Technical Functional Analyst (TFAL) with Pega and Medicaid/ Healthcare - Remote

Key Requirements

• Mandatory Healthcare OR Eligibility & 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.