NTT

1 month ago

TPL Senior Business Analyst

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI

Last checked: 4 hours agoStatus: Live

Job Summary

Support a state Medicaid program’s TPL (Third Party Liability) operations by analyzing Medicaid claims and recovery workflows. Translate federal and state TPL policies into actionable system requirements, help with MMIS enhancements (adjudication rules, reporting, letters), and collaborate with vendors and state stakeholders. Own requirements gathering, documentation, and lead User Acceptance Testing (UAT), while identifying issues, risks, and dependencies for day-to-day TPL activities and operational reporting.

Location: Little Rock

Workplace: Remote

Employment Type: Full time

Job Function: Business Operations

Seniority: Mid level

Key Responsibilities

•Analyze Medicaid claims, TPL workflows, Medicare crossovers, and recovery data to identify trends, root causes, and opportunities for cost avoidance and improved recovery.
•Translate federal/state TPL policies into system requirements and support MMIS enhancements such as adjudication rules, edits, reporting, and letters.
•Partner with vendors and state stakeholders to improve insurance discovery and recovery processes.
•Lead requirements gathering and documentation, and create and conduct UAT testing for system and process changes.
•Identify and report issues, risks, and dependencies, and support issue triage, backlog management, and operational reporting for day-to-day TPL activities.

Pay and Benefits

Salary: USD 91,260 - 152,100 annually

Perks:Health InsuranceDentalVision401kPaid LeaveLife InsuranceDisability

Key Requirements

•Minimum 10 years supporting large, complex Medicaid system implementation projects and/or Medicaid business operations.
•Minimum 8 years of TPL experience, including Coordination of Benefits, Medicare crossover (Part A & B) claims processing, Medicare Advantage (Part C), and complex claim scenarios with regulatory compliance.
•Minimum 6 years in elicitation and verification of business and technical requirements.
•Minimum 3 years with system development methodology and project management principles.
•Undergraduate degree or 4 years of relevant experience.

Experience:10+ yearsMedicaidHealthcareClaims processingRecovery operations

Skills:Requirements elicitationDocumentationUser acceptance testingIssue triageData analysis

Tech Stack:Medicaid Management Information System (MMIS)MMISCoordination of Benefits (COB)MedicareSQLUser Acceptance Testing (UAT)HIPAAX12 EDIMedicare Advantage

Company Brief

NTT

Dimension Data, operating under NTT Ltd, provides managed IT services, cloud and data center solutions, networking, cybersecurity, and digital transformation services to enterprise customers worldwide.

Industry: Professional Services

Company Size: Enterprise (1,001+ employees)

Revenue: USD 1B+

Growth: Established Company

Valuation: Public Company (Market Cap in USD)

Headquarters: London, United Kingdom

Founded: 1983

Website LinkedIn

Loading job details...

Preparing the role view and application actions.

NTT