Business Consultant - Medicaid

Merative • Full-time • Remote – United States, United States of America • 9h ago

Cúram by Merative empowers governments around the world to deliver smarter, faster, and more compassionate social services. For more than 25 years, Cúram has helped national, regional, and local governments modernize social programs, equip caseworkers with powerful tools, and connect individuals and families to the support they need. Trusted across 12 countries and jurisdictions, available in 14 languages, and supporting more than 970 government programs, the Cúram platform helps protect and serve 187 million people annually—from large-scale national modernization initiatives to mission-critical child welfare and social care systems. This isn’t just software—it’s the digital safety net that helps communities thrive.

Curam’s looking for business & technical consultants to teamup with healthcare stakeholders to help them make life better for people who really need it.

We’re talking real problems, smart solutions, and a team that’s obsessed with making things work. Its impact meets innovation.

Research, analysis, and define customer requirements to build a Healthcare Care Management platform supporting collaboration of care and data – Care plans, medications, healthcare providers, and more
Analyze the business requirements of our customers and system functionality to scope.
Write the functional documentation and user stories required by technical consultants who develop our software.
Learn and become well versed in the Cúram product and case management business process to perform fit/ gap analysis and advise on the best approach to implement solutions using the product.
Act as the point of contact for business-related questions and issues that arise and require clarification, working closely with stakeholders and technical staff
Collaborate with teams discussing design options and the various merits of different approaches.
Work with teams developing demos and client presentations.
Lead agile sessions when required.
Analyze requests from clients and requirements complete detailed work estimates.
Prioritize and document solution requirements including Use case and/or process flows, User Stories, Data definitions and/or logical data models, Screen design and story boarding, QA and test case development

Qualifications:

7+ years of experience in a Business Analyst or related role, with a focus on delivering technology-driven projects related to healthcare systems
Medicaid Managed Care organization (MCO) or Medi-CAL (such as Kaiser, Blue Cross, Molina, etc) experience
Systems experience in EHR (Electronic Health records) -OR- FHIR (Fast Healthcare Interoperability Resource)
Understanding of integrations and data exchange in healthcare systems
Proven expertise in business process analysis, including user stories, process flows, and gap analysis.
Strong ability to optimize business processes for increased efficiency and effectiveness.
Expertise in identifying and evaluating delivery methods and advising teams on best practices based on measurable outcomes.
Experience supporting teams by helping visualize outcomes, prioritize tasks, and deliver solutions aligned with project scope.
Solid team building, problem resolution and decision-making skills.

Bonus points:

Curam software knowledge, and case management business process flow
A comprehensive understanding of how to implement and customize Commercial-off-the-shelf (COTS) functionality to meet requirements.

Compensation

The salary range provided in this job posting is intended to reflect the general market value for the position. The actual salary offered may vary based on factors such as the candidate’s experience, qualifications, skills, and the specific requirements of the role. This range may also be subject to change as market conditions evolve. We encourage open communication throughout the interview process to discuss compensation expectations. For base-salary + commission sales roles, the range represents On-Target Earnings.

Min – Max :

$104,009.40 - $156,014.10 (USD)

Benefits

The benefits described represent the current offerings at our organization, however, benefits are subject to change and may vary by location and employment status. We strive to provide a comprehensive benefits package that supports our employees’ health, wellness, and financial goals. Please note that benefits may be discussed in more detail during the hiring process.

Remote first / work from home culture
Flexible vacation to help you rest, recharge, and connect with loved ones
Paid leave benefits
Health, dental, and vision insurance
401k retirement savings plan
Infertility benefits
Tuition reimbursement, life insurance, EAP – and more!

It is the policy of Merative to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Merative will provide reasonable accommodations for qualified individuals with disabilities.

Merative participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees