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Enrollment Business Analyst Jobs (NOW HIRING)

Conduent, Inc.

Business Analyst (MMIS)

Atlanta, GA · On-site +1

Business Analyst - CMdS Claims, Member & Finance Implementation (MES) Experience: 6+ years Domain ... Lead design for eligibility spans, aid category / benefit package assignment, enrollment, MCO/FFS ...

hCentive Inc

Lead Business Analyst

Reston, VA · On-site

Our software helps to simplify the complex world of shopping, enrolling, and managing health ... The Lead Business Analyst will be responsible for managing information system design projects ...

hCentive Inc

Lead Business Analyst

Reston, VA · On-site

Our software helps to simplify the complex world of shopping, enrolling, and managing health ... The Lead Business Analyst will be responsible for managing information system design projects ...

Prudential

Business Analyst

Newark, NJ · On-site

$76K - $125K/yr

... Team as a Business Analyst, Data Exchange. This will be a role customer-facing that requires a ... Education Benefit to help finance traditional college enrollment toward obtaining an approved ...

Prudential

Business Analyst

$76K - $125K/yr

... Team as a Business Analyst, Data Exchange. This will be a role customer-facing that requires a ... Education Benefit to help finance traditional college enrollment toward obtaining an approved ...

Forhyre

OH · On-site

We are looking for a Claims Business Analyst who will be the vital link between our information ... For example, Enrollment, Drug Utilization * Review, Adjudication, Pricing, Payments/Billing, EOB ...

Asta CRS Inc.

Be Seen First

Junior Business Analyst

Richmond, VA · On-site

$28 - $30/hr

The Junior Business Analyst plays a critical role in supporting business initiatives by gathering ... ASTA CRS is proud to state that we are enrolled with the USCIS for the E-Verification Program.

New

Forhyre

We are looking for a Claims Business Analyst who will be the vital link between our information ... For example, Enrollment, Drug Utilization * Review, Adjudication, Pricing, Payments/Billing, EOB ...

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Enrollment Business Analyst information

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How much do enrollment business analyst jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for enrollment business analyst in the United States is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $40.87 and $54.81 per hour, depending on experience, location, and employer.

What is an enrollment business analyst?

Enrollment Business Analysts are professionals who analyze and improve processes related to student or member enrollment within organizations such as educational institutions, healthcare companies, or insurance firms. They collect and interpret data, identify trends, and recommend solutions to streamline enrollment procedures and enhance user experiences. Their work often involves collaborating with IT, operations, and customer service teams to implement new systems or improve existing workflows. Ultimately, Enrollment Business Analysts help organizations achieve efficient and effective enrollment processes, ensuring compliance and meeting business goals.

What are the key skills and qualifications needed to thrive as an enrollment business analyst?

To excel as an Enrollment Business Analyst, you need strong analytical skills, knowledge of enrollment processes, and a background in business, information systems, or a related field. Familiarity with CRM systems, data analytics tools like SQL or Excel, and experience with healthcare or education enrollment software are highly valuable. Outstanding communication, problem-solving abilities, and attention to detail are essential soft skills for collaborating with stakeholders and ensuring data accuracy. These competencies are crucial for optimizing enrollment workflows, supporting decision-making, and ensuring compliance within complex organizational environments.

How does an enrollment business analyst typically collaborate with cross-functional teams to improve enrollment processes?

Enrollment Business Analysts often work closely with IT, operations, and enrollment teams to streamline and enhance enrollment workflows. They analyze data, gather requirements from stakeholders, and translate business needs into technical solutions. Regular meetings and clear communication are essential, as they must ensure that proposed changes align with organizational goals and regulatory requirements. This collaborative approach helps identify bottlenecks, implement best practices, and drive continuous improvement in enrollment processes.

What cities are hiring for Enrollment Business Analyst jobs?

Cities with the most Enrollment Business Analyst job openings:

What are popular job titles related to Enrollment Business Analyst jobs?

For Enrollment Business Analyst jobs, the most frequently searched job titles are:

Infographic showing various Enrollment Business Analyst job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, 14% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $99,617 per year, or $47.9 per hour.

