coordination, and after-sales follow-up
• Act as the primary point of contact for customers’ Purchasing, Quality, R&D, Design, and Logistics teams
• Coordinate closely with the Tokyo office to manage the full process from pre-production through manufacturing and delivery
• Develop and execute sales and marketing strategies to expand product adoption and market presence
• Research industry and design trends to support the development of new, marketable designs and colors
• Conduct market research, prepare reports, and identify potential new clients and industries
• Travel domestically and internationally to visit customers and attend trade shows
• Prepare sales reports, quotations, contracts, and related business correspondence
• Perform additional duties as needed

Qualifications

• Bachelor’s degree or equivalent experience
• Minimum 2 years of outside sales and/or marketing experience.
• Proven ability to develop and execute effective sales strategies
• Self-motivated with strong communication, organization, and relationship-building skills
• Ability to travel within the U.S. and abroad
• Valid driver’s license and ability to use a personal vehicle for business purposes
• Japanese language skills are a strong plus, but not required

Remote working/work at home options are available for this role.

Immediate need for a talented Project Manager / Business Analyst (UAT) - Remote California . This is a 06+ months contract opportunity with long-term potential and is located in Pasadena, California (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-03098

Pay Range: $40 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Work closely with business teams, SMEs, and technical partners to understand and document business needs
• Translate business requirements into clear functional and technical documentation
• Perform business process mapping, analysis, and improvement
• Support initiatives related to claims, billing, and healthcare platforms
• Participate in Agile/Scrum ceremonies including sprint planning, stand-ups, and retrospectives
• Lead and coordinate User Acceptance Testing (UAT) activities
• Create and execute test cases using user testing tools
• Ensure solutions meet business requirements and compliance standards
• Support data and transaction workflows involving EDI
• Collaborate with cross-functional teams to ensure timely and high-quality delivery

Key Requirements and Technology Experience:

• Key Skills; User Acceptance Testing (UAT)
• experience with Hospitals or Healthcare Companies
• Strong experience in Business Analysis and Project Coordination
• Hands-on experience with business process mapping and documentation
• Experience working with claims and billing systems
• Ability to work closely with SMEs and business stakeholders
• Experience translating business requirements into functional requirements
• Knowledge of Agile methodologies and Scrum framework
• Hands-on experience with User Acceptance Testing (UAT)
• Familiarity with healthcare platforms and systems
• Working knowledge of EDI transactions
• Understanding of HIPAA compliance
• Experience using user testing tools

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Remote working/work at home options are available for this role.

Summary:
The Trainer, Revenue Integrity is responsible for developing and delivering training programs that support accurate and compliant revenue cycle processes. This role ensures that staff across departments understand and adhere to revenue integrity standards, including coding, billing, documentation, and compliance requirements. The trainer collaborates with subject matter experts to create educational materials and evaluates training effectiveness to drive continuous improvement.
Experience:
- Minimum of 3-5 years of experience in healthcare revenue cycle, coding, billing, or compliance
- Experience in developing and delivering training programs
- Familiarity with CMS regulations, payer guidelines, and healthcare compliance standards
- Strong communication, presentation, and instructional design skills
Education:
- Bachelor’s degree in Healthcare Administration, Health Information Management, or related field (required)
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification (preferred)
Key Roles and Responsibilities:
1. Design and deliver training programs on revenue integrity topics including coding, billing, and documentation.
2. Assess training needs through surveys, audits, and performance data.
3. Develop educational materials such as manuals, presentations, and e-learning modules.
4. Conduct onboarding training for new hires and ongoing education for existing staff.
5. Collaborate with compliance and revenue cycle teams to ensure training aligns with current regulations.
6. Monitor and evaluate training effectiveness and make improvements as needed.
7. Maintain training records and documentation for compliance purposes.
8. Serve as a subject matter expert on revenue integrity practices.
9. Provide one-on-one coaching and support to staff as needed.
10. Stay current with industry trends, regulatory changes, and best practices in revenue integrity.
Other Duties:
1. Educating caregivers on functionality or workflow
2. Remaining current with industry standards and events that may significantly impact reimbursement.
Upload 9-22-25
Remote working/work at home options are available for this role.

This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM’s commitment to excellence, compassion, and integrity.

