Pega Business Analyst

Resource Logistics Inc. is seeking a Pega Business Analyst with extensive experience in the Healthcare domain. The role requires expertise in Pega systems and the ability to manage eligibility and enrollment processes effectively.

Responsibilities:

• 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 Clienthitects, 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

Requirements:

• 15+ years of Technical Functional Analyst or Business Systems Analyst experience
• 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 Clienthitects, Developers, System Integrators, and State Agency stakeholders
• Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization
• Please focus on candidates who possess both Pega and Medicaid/Healthcare experience, as both skill sets are mandatory for this role
• Strong SQL and Power BI skills preferred
• Pega certifications (PBA/CSA) are highly preferred