Job Description

Description

Position at Apexon

About Apexon:

Apexon is a digital-first technology services firm specializing in accelerating business transformation and delivering human-centric digital experiences. We have been meeting customers wherever they are in the digital lifecycle and helping them outperform their competition through speed and innovation.

Apexon brings together distinct core competencies – in AI, analytics, app development, cloud, commerce, CX, data, DevOps, IoT, mobile, quality engineering and UX, and our deep expertise in BFSI, healthcare, and life sciences – to help businesses capitalize on the unlimited opportunities digital offers. Our reputation is built on a comprehensive suite of engineering services, a dedication to solving clients’ toughest technology problems, and a commitment to continuous improvement. 

Backed by Goldman Sachs Asset Management and Everstone Capital, Apexon now has a global presence of 15 offices (and 10 delivery centers) across four continents. 

We enable #HumanFirstDIGITAL

Role Description:

You’ll be responsible for (Responsibilities):

Key Responsibilities

Business Analysis

•            Collaborate with business stakeholders, product owners, and subject matter experts to elicit, analyze, and document detailed requirements for Texas Medicaid Application enhancements and new modules.

•            Translate business requirements into well-defined user stories and acceptance criteria for the Agile development team.

•            Map, analyze, and optimize Medicaid business processes, ensuring solutions align with Texas state and federal Medicaid regulations.

•            Lead and participate in backlog grooming, sprint planning, and PI (Program Increment) planning sessions within the SAFe Agile framework.

•            Create and maintain business analysis artifacts including process flows, data mapping documents, and requirements traceability matrices.

•            Serve as a Medicaid subject matter expert, providing guidance to team members and stakeholders.

Testing & Quality Assurance

•            Design, develop, and execute comprehensive test cases and test scripts based on documented requirements and user stories.

•            Perform functional, regression, integration, and user acceptance testing (UAT) for Medicaid application components.

•            Use SQL Server to write complex queries for data validation, backend testing, and troubleshooting.

•            Analyze data to ensure accuracy, integrity, and compliance with Medicaid business rules.

•            Identify, document, and track defects using test management and issue tracking tools (e.g., Azure DevOps, Jira).

•