WHAT WE OFFER

• Compensation based on experience.
• Faith and purpose-based career opportunity!
• Fully paid health benefits
• Retirement and Life Insurance
• 12 paid holidays PLUS birthday
• Lunch is provided DAILY.
• Professional Development
• Paid Training

ESSENTIAL JOB FUNCTIONS

• Compile, verify, and organize information according to priorities to prepare data for entry
• Check for duplicate records before processing
• Accurately enter medical billing information into the company’s software system
• Research and correct documents submitted with incomplete or inaccurate details
• Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
• Review data for accuracy and completeness
• Uphold the values and culture of the organization
• Follow company policies, procedures, and guidelines
• Verify eligibility in accordance with established policies and definitions
• Identify and escalate concerns to leadership as appropriate
• Maintain daily productivity standards
• Demonstrate eagerness and initiative to learn and take on a variety of tasks
• Support the overall mission and culture of the organization
• Perform other duties as assigned by management

SKILLS & COMPETENCIES

• Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
• Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.

EXPERIENCE REQUIREMENTS

• Required: High school diploma or passage of a high school equivalency exam
• Medical background preferred but not required.
• Capacity to maintain confidentiality.
• Ability to recognize, research and maintain accuracy.
• Excellent communication skills both written and verbal.
• Able to operate a PC, including working with information systems/applications.
• Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
• Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)

About Christian Healthcare Ministries

Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other’s medical bills. The mission of CHM is to glorify God, show Christian love, and experience God’s presence as Christians share each other’s medical bills.

Remote working/work at home options are available for this role.

Please apply online at: job/7071

Join Arizona’s largest, most prominent not-for-profit hospice, serving the valley since 1977.

Hospice of the Valley is a national leader in hospice care and has been serving the Phoenix metropolitan area since 1977. A mission-driven, not-for-profit organization, Hospice of the Valley employs compassionate, skilled professionals who are committed to excellence, enjoy teamwork and contribute daily to our mission and culture of caring. Team members experience a friendly, supportive atmosphere, leadership support, autonomy, flexibility and the privilege of doing meaningful, rewarding work.

Position Profile

The Senior Business Analyst (BA) works as a liaison between key business stakeholders and the Information Systems (IS) department. BAs are responsible for working with stakeholders to understand their business needs and working with IS partners to implement solutions that meet the business needs, goals and objectives.

Full Time 40 hrs/week

Day Shift

8a - 5p

*Must be local*

Responsibilities

• Works on multiple projects as an analyst, sometimes as a business subject matter expert (SME) in multiple functions.
• Works with enterprise-wide business customers and IT senior management to understand business issues and their environment in order to manage enterprise-wide reporting information support systems.
• Provides functional and technical expertise and direction for the development of complex enterprise-wide information system solutions.
• Establishes relationships with customers, IT colleagues, contractors, vendors and consultants to influence strategic IT initiatives while managing their expectations.
• Works with team members on problem definition and understanding stakeholder needs.
• Works with the development teams to ensure projects remain focused on the solution scope.
• Transforms business needs into clearly defined requirements that can feasibly be tested and implemented in a solution.
• Works with IS leadership to assist with the proper Business Analysis Planning and Monitoring phase activities including: 1) identification of stakeholders, 2) selection of business analysis techniques and the process that will be used to manage requirements and 3) identification of how to assess the progress of the work across all levels.
• Works with stakeholders and teams to ensure as-is and to-be business processes are documented.
• Responsible for the development, writing and communication of business requirements documentation and ensures appropriate stakeholder sign-off.
• Assists with the solution selection process and helps identify which solution best fits the business need. Activities can include: vendor product research, RFP development, vendor demonstrations and scenario scripting, vendor selection criteria/scoring methodology.
• Facilitates requirements reviews with all impacted stakeholders including business functions, IT security, IT infrastructure, application support, compliance, legal, and contracting.
• Works with IS leadership in the initial budget estimates and resource requirements for solution implementation.
• Oversees and consults on system and integration testing activities to ensure system is developed according to defined requirements.
• Oversees user acceptance testing and obtains sign-off from business customers.
• Stays abreast of significant change management initiatives, assesses organizational impacts and presents to appropriate leadership.

Minimum Qualifications

• Bachelor's degree from an accredited college or university in Information Systems MIS or equivalent experience.
• Minimum of 6 years of experience as a business/systems analyst on business solutions analysis projects.

Preferred Qualifications

• 5+ years' experience working in the healthcare/medical environment required.
• 5+ years' experience in SDLC; solid understanding in multiple methodologies (Waterfall, Agile, etc.)

Hospice of the Valley offers competitive salaries and excellent benefits that include medical, dental and vision plans, generous paid time off, a matching 401k, tuition assistance, an award winning wellness program and a host of employee recognition and rewards. Employees also receive comprehensive orientation, training and development opportunities.

Hospice of the Valley is an equal employment opportunity employer. EOE/M/F/D/V

Remote working/work at home options are available for this role.

Mission 

Does your cubicle feel more like an isolation chamber than a collaborative space? A career at Quasius Construction could be just the thing you need. 

