Business Analyst L4

City: Jefferson City

State/Province: Missouri

Posting Start Date: 12/9/25

Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients' most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.

Job Description:

Job Description

Business Analyst Job Description - Medicaid Membership (MCO Experience Required)

Key Responsibilities

• Act as the liaison between MCO business operations, IT teams and state agencies.
• Interact with Clients. Prepare a roadmap for Implementation of Software. Contribute in design related discussions
• Gather, analyze, and document business requirements related to Medicaid membership management, eligibility, enrollment, premium billing, and reconciliation.
• Support compliance with state and federal Medicaid regulations, ensuring system functionality meets CMS and state-specific rules.
• Translate business needs into functional requirements, use cases, and user stories for membership systems and portals.
• Partner with operations teams to monitor, automate and improve member onboarding, disenrollment, and work requirement compliance workflows.
• Work with integration teams on data exchanges with state Medicaid agencies (eligibility files, roster updates, Work requirement compliance reporting).
• Develop test cases, perform UAT (User Acceptance Testing), and validate system enhancements before production releases.
• Provide business analysis for operational reports, dashboards, and performance metrics.
• Collaborate with cross-functional teams (call center, claims, care management) to ensure membership data accuracy and timely resolution of issues.
• Support audits and reporting requirements by maintaining clear documentation and traceability of business rules.
• Contribute to RFI/RFP responses

Required Skills & Experience

• Minimum 5 years working at an MCO or Medicaid-focused environment in business operations and systems.
• Experience supporting or implementing Medicaid membership SaaS or hosted platforms.
• Good understanding of MCO operations and systems around Medicaid, MLTC, CHIP, DSNP lines of businesses
• Familiarity with work requirement tracking, exemptions, and compliance reporting.
• Strong understanding of Medicaid membership lifecycle: eligibility, enrollment, disenrollment, premium billing, reconciliation, and reporting.
• Familiarity with state Medicaid agency interactions (834/820 transactions, roster management, state audits, compliance reporting).
• Experience with regulatory compliance and CMS/state Medicaid rules (including work requirements).
• Hands-on experience with Medicaid membership systems, portals, or core admin platforms.
• Proficiency in business requirements gathering, process mapping, and writing functional specifications.
• Strong knowledge of data flows, integration methods, and file/API exchanges between MCOs and state agencies.
• Analytical skills to perform gap analysis, root cause analysis, and recommend operational improvements.
• Excellent documentation skills (BRD, FSD, user stories, workflows, SOPs).
• Communication skills to effectively engage with business users, IT teams, and external regulators.

• Knowledge of healthcare data standards (HIPAA, 834, 820, HL7, FHIR) would be a plus.

Background in process automation, analytics, or dashboarding for Medicaid membership

Mandatory Skills: Medicare .

Experience: 5-8 Years .

The expected compensation for this role ranges from $60,000 to $135,000 .

Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro's standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.

Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.

Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.

Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention.

Client-provided location(s): Jefferson City, MO

Job ID: Wipro-117509

Employment Type: OTHER

Posted: 2025-12-15T18:41:09