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Acentra Health

Modernizes public healthcare with claims solutions

Business Analyst, Mid - HTS

Business AnalysisConfirmed live in the last 24 hours
Full-timeGeorgia, USA$93.9k - $110k /yrIn-person

About the Job

Requirements

  • A bachelor's degree and at least 4 years of business analysis experience are required; six years of directly relevant professional experience may substitute for the bachelor's degree, and an associate's degree plus three years of directly relevant experience may also substitute.
  • Experience on large, complex projects and domain knowledge of Medicare, Medicaid, and/or healthcare verticals are required.
  • Strong knowledge of Medicaid Management Information Systems and related subsystems is required.
  • Strong business analysis skills, including requirements elicitation, documentation, and validation, are required.
  • Experience with Software Development Life Cycle (SDLC) processes and business analysis best practices is required.
  • Strong stakeholder communication and facilitation skills are required.
  • The role requires adherence to corporate policies, including HIPAA Privacy and Security Rules.

Responsibilities

  • Analyze business problems, identify gaps, and develop technical solutions involving complex information systems for Provider Enrollment, Screening, and Credentialing subsystems without supervision.
  • Support the determination of appropriate methods for potential assignments and serve as a bridge between information technology teams and the client through all project phases; provide day-to-day direction on State program activities.
  • Work independently and participate in client interactions, presentations, and solution discussions within the assigned scope.
  • Lead client workshops, design sessions, and solution demonstrations.
  • Own the end-to-end requirements lifecycle, including elicitation, documentation, traceability, and change management.
  • Perform decision analysis and evaluate alternative solutions to identify the most effective business outcome.
  • Act as a requirements subject-matter expert and influence stakeholder decisions through business analysis expertise, domain knowledge, and communication.
  • Be accountable for feature or workstream outcomes, including alignment, issue resolution, and successful delivery.
  • Manage and prioritize assigned tasks across project phases, ensuring timely delivery.
  • Own assigned deliverables end-to-end within scope and remain accountable for quality and timelines.
  • Create and maintain business process models and workflow diagrams.
  • Support and participate in testing activities, including User Acceptance Testing (UAT), and provide implementation support.
  • Understand overall system architecture and cross-functional integration.
  • Make independent decisions within assigned scope and escalate complex issues appropriately.
  • Develop strong functional knowledge of systems and the healthcare domain.
  • Identify risks, manage scope changes, and communicate issues proactively.
  • Use business analysis tools such as Jira, Visio, and Excel to support analysis, documentation, and requirements tracking.
  • Create and maintain requirements documentation, including use cases, workflow diagrams, and gap analyses.
  • Independently analyze user requirements and client business needs to identify gaps and recommend solutions.
  • Own requirements within the assigned scope, ensuring completeness, bidirectional traceability, and alignment with business needs.

Desired Qualifications

  • Strong knowledge and proficiency in SQL, with a high level of technical and database knowledge.
  • Experience supporting moderately complex to large-scale Medicaid or healthcare programs.
  • Knowledge of MMIS Provider Enrollment and related subsystems.
  • Familiarity with SQL, reporting, analytics, or data visualization tools such as Power BI or Tableau.
  • Strong expertise in requirements elicitation, analysis, documentation, and validation.

About the Company

Acentra Health

Modernizes public healthcare with claims solutions

Acentra Health helps public-sector health programs run better by combining deep knowledge of government health programs with clinical expertise and technology. It designs and delivers software and services for claims, encounter, and provider data to improve processing efficiency and reduce costs, while offering care-management and quality-oversight services that focus on clinically informed decision making. Its products connect providers, payers, and government agencies to streamline workflows and oversight across state and federal programs. The company differentiates itself through its blend of public-sector know-how, clinical focus, and technology, accelerated by the backing of Carlyle, with a goal of delivering measurable outcomes for priority populations. Overall, Acentra Health aims to improve health outcomes, increase program efficiency, and lower costs for government healthcare programs.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
McLean, VA
Founded
2023

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