Business Analyst with Pega and Medicaid/Healthcare

Rate: $75/hr C2C (1099 contract)

Location: Atlanta, GA (Onsite)

About the Role

We are seeking a Technical Functional Analyst (TFAL) with deep expertise in both Pega and Medicaid/Healthcare. This role bridges business and technology teams, requiring hands-on experience in eligibility and enrollment processes, Pega case management, workflows, integrations, and production support.

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 collaborating with Pega Architects, Developers, System Integrators, and State Agency stakeholders
• Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization

Skills

• Strong SQL and Power BI skills (preferred)
• Pega certifications (PBA/CSA) highly preferred