Enterprise Solutions Integration (ESI) Business Analyst.

About the role

The State of Colorado is seeking an Enterprise Solutions Integration (ESI) Business Analyst for the ESI Division of the Health Information Office (HIO). This position is responsible for managing business processes and vendors, conducting business analysis, and leading the Software Development Lifecycle (SDLC) for large, complex healthcare systems.

Responsibilities

• Serves as the Department’s business and systems authority for Colorado Medicaid Enterprise System (CMES) data exchanges, data & interface design, and integration across the medicaid ecosystem.
• Ensures Medicaid policy are correctly operationalized in technical solutions supporting Medicaid and HR1 Medicaid Work Requirements compliance.
• Applies knowledge of Medicaid & CHP+ operations, CMES integration and eligibility systems, MITA 3.0 standards, and CMS guidance to translate policy and operational requirements into clear business, functional, system, and interface requirements.
• Validates that proposed technical solutions correctly implement business intent within CBMS and the broader Medicaid Enterprise.
• Leads the business and system design for interfaces supporting ex parte and verification processes, defining when, why, and how interface & integration systems exchange are necessary to support accurate eligibility determinations.
• Reviews and validates functional and technical design documents to ensure traceability to approved business requirements and alignment with policy intent prior to implementation.
• Leads requirements elicitation and review activities, including business process mapping, functional specifications, interface requirements, and testing artifacts.
• Works with policy and eligibility operations teams to confirm functional specifications reflect the intent of Medicaid Work Requirements system requirements.
• Directs contractors through the SDLC and governance processes by setting expectations for requirements quality, system design decisions, data flows, and configuration standards.
• Collaborates with contractors, state agencies, federal entities, and private-sector partners to establish secure APIs and batch interfaces for employment, education, and service verification.
• Supports the full testing lifecycle in collaboration with stakeholders and contractors, including System Integration Testing (SIT), End-to-End (E2E) testing, and User Acceptance Testing (UAT).
• Provides SDLC and integration governance consultation to policy and operations teams on feasibility, risks, and resource impacts of proposed system changes.
• Leads integration technical briefings and readiness reviews with executive leadership, CMS representatives, and stakeholders as needed.
• Serves as a Business Analyst and Systems Integration liaison for Work Requirements implementation, representing ESI in cross-organizational discussions on requirements interpretation and interface design.

Requirements

• Seven (7) total years of professional experience managing business processes and vendors, conducting business analysis, and leading the Software Development Lifecycle (SDLC) for large, complex healthcare systems.
• Bachelor's degree from an accredited institution in Health Care Administration, Business Administration, or a related field AND Three (3) total years of professional experience managing business processes and vendors, conducting business analysis, and leading the Software Development Lifecycle (SDLC) for large, complex healthcare systems.
• Relevant education will be calculated as the following: an associates will count as two years of experience, a bachelors will count as four years of experience, a masters degree will count for six years of experience, and a doctorate or juris doctorate degree will count for seven years of experience.

Qualifications

• Ability to translate health care policy into business requirements.
• Commitment to keeping promises and meeting deadlines.
• Flexible, must be able to lead meetings and take direction at the same time.
• Ability to communicate technical details to a non-technical audience.

Skills

• Ability to translate health care policy into business requirements.
• Commitment to keeping promises and meeting deadlines.
• Flexible, must be able to lead meetings and take direction at the same time.
• Ability to communicate technical details to a non-technical audience.

Benefits

The State of Colorado offers a competitive benefits package including PERA retirement benefits, medical, dental, and vision insurance, disability coverage, life insurance, flexible spending accounts, family medical leave, paid holidays, and sick leave. Additionally, there are opportunities for discounts on services and products through the State of Colorado's Work-Life Employment Discount Program.

Pay

Details on pay are not specified in the job posting.

Schedule

Details on the schedule are not specified in the job posting.