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Medicaid Business Analyst Jobs (NOW HIRING)

VIMO INC.

Medicaid Business Analyst

Mountain View, CA · On-site +1

$120K - $160K/yr

The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will ...

VIMO INC.

Medicaid Business Analyst

Mountain View, CA · On-site

$140K - $170K/yr

The Business Analyst is responsible for the end-to-end integrity of Account Transfer (AT) XML data exchanges between the State Exchange and the Medicaid Management Information System (MMIS). You will ...

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Medicaid Business Analyst information

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$31K

$56.8K

$130.5K

How much do medicaid business analyst jobs pay per year?

As of Aug 21, 2026, the average yearly pay for medicaid business analyst in the United States is $56,776.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,000.00 and $55,000.00 per year, depending on experience, location, and employer.

What is a Medicaid Business Analyst?

Medicaid Business Analysts are professionals who analyze, design, and improve business processes within Medicaid programs. They work with stakeholders to gather requirements, identify inefficiencies, and ensure that Medicaid systems comply with federal and state regulations. Their role often involves data analysis, documentation, and supporting the implementation of new policies or systems to improve healthcare delivery and program performance.

What does a Medicaid Business Analyst do?

A Medicaid business analyst works within the Medicaid system to support company compliance with the rules and regulations of the programs. As a Medicaid business analyst, your duties involve operating within the Medicaid Management Information System to review reports as well as research, interpret, and analyze data related to the Medicaid system. Other important responsibilities include assisting with the configuration and design of methods used to interact with the Medicaid system to ensure a smooth user experience. In general, you work to ensure that a company can easily navigate the system and operate in compliance with state and federal health care regulations.

What are the key skills and qualifications needed to thrive as a Medicaid Business Analyst, and why are they important?

To thrive as a Medicaid Business Analyst, you need a solid understanding of Medicaid regulations, healthcare business processes, and data analysis, often supported by a degree in business, healthcare administration, or a related field. Familiarity with Medicaid Management Information Systems (MMIS), data visualization tools, and business process modeling is typically required. Strong analytical thinking, attention to detail, and effective communication skills help you translate complex requirements between stakeholders and technical teams. These skills are crucial for ensuring compliance, optimizing Medicaid operations, and delivering value to both agencies and beneficiaries.

How does a Medicaid Business Analyst typically collaborate with cross-functional teams to implement policy or system changes?

Medicaid Business Analysts regularly work with cross-functional teams, including IT, project managers, policy experts, and healthcare providers. They act as a liaison by translating business requirements into technical specifications and ensuring that proposed solutions align with Medicaid regulations. Analysts often facilitate meetings, document processes, and perform gap analyses to identify system or workflow improvements. Effective collaboration is essential, as policy or system changes can impact multiple stakeholders and require thorough coordination for successful implementation.

What is the difference between Medicaid Business Analyst vs Medicaid Data Analyst?

AspectMedicaid Business AnalystMedicaid Data Analyst
Required CredentialsBachelor's degree in Business, Healthcare, or related field; often certifications in business analysisBachelor's degree in Data Science, Statistics, or related; often certifications in data analysis or SQL
Work EnvironmentCollaborates with healthcare providers, policy teams, and management to improve Medicaid programsFocuses on data collection, analysis, and reporting within healthcare or government agencies
Employer & Industry UsageUsed by Medicaid agencies, healthcare organizations, and consulting firmsEmployed by Medicaid agencies, healthcare providers, and data-focused firms

While both roles work within Medicaid programs, the Medicaid Business Analyst primarily focuses on analyzing business processes and improving program efficiency, whereas the Medicaid Data Analyst specializes in analyzing healthcare data to inform decisions. Both roles require analytical skills but differ in their focus on business processes versus data analysis.

More about Medicaid Business Analyst jobs

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Cities with the most Medicaid Business Analyst job openings:

What states have the most Medicaid Business Analyst jobs?

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Medicaid Business Analyst jobs near you
Infographic showing various Medicaid Business Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $56,776 per year, or $27.3 per hour.

Medicaid Business Analyst

Prophecy Technologies

Albany, NY • On-site

Full-time

Posted 22 days ago

Job description

Job Tittle : Medicaid Business Analyst
Location : Albany, NY
Overview of job:
The Senior Business Analyst will support the client's contractors with obtaining CMS certification of the Medicaid Enterprise Systems (MES). As the various MES components become operational, successful completion of the CMS Federal certification process of the MES will require the evaluation and validation of the subsystems to ensure attainment of CMS certification for the client to continue to receive Federal Financial Participation (FFP). The QA Business Analyst must be aware of any new or upcoming changes to the CMS certification process and be prepared to assist the client and its contractors in achieving certification in accordance with current and any revised CMS guidelines.
Job Responsibilities Include:
Review, evaluate and validate mandatory MES systems and subsystems to determine compliance with core CMS Federal certification requirements
Coordinate certification activities with client's contractors and staff
Establish checklists for CMS onsite visits
Attend meetings with client and CMS staff. Prepare agenda, meeting notes, decision lists and follow up action items
Support of CMS Federal certification review team/CMS Regional Office staff briefings and pre-certification meetings and calls
Assist with preparations for CMS on-site visits
Analyze data, reports, and deliverables, as needed
Assist with resolution of any CMS Federal certification issues
Review of CMS Federal certification report(s) and provide additional guidance to Department and its Contractors
Support the preparation of Department responses to CMS
Ensure all current and future CMS policies and requirements are met for system testing and attestations, as

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