[Hiring] Pega Business Analyst @Resource Logistics

Role Description

The role requires a seasoned Technical Functional Analyst or Business Systems Analyst with extensive experience in the healthcare domain, specifically in Eligibility and Enrollment.

Qualifications

• 15+ years of Technical Functional Analyst or Business Systems Analyst experience.
• Mandatory Healthcare OR Eligibility & Enrollment domain expertise, including:
  • Eligibility Determination
  • Enrollment Lifecycle Management
  • Renewals and Redeterminations
  • Case Management
  • Notices and Correspondence
  • Stacking and Benefit Determination
• Mandatory Pega expertise, including:
  • Pega Case Management
  • Workflows and Business Processes
  • Decision Rules
  • Routing and Assignments
  • Integrations and Interfaces
  • Production Support and Troubleshooting
• Experience supporting large-scale systems.
• Strong experience working with Pega Clienthitects, Developers, System Integrators, and State Agency stakeholders.
• Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization.
• Strong SQL and Power BI skills preferred.
• Pega certifications (PBA/CSA) are highly preferred.
• Focus on candidates who possess both Pega and Medicaid/Healthcare experience, as both skill sets are mandatory for this role.

Requirements

• 15+ years of Technical Functional Analyst or Business Systems Analyst experience.
• Mandatory Healthcare OR Eligibility & Enrollment domain expertise.
• Mandatory Pega expertise.
• Experience supporting large-scale systems.
• Strong SQL and Power BI skills preferred.
• Pega certifications (PBA/CSA) are highly preferred.

Benefits

• Competitive salary.
• Health insurance.
• Retirement plans.
• Professional development opportunities.