Senior Medicaid Systems Analyst


Job Details




Nashville, TN


Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit


  • Conduct Medicaid System Assessments
  • Serves as the subject matter expert to ensure business requirements are clearly communicated and executed in a timely fashion.
  • Lead and coordinate large projects or multiple smaller projects
  • Ensure planned results are achieved on time
  • Addresses problems through risk management and contingency planning and presents solutions/options to management
  • Identifies, documents, resolves and/or escalates issues to appropriate levels
  • Works closely with the business users to ensure their systems are effectively meeting their needs
  • Makes system-based recommendations regarding upgrades and enhancements
  • Facilitating resolution of problems that require multi-disciplinary technical skills
  • Acts as point of contact and facilitates communication with external business partners and internal staff to provide assistance



Required Skills and Qualifications:

  • 5+ years of Medicaid systems experience
  • Must have experience with testing Medicaid eligibility and enrollment (E&E) systems
  • Knowledge of interfaces to other Medicaid Enterprise Systems (MES) modules, including (Eligibility & Enrollment (E&E), Pharmacy Benefit Management (PBM), Provider, Data Warehouse, etc.
  • Experience with developing and executing test scenarios and scripts for System Integration and User Acceptance Testing
  • Remote work initially. Future travel may be required. 


Sets you apart:

  • Bachelor’s degree
  • Experience with interfaces
  • Systems Architecture and/or Systems Design experience 
  • Experience designing and executing SIT and UAT
  • Knowledge of financial accounting and processing of Medicaid Claims
  • Jama and Jira application experience
  • Lead and supervise Testers / Intermediate Level QA Analysts
  • Ability to build a high-level test scenario from requirements, and the ability write individual test cases
  • Peer review test cases
  • Trace test cases to requirements
  • Execute test cases
  • Develop negative test case scenarios
  • Interface UAT with beta testing
  • Experience with large scale implementations
  • Designated resource(s) to have Interface, batch, and data conversion testing experience
  • Experience with TennCare systems  



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