High degree of business and technical knowledge with significant practical experience in HIPAA X12 ... Conducts analysis of EDI transactions and is responsible for documentation and reports
High degree of business and technical knowledge with significant practical experience in HIPAA X12 ... Conducts analysis of EDI transactions and is responsible for documentation and reports
Mmis Business Analyst information
See Raleigh, NC salary details
$17.29 - $22.07
2% of jobs
$22.07 - $26.85
4% of jobs
$26.85 - $31.63
12% of jobs
$34.74 is the 25th percentile. Wages below this are outliers.
$31.63 - $36.41
11% of jobs
$36.41 - $41.19
13% of jobs
The median wage is $44.67 / hr.
$41.19 - $45.97
12% of jobs
$45.97 - $50.75
12% of jobs
$50.75 - $55.53
10% of jobs
$55.67 is the 75th percentile. Wages above this are outliers.
$55.53 - $60.31
18% of jobs
$60.31 - $65.09
4% of jobs
$65.09 - $69.87
3% of jobs
$17
$46
$69
How much do mmis business analyst jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for mmis business analyst in Raleigh, NC is $46.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.57 and $57.74 per hour, depending on experience, location, and employer.
What is an MMIS Business Analyst?
An MMIS Business Analyst is a professional who specializes in analyzing, designing, and improving Medicaid Management Information Systems (MMIS), which are used by state Medicaid programs to manage healthcare claims and data. They work closely with stakeholders to gather requirements, document processes, and ensure that MMIS solutions meet business, regulatory, and technical needs. Their role often includes troubleshooting system issues, supporting system upgrades, and facilitating communication between technical teams and healthcare administrators. MMIS Business Analysts play a critical part in optimizing Medicaid operations and ensuring compliance with federal and state regulations.
How does an MMIS Business Analyst typically collaborate with technical teams and stakeholders during a Medicaid system implementation?
An MMIS Business Analyst acts as a bridge between business stakeholders and technical teams during a Medicaid Management Information System (MMIS) implementation. They gather and translate business requirements, facilitate communication, and ensure that both regulatory and user needs are clearly understood by developers. Regular meetings, documentation reviews, and solution walkthroughs are common, helping to clarify system functionalities and resolve issues quickly. Effective collaboration is essential for meeting project timelines and ensuring a successful system launch.
What is the difference between Mmis Business Analyst vs Mmis Data Analyst?
| Aspect | Mmis Business Analyst | Mmis Data Analyst |
|---|---|---|
| Required Credentials | Bachelor's in Business, IT, or related field; certifications like CBAP or CCBA | Bachelor's in Data Science, Statistics, or related; certifications like CAP or Microsoft Data certifications |
| Work Environment | Business settings, project teams, client interactions | Data-focused teams, analytics departments, IT environments |
| Employer & Industry Usage | Financial, healthcare, retail, consulting firms | Tech companies, finance, healthcare, research institutions |
The Mmis Business Analyst primarily focuses on understanding business needs, process improvements, and project management, while the Mmis Data Analyst concentrates on analyzing data, creating reports, and supporting data-driven decisions. Both roles require strong analytical skills and relevant certifications, but they serve different functions within organizations.
What are the key skills and qualifications needed to thrive as an MMIS Business Analyst, and why are they important?
To thrive as an MMIS Business Analyst, you need strong analytical skills, a solid understanding of Medicaid Management Information Systems (MMIS), and experience with healthcare or government programs, often supported by a relevant degree. Familiarity with MMIS platforms, requirements-gathering tools, data analysis software, and systems like SQL and Medicaid claims processing is typically required. Exceptional communication, problem-solving, and stakeholder management skills set top candidates apart. These abilities are crucial for accurately translating business needs into technical solutions and ensuring the effective operation of complex healthcare IT systems.
What are popular job titles related to Mmis Business Analyst jobs in Raleigh, NC?
For Mmis Business Analyst jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Mmis Business Analyst jobs in Raleigh, NC look for?
The top searched job categories for Mmis Business Analyst jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Mmis Business Analyst jobs?
Cities near Raleigh, NC with the most Mmis Business Analyst job openings:
IT Lead EDI Specialist/Tester - HYBRID ( Local candidates only)
Raleigh, NC • On-site
Other
Posted 10 days ago
Job description
Job Description:
***Crop to Crop resumes are accepted
NC Dept of Health and Human Services (DHHS) is seeking a Lead EDI Specialist to perform work related to to support the Medicaid Reform Project.
This position is responsible for the following activities related to a critical system being developed in-house at the State:
- High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
- Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
- Develop and execute test scripts related to X12 Transmission
Conducts QA and Testing on EDI applications
Develop and execute Test scripts related to X12 Transmission
Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing - Provides technical support during and after implementation for healthcare electronic data inter
- Responds to inquiries regarding EDI issues with encounter claims and trading partner activities
- Management of catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
- Communication between Trading Partners and department
- Maintain detailed documentation and process flow of all EDI processes
- Identify and facilitate issues with partner data mapping from onset through completion
- Process and monitor all inbound and outbound X12 transactions
- Support Customer Service group with EDI related issues
- Identifies, recommends and implements process improvements in support of the EDI system
- Troubleshoot EDI document processing errors and work with trading partners directly to resolve in a timely matter
- Conducts analysis of EDI transactions and is responsible for documentation and reports
- Collaborate with EDI partners to resolve transmission problems.
- Track day-to-day EDI & batch processes to identify and address problems as they arise reporting levels of activity using key established metrics for senior management
- Effectively communicate issues and needs with internal business partners, external vendors, and healthcare providers
- Develops and maintains cross walking and validation rules for file exchanges
- Triages incoming EDI issues thru monitoring
- Ability to communicate effectively with technical and business staff
- Support internal resources to resolve issues, answer questions, and retransmit EDI documents when necessary
- Work with end users to ensure user acceptance testing is thorough and complete
- Employees should be able to work independently with minimal supervision.
- Knowledge of Agile Methodology
Required Skills:
Expert in developing and executing test scripts related to X12 EDI Transmission
Demonstrated proficiency in conducting QA and testing on EDI applications
Expert in EDI mapping for 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
High degree of business and technical knowledge with significant practical experience in HIPAA X12 EDI Transactions.
Experience setting up users/new Trading Partner relationship/Standards/Envelope and full cycle testing
Experience in creating and managing catalog of EDI document types such as 837, 277CA, 834, 835, TA1, 999, 820, NCPDP D.0
Proven experience in processing and monitoring all inbound and outbound X12 transactions
Knowledge of Agile Methodology
Experience in collaborating with EDI partners to resolve transmission problems.
LOCAL candidates only
Desired Skills:
Strong understanding of healthcare claims processing - Claims, Provider, Eligibility
Working knowledge of Medicaid and/or MMIS
Excellent verbal and written communication skills with the ability present to both technical and business audiences.
About Chandra Technologies
Sourced by ZipRecruiter
Company size
11 - 50 Employees
Headquarters location
Madison, WI, US
Year founded
2002