Senior Business Analyst (Public-sector healthcare / MITA)

About the role

We support large-scale Medicaid and public-sector healthcare transformation, helping modernize business processes, technology, and operations to improve program efficiency and outcomes. Join a long-term Medicaid modernization program where you’ll influence enterprise strategy, improve critical healthcare processes, and work with senior stakeholders on meaningful transformation initiatives. We are seeking a Senior Business Analyst / Business Architect to support a large-scale public-sector healthcare and Medicaid transformation program. This is not a traditional requirements-gathering BA position. We need someone who can operate at an enterprise level, understand a complex business problem, identify the root cause, connect business needs to broader organizational and technology considerations, and develop a clear approach forward. The successful candidate will combine strong business architecture and analysis capabilities with meaningful public-sector healthcare, Medicaid, CMS, or MITA domain experience.

Responsibilities

• Lead complex business capability assessments, business process modeling, analysis, and process improvement initiatives.
• Evaluate business problems holistically and identify root causes rather than simply documenting requirements.
• Determine whether challenges are best addressed through technology, business process, organizational change, governance, or a combination of approaches.
• Develop current-state and future-state business models, capabilities, processes, and roadmaps.
• Define strategies, principles, and standards that guide business architecture across an enterprise.
• Support the Medicaid Information Technology Architecture (MITA) framework and State Self-Assessment activities.
• Facilitate cross-functional working sessions, bringing stakeholders with competing priorities toward clear decisions, owners, and next steps.
• Translate federal and state healthcare policy changes into impacts across business capabilities, systems, requirements, testing, and supporting evidence.
• Support CMS certification readiness, governance, compliance, and ongoing