Business Analyst (MMIS)

Atlanta, GA • On-site, Remote

Conduent, Inc.
IT Services • 10K+ employees
Learn more about Conduent, Inc.external

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Conduent rating

6.1

Company rating: 6.1 out of 10

Based on 190 frontline employees who took The Breakroom Quiz

Job description


Business Analyst - CMdS Claims, Member & Finance Implementation (MES)
Experience: 6+ years
Domain: Medicaid Enterprise Systems (MES) | MMIS modernization | Claims / Member / Finance
Role summary
Serve as Business Analyst for CMdS product development and implementation on a Medicaid modernization program. Translate legacy MMIS claims, member, and finance behavior and state Medicaid policy into CMdS functional design, requirements, and acceptance criteria. Partner with development, QA, architecture, and business stakeholders to deliver MES-aligned solutions that replace or integrate with legacy adjudication, eligibility/enrollment, and financial accounting processes.
Key responsibilities
Delivery & analysis
  • Own requirements and functional design for assigned CMdS modules (Claims, Member, Finance, and related interfaces).
  • Define epics, user stories, and definition of done; prioritize against Medicaid policy, MES certification goals, and release plans.
  • Facilitate working sessions; clarify requirements for developers and QA; resolve functional questions during build and test.
  • Track scope, dependencies, risks, and decisions; maintain traceability from legacy rule to CMdS design to test evidence.

Functional design (Claims, Member, Finance)
  • Claims: Lead functional design for claim intake, claim type assignment, validity/pricing edits, adjustment/void, crossover, encounters, remittance, and related edit disposition behavior; map legacy rules to CMdS configuration and customizations.
  • Member: Lead design for eligibility spans, aid category / benefit package assignment, enrollment, MCO/FFS indicators, and interfaces from state eligibility systems into CMdS Member.
  • Finance: Lead design for payment cycles, budget account / category of service, fund splits, ASO / F/EA and other administrative payment paths, financial transactions, and reporting/accounting controls.
  • Produce BRDs, FRDs, process flows, data mapping, gap analysis, and configuration workbooks suitable for build and UAT.

Collaboration with Development & QA
  • Work side-by-side with developers on design walkthroughs, edge cases, and defect triage.
  • Partner with QA to define test scenarios, expected results, and regression packs (positive/negative, adj/void, crossover, encounter, finance posting).
  • Support SIT, UAT, and parallel/run-compare activities against legacy MMIS outcomes.
  • Validate that implementations meet Medicaid policy and MES operational readiness (security, audit, reporting, interfaces).

Stakeholder & MES engagement
  • Run workshops with business owners, SMEs, fiscal, and operations.
  • Align designs to CMS MES expectations (modularity, interoperability, standards-based interfaces, certification evidence).
  • Support change management: training outlines, release notes, and operational runbooks for CMdS go-live.

Required qualifications
  • 6+ years business analysis experience in Medicaid MMIS / MES, with deep hands-on work in at least two of: Claims, Member/Eligibility-Enrollment, Finance/Financial Accounting.
  • Proven experience developing and implementing claims systems / MMIS / MES platforms, such as Conduent CMdS (Conduent Medicaid Suite), Health Enterprise, QNXT, Facets, or comparable commercial Medicaid/claims suites.
  • Experience modernizing or replacing legacy MMIS (COBOL/mainframe or equivalent) with a commercial Medicaid platform.
  • Strong Medicaid domain knowledge, including:
    • FFS vs managed care; capitation vs ASO / administrative services models
    • Claim types, media sources, edits/EOBs, adjustments/voids, Medicare crossover, encounters
    • Aid categories, benefit packages, eligibility spans, timely filing, TPL concepts
    • Provider payments, remittance advice, budget/object codes, COS, fund source / FFP concepts
    • CMS / state Medicaid policy drivers relevant to MES implementation and certification
  • Demonstrated ability to write clear functional design and acceptance criteria for complex adjudication and financial rules.
  • Experience working embedded with development and QA teams in Agile or hybrid SDLC.
  • Excellent facilitation, documentation, and stakeholder communication skills.

Preferred qualifications
  • Hands-on CMdS configuration or implementation (Claims, Member, Finance, Reference, Service Auth).
  • Familiarity with HIPAA X12 (837/835), COBA/crossover, EVV-related claim flows.
  • Experience supporting CMS MES certification artifacts and evidence packages.
  • Prior lead BA experience on multi-module MES releases.

Soft skills
  • Comfortable owning ambiguity when legacy rules are incomplete; drives decisions with SMEs.
  • Balances policy accuracy with delivery timelines.
  • Credible with technical teams and business executives alike.

Education
Bachelor's degree in business, Information Systems, Health Informatics, or related field (or equivalent experience).
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $70,000 - $90,000.
About Us
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
About the Team
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.

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About Conduent

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Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Florham Park, NJ, US

Year founded

2017

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