At Quasius Construction, we’ve spent over 130 years honing our craft, cultivating our culture, and championing our community. Based on our five core values and more than a century of expertise, an honest, human approach has always been the driving force in everything we do. Family focused, we work together to build lasting relationships and a genuine feeling of togetherness amidst our team, producing time-tested, turnkey spaces and solutions.  

  

Joining us isn’t just landing a new job, it’s becoming a valued member of a family whose focus is on building, supporting, and giving back. 

 

Your Role 

As a Project Manager at Quasius Construction, you'll coordinate all phases of our construction projects, taking charge of planning, scheduling, resource allocation, accounting, and control, providing direction and ensuring compliance to keep operations on point for a Quasius-quality delivery every time. 

 

Job Requirements and Responsibilities:  

• Provide holistic management of projects, including contract administration, technical assistance, and supporting field operations.  
• Manage project subcontracts and material supply agreements, including negotiating terms and conditions, procurement, and delivery schedules. 
• Guide project execution in accordance with budget, schedule, and quality standards. 
• Prepare and present regular progress reports to the executive team, briefing leadership on budget, safety, and schedule updates.  
• Develop and maintain meaningful, productive relationships with subcontractors, architects, and clients. 
• Ensure timely project closeout by spearheading efforts in compiling closing documentation and completing a punch list of deliverables. 

 

Project Manager Qualifications/Skills 

• Ability to confidently apply fundamentals of the means and methods of construction management to projects.  
• Proficiency in MS Office, project management and accounting software such as Procore or Computer Ease, and scheduling software. 
• Strong communication and problem-solving skills. 
• Diligent attention to detail and astute management of budgets and schedules.  
• Thorough understanding of a project's processes and how each phase supports its completion. 
• Capacity to manage budgets, maximize profitability, and generate new and future business through sincere relationship-building. 

Education, Experience, and Licensing Requirements 

• Bachelor’s Degree or significant work experience for a general contracting firm required. 

 

We recognize the fundamental truth that we are only as good as the people we hire. If you strive for excellence and thrive in a fast-paced, fun and collaborative environment, you’ll be in good company.  

 

• Qualified applicants will receive consideration for employment without regard to, including but not limited to, race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, disability, or status as a protected veteran and other bases as defined by federal regulations. We promote excellence through diversity and encourage all qualified individuals to apply. 

Remote working/work at home options are available for this role.

Inizio Engage has a long-standing partnership with a leading Biotechnology company across Commercial, Patient Solutions and Medical Affairs businesses. 

To deliver virtual or telephonic educational support to identified patients, caregivers, Healthcare Professionals and their staff within primary care or specialist facilities in the field of a designated disease state in order to meet all relevant standards as set by the company and Clinical Manager. 

This is your opportunity to join Inizio Engage and represent a top biotechnology company! 

What’s in it for you? 

• Competitive compensation 
• Excellent Benefits – accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions  
• Employee discounts & exclusive promotions 
• Recognition programs, contests, and company-wide awards 
• Exceptional, collaborative culture 
• Best Places to Work in BioPharma (2022, 2023, & 2024) 
• Certified Great Place to Work (2022, 2023, 2025) 

What will you be doing? 

• To provide in-bound or outbound non-promotional disease state related educational support to identified customers as directed by the client company 
• Provide therapy and or medical device product education including but not limited to supplemental injection/infusion/inhalation training support or technique 
• To present virtual educational programs to Healthcare Professionals/Patients/Caregivers or other identified customers in accordance with client procedures 
• Conducting outbound medication adherence support to patients and or caregivers 
• Enrolling patients/caregiver into educational seminars or providing resources to assist them with finding local community resources or centers of care for their specialty or primary care disease 
• Collecting demographic data and disposition for product, sample, reimbursement services and literature fulfillment 
• To maintain excellent quality and superior customer service while adhering to program talking points or scripts and leverage live video conferencing software on the web/client specific websites as applicable 
• To only use approved materials provided by Inizio or by the client, without changing, copying or distributing the materials 
• To attend and complete all training courses and related competency assessments that Inizio requires, to an appropriate standard and within a specified timeframe 
• Develop and strengthen relationships with key customers 
• To facilitate the development and provision of services across multiple healthcare sectors, as determined by the Client or Inizio 
• To constantly consider new and innovative approaches that potentially develop new partnership opportunities 
• Complete all required administrative responsibilities in a timely manner. Some of these could include but are not limited to; daily computer updates, weekly summary of activity reports, emails and time reporting 
• Attend local and national meetings and/or conferences, as required, to keep abreast of plans, activities and developments and to exchange knowledge and experience within the Patient Solutions team 
• Maintain all company equipment and materials in accordance with company instructions 
• Comply with all Inizio Policies and Procedures, along with all Client Policies and Procedures as required. 
• Perform other duties as requested. 

