Sr. Healthcare Analyst / Medicaid SME | The Xela Group


Job Description:

Role: Sr. Healthcare Analyst / Medicaid SME

Location: Basking Ridge, New Jersey

Duration: Full time

Primary responsibilities:

  • Function as a Subject Matter Expert (SME) on Medicaid and Medicare directly interfacing with state Business users.
  • Participate in requirements gathering sessions with State users and client team members to understand business need and analyze requirements
  • Able to juggle multiple tasks and work with the lead to prioritize work to ensure customer expectations are met.
  • Work independently with little to no supervision by seeking guidance on work priority and dedication to client success.
  • Collaborate with other Data Analysts / Business analysts to understand reporting needs and be a self-starter to accomplish objectives.
  • Review and provide feedback on reporting requirements, either created internally or externally, for feasibility, gaps in requirements, and overall business value.
  • Perform data analysis using SQL and validate business requirements
  • Document test cases based on requirements and perform functional testing.
  • Gain proficiency in modifying and developing new SAP Business Objects reports.
  • Be a team player and work under supervision of senior analysts as needed to meet project objectives.

Required qualifications

  • Bachelor’s degree in computer science, computer information systems, data analytics, or a related field.
  • 10+ years of experience working as a business or data analyst in any Industry vertical
  • 7 + years of working as a business user or analyst in a healthcare vertical
  • 5+ Working as an analyst in the Medicaid line of business within depth knowledge in claims adjudication, eligibility, provider performance etc.
  • 3+ years’ experience working with SQL and databases with proficiency in data analysis.
  • Experience working in both Agile and Waterfall SDLC

Preferred Qualifications:

  • 5+ years of experience as a business or data analyst in a Data warehousing setting
  • Candidates with working knowledge in SAP Business Objects reporting
  • Experience working in a healthcare Data warehouse involving claims, recipients, providers, and other subject areas.
  • Experience reporting on large datasets from a data warehouse, and techniques for working with data in volume effectively to create reports and dashboards


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