[Hiring] Medicaid Business Analyst @VIMO INC

Role Description

The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will perform gap analysis on XML schemas, define field-level mapping, and coordinate directly with Medicaid partners to ensure seamless data flow in production.

Key Responsibilities

• XML Data & Gap Analysis:
  • Review and analyze Account Transfer XML files to identify data discrepancies, structural gaps, or missing fields between the Exchange and Medicaid systems.
  • Troubleshoot and resolve production data issues related to failed or "stuck" account transfers.
• Field-Level Mapping & Documentation:
  • Lead the coordination with Medicaid stakeholders to define and maintain Source-to-Target Mapping (STTM) documents for all shared data elements.
  • Maintain a centralized repository of agreed-upon mapping logic, data dictionaries, and transformation rules.
• Medicaid Liaison & Traffic Monitoring:
  • Act as the primary point of contact for Medicaid agencies, conducting regular "pulse checks" to monitor system-to-system traffic health.
  • Report on transmission success rates and proactively identify trends in data rejection or service interruptions.
• Integration Testing & Validation:
  • Support System Integration Testing (SIT) and User Acceptance Testing (UAT) by developing test cases specifically for data mapping and XML validation.
  • Verify that incoming data correctly triggers the intended enrollment actions in the target system.

Qualifications

• Technical Skills: Proficiency in reading and validating XML/XSD; strong SQL skills for data reconciliation; experience with EDI or health data standards (HL7/NIEM).
• Experience: 3-5+ years in Medicaid, Healthcare IT, or Insurance Exchange environments with a focus on data integration.
• Analytical Ability: Proven experience in Gap Analysis and complex data mapping.
• Communication: Strong ability to translate technical XML issues into business impacts for Medicaid stakeholders and vice versa.

Requirements

• Competitive compensation - All In range of ($140,000-$170,000). (Please note that salary and compensation may vary based on factors such as skills, experience, performance and location.)
• We offer a comprehensive benefits package, including but not limited to:
  • Health, Dental, Life, Disability, and Vision insurance
  • Healthcare spending or reimbursement accounts (HSA/FSA)
  • Retirement benefits (401k)
  • Paid time off
  • Holidays: 13 paid days per year
  • Education assistance or tuition reimbursement
  • Employee discounts for Gym memberships & commuting/travel assistance

Information Security & Data Protection

• This role may involve access to sensitive or regulated information. The candidate is expected to handle all data in accordance with company security, privacy, and data protection policies.
• Compliance with access control, data classification, and applicable legal and regulatory requirements is required.