What do you need for this position? 

• Current US healthcare professional license: RN 
• Fluent in Spanish including medical terminology 
• Associates Degree/Bachelors/BSN or equivalent work related experience 
• Preferred minimum of 3 years’ experience working in a specific disease state or related field 
• Demonstrate effective and professional communication 
• Ability to join frequent meetings and calls without disruption or disconnecting 
• Excellent interpersonal skills with pleasant telephone manner and articulate phone voice 
• Competency with Call Center Telephone Technology 
• Demonstrable organizational skills 
• A self-starter with high personal motivation 
• Ability to manage multiple tasks 
• Evidence of continual professional development and a desire to update professional knowledge base regularly 

 

About Inizio Engage 

 
Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need.  

 

We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. 

 

To learn more about Inizio Engage, visit us at:    

 

Inizio Engage is proud to be an equal opportunity employer. Individuals seeking employment at Inizio are considered without regards to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related medical conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws. Further, pursuant to applicable local ordinances, Inizio will consider for employment qualified applicants with arrest and conviction records. 

 

Inizio Engage is an equal opportunity employer M/F/V/D. We appreciate your interest in our company, however, only qualified candidates will be considered. 

 

 

Remote working/work at home options are available for this role.

Title: Technical Medicaid Business Analyst Location: Work from Home Schedule: Mon – Fri, 8:30AM – 5:00PM EST Note: This is a W2 contract role – C2C, 1099, & 3 rd party candidates WILL NOT be considered The Technical Medicaid Business Analyst serves as a critical bridge between Medicaid business operations and technical delivery teams.

This role is responsible for translating federal and state Medicaid requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance.

The Analyst will partner closely with business stakeholders, IT teams, vendors, and external partners to ensure Medicaid systems and solutions meet contractual, regulatory, and operational expectations.

Position Responsibilities: · Medicaid Business & Regulatory Analysis o Analyze federal and state Medicaid regulations, contract requirements, and policy guidance, and translate them into clear business and functional requirements o Support Medicaid program areas such as eligibility, enrollment, claims, encounters, care management, provider management, quality, and compliance o Interpret CMS, state agency, and contractual changes and assess operational and system impacts · Technical Requirements & Solution Design o Develop detailed functional and technical requirements, including use cases, process flows, data mappings, interface specifications, and system configuration needs o Collaborate with IT, data, and vendor teams to design and validate technical solutions that align with Medicaid business needs o Support system enhancements, defect resolution, and new implementations across core Medicaid platforms (e.g., claims, encounters, care management, data warehouse) · Data & Integration Support o Analyze data flows between Medicaid systems, vendors, and external entities (state agencies, CMS, providers) o Support reporting, analytics, and regulatory submissions (e.g., encounter data, quality measures, financial reporting) o Assist with data validation, reconciliation, and root-cause analysis for Medicaid data issues · Stakeholder & Cross-Functional Collaboration o Serve as a liaison between Medicaid business teams, IT, finance, compliance, and external vendors o Facilitate requirements workshops, design sessions, and stakeholder reviews o Clearly communicate complex technical concepts to nontechnical stakeholders and business priorities to technical teams · Testing & Implementation Support o Support system testing activities, including test planning, test case development, and user acceptance testing (UAT) o Validate that solutions meet Medicaid business and regulatory requirements prior to deployment o Support golive activities and postimplementation issue resolution · Documentation & Governance o Maintain clear, auditready documentation of requirements, decisions, and approvals o Ensure alignment with Medicaid governance, SDLC, and change management processes o Support audits, regulatory reviews, and compliance inquiries, as needed Position Qualifications: · 5+ years of experience as a Business Analyst, with direct Medicaid or healthcare payer experience · Strong understanding of Medicaid programs, managed care operations, and state/federal compliance requirements · Experience translating business requirements into technical specifications · Experience working with IT teams, system vendors, and data/reporting teams · Strong analytical, documentation, and problem-solving skills · Experience supporting Medicaid managed care organizations (MCOs) or state Medicaid programs preferred · Familiarity with Medicaid healthcare payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms preferred · Experience with data analysis, SQL, or data warehouse concepts preferred · Knowledge of CMS reporting, state encounter submissions, or quality programs preferred · Experience with Agile, SAFe, or traditional SDLC methodologies preferred · A minimum of a Bachelor’s Degree in Business, Information Systems, Health Administration, Public Health, or other related field .
Remote working/work at home options are available for this role.