Serve as a Technical Functional Analyst bridging business and technology for Medicaid/Healthcare eligibility and enrollment. Provide hands-on Pega case management, workflows, integrations, production support, UAT/SIT, defect triage, root cause analysis, and stakeholder coordination. Support large-scale systems and work with architects, developers, integrators, and state agencies. SQL and Power BI skills and Pega certifications preferred.
Role: Business Analyst
Location – Atlanta, GA- Onsite
Note: Client is looking for minimum of 15 years of experience with Healthcare background with Pega skills.
Job Description:
We are now looking for a Technical Functional Analyst (TFAL) with strong expertise in both Pega and Medicaid/Healthcare. This role requires a candidate who can effectively bridge the gap between business and technology teams, with hands-on experience in eligibility and enrollment processes, as well as a strong understanding of Pega case management, workflows, integrations, and production support.
Key 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 working with Pega Architects, Developers, System Integrators, and State Agency stakeholders.
- Experience with UAT, SIT, defect triage, root cause analysis, and production stabilization.
- Strong SQL and Power BI skills are preferred.
- Pega certifications (PBA/CSA) are highly preferred.
Similar Jobs
Artificial Intelligence • Consumer Web • Edtech • Enterprise Web • HR Tech • Social Impact • Generative AI
Lead strategy, roadmap, and execution for Coursera's authoring and content production tools. Define product requirements, collaborate cross-functionally (Engineering, Design, Data Science, Research, Content, Marketing, Support), monitor production/ingestion metrics, and drive AI-enabled authoring innovations to scale high-quality, career-aligned content.
Top Skills:
Adaptive LearningAi/MlAutomated Quality AssuranceContent Authoring ToolsData AnalyticsGenerative AiHypothesis TestingMultimodal Media ProcessingPersonalizationTranslation Technology
Big Data • Food • Hardware • Machine Learning • Retail • Automation • Manufacturing
Lead strategy, engineering, and lifecycle management for enterprise directory and machine identity platforms. Own Active Directory, Entra ID, PKI/CLM (e.g., Venafi), HSMs, hybrid identity integrations, automation/IaC, resilience, and governance while driving platform roadmaps, modernizations, and cross-functional IAM collaboration.
Top Skills:
Active DirectoryAPIsAzureCertificate Lifecycle ManagementDevsecopsDnsEntra IdGroup PolicyHsmIdentity FederationIdentity SynchronizationInfrastructure As Code (Iac)Microsoft Entra IdPkiSaaSScriptingVenafi
Biotech
Drive new client acquisition and revenue through high-volume lead outreach, sales strategy, CRM pipeline management, client pitches, stakeholder engagement, pricing analysis, and cross-functional collaboration to meet sales targets.
Top Skills:
Ai ToolsCRM
What you need to know about the Austin Tech Scene
Austin has a diverse and thriving tech ecosystem thanks to home-grown companies like Dell and major campuses for IBM, AMD and Apple. The state’s flagship university, the University of Texas at Austin, is known for its engineering school, and the city is known for its annual South by Southwest tech and media conference. Austin’s tech scene spans many verticals, but it’s particularly known for hardware, including semiconductors, as well as AI, biotechnology and cloud computing. And its food and music scene, low taxes and favorable climate has made the city a destination for tech workers from across the country.
Key Facts About Austin Tech
- Number of Tech Workers: 180,500; 13.7% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Dell, IBM, AMD, Apple, Alphabet
- Key Industries: Artificial intelligence, hardware, cloud computing, software, healthtech
- Funding Landscape: $4.5 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Live Oak Ventures, Austin Ventures, Hinge Capital, Gigafund, KdT Ventures, Next Coast Ventures, Silverton Partners
- Research Centers and Universities: University of Texas, Southwestern University, Texas State University, Center for Complex Quantum Systems, Oden Institute for Computational Engineering and Sciences, Texas Advanced Computing Center
