Business Consultant - Medicaid

Join a team dedicated to supporting the crucial mission of improving health outcomes. At Merative, you can apply your skills – and grow new ones – with colleagues who have deep expertise in health and technology. Merative provides data, analytics and software for the health industry. Our clients include providers, health plans, employers, life sciences companies and governments around the world. With industry-leading products and focused innovation, we help customers improve decision-making and performance so that together, we drive real progress in health.Learn more at merative.comThe where: We’re the team behind smarter, faster social programs—built on the Cúram platform from Merative (formerly IBM’s Social Program Management). Our mission is simple but powerful: help governments serve people better through modern, reliable tech. From Canada’s largest IT modernization program ever to Scotland’s most impactful child welfare programs— Cúram is enabling some of the world largest government’s infrastructure. When we do our job well, families get the support they need to keep food on the table, seniors stay warm through the winter, and urgent cases—like child protection—move swiftly through the system.It’s not just software. It’s a safety net, powered by Cúram. This is tech with purpose. And yes, it’s a big deal. The what Hey, you Yeah, you—the one who loves tech and wants to actually do something meaningful with it. Curam’s on the hunt for business/technical consultants who know their stuff and aren’t afraid to shake things up. You’ll be teaming up with healthcare stakeholders to help them make life better for people who really need it. We’re talking real problems, smart solutions, and a team that’s obsessed with making things work.Its impact meets innovation. Your mission, should you choose to accept it Research, analysis, and define customer requirements to build a Healthcare Care Management platform supporting collaboration of care and data – Care plans, medications, healthcare providers, and more Analyze the business requirements of our customers and system functionality to scope. Write the functional documentation and user stories required by technical consultants who develop our software. Learn and become well versed in the Cúram product and case management business process to perform fit/ gap analysis and advise on the best approach to implement solutions using the product.Act as the point of contact for business-related questions and issues that arise and require clarification, working closely with stakeholders and technical staff Collaborate with teams discussing design options and the various merits of different approaches. Work with teams developing demos and client presentations. Lead agile sessions when required. Analyze requests from clients and requirements complete detailed work estimates. Prioritize and document solution requirements including Use case and/or process flows, User Stories, Data definitions and/or logical data models, Screen design and story boarding, QA and test case development Why you’d be great at thisYour toolkit: 7+ years of experience in a Business Analyst or related role, with a focus on delivering technology-driven projects related to healthcare systems Medicaid Managed Care organization (MCO) or Medi-CAL (such as Kaiser, bolthires, Molina, etc) experience Systems experience in EHR (Electronic Health records) -OR- FHIR (Fast Healthcare Interoperability Resource) Understanding of integrations and data exchange in healthcare systems Proven expertise in business process analysis, including user stories, process flows, and gap analysis.Strong ability to optimize business processes for increased efficiency and effectiveness. Expertise in identifying and evaluating delivery methods and advising teams on best practices based on measurable outcomes. Experience supporting teams by helping visualize outcomes, prioritize tasks, and deliver solutions aligned with project scope. Solid team building, problem resolution and decision-making skills. Bonus points: Curam software knowledge, and case management business process flow A comprehensive understanding of how to implement and customize Commercial-off-the-shelf (COTS) functionality to meet requirements.What We Offer Big mission. Good vibes. Real impact. At Cúram, we’re all about using tech to make life better—especially for folks who need it most. We’re helping transform how social programs work around the world, and yeah, it’s kind of a big deal. Teamwork > Ego. We’re big on kindness, collaboration, and solving tough problems together. No drama, just smart humans doing cool stuff and hyping each other like it’s a group project we actually want to be part of. Curious minds welcome. We love learning, leveling up, and building careers that don’t make you want to fake a Wi-Fi outage.Most of our team has been here forever—and not because they got lost. It’s just that good. Perks that hit. Remote flexibility, solid benefits, paid time off, bonuses, and support for your family—we’ve got you. If you’re ready to roll up your sleeves, make a difference—hit us up. Let’s build something awesome together. Apply by submitting your resume on our career page:Careers | Merative. CompensationThe salary range provided in this job posting is intended to reflect the general market value for the position.The actual salary offered may vary based on factors such as the candidate’s experience, qualifications, skills, and the specific requirements of the role. This range may also be subject to change as market conditions evolve. We encourage open communication throughout the interview process to discuss compensation expectations. For base-salary + commission sales roles, the range represents On-bolthires Earnings. Min – Max : $100,980.00 - $151,470.00 (USD) BenefitsThe benefits described represent the current offerings at our organization, however, benefits are subject to change and may vary by location and employment status.We strive to provide a comprehensive benefits package that supports our employees’ health, wellness, and financial goals. Please note that benefits may be discussed in more detail during the hiring process. Remote first / work from home culture Flexible vacation to help you rest, recharge, and connect with loved ones Paid leave benefits Health, dental, and vision insurance 401k retirement savings plan Infertility benefits Tuition reimbursement, life insurance, EAP – and more! It is the policy of Merative to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.In addition, Merative will provide reasonable accommodations for qualified individuals with disabilities. Merative participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: Merative is a place to grow. We offer opportunities to apply your skills — and develop new ones — with colleagues who have deep expertise in health and technology. At Merative we’re driven and professional, but treat each other with compassion and respect.Roles at Merative include product design and development, technology innovation, product and account management, sales and consulting, communications and marketing, management, operations and more. Don't see the role you are looking for? Complete your contact information and upload your resume and we will reach out to you should we find a match! Apply tot his job