Job description

ey Requirements • 15+ years of Technical Functional Analyst or Business Systems Analyst experience. • Mandatory Healthcare OR Eligiblity & 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. Please focus on candidates who possess both Pega and Medicaid/Healthcare experience, as both skill sets are mandatory for this role.

Requirements

Must-haves

ey Requirements
15+ years of Technical Functional Analyst or Business Systems Analyst experience.
Mandatory Healthcare OR Eligiblity & Enrollment domain expertise , including:
Eligibility Determination
Enrollment Lifecycle Management
Renewals and Redeterminations
Case Management
Notices and Correspondence
Stacking and Benefit Determination
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.
Please focus on candidates who possess both Pega and Medicaid/Healthcare experience, as both skill sets are mandatory for this role.

Nice-to-haves

Strong SQL and Power BI skills preferred.
Pega certifications (PBA/CSA) are highly preferred.

Application prep

Use the role’s language and application details while tailoring your materials.

Keywords to mirror

sql

Platform: jobdiva
Effort: medium