Pega Medicaid BA

HMG America LLC is the best Business Solutions focused Information Technology Company with IT consulting and services, software and web development, staff augmentation and other professional services. One of our direct clients is looking for Pega Medicaid BA in USA. Below is the detailed job description.

Title: Pega Medicaid BA

Location: USA

Key Requirements

• 15+ years of Technical Functional Analyst or Business Systems Analyst experience.
• Mandatory Healthcare OR Eligiblity & Enrollment domain expertise, including:
  • Eligibility Determination
  • Enrollment Lifecycle Management
  • Renewals and Redeterminations
  • Case Management
  • Notices and Correspondence
  • Stacking and Benefit Determination
• Mandatory Pega expertise, including:
  • Pega Case Management
  • Workflows and Business Processes
  • Decision Rules
  • Routing and Assignments
  • Integrations and Interfaces
  • Production Support and Troubleshooting
• Experience supporting large-scale systems.
• Strong experience working with Pega Architects, Developers, System Integrators, and State Agency stakeholders.
• Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization.
• Strong SQL and Power BI skills preferred.
• Pega certifications (PBA/CSA) are highly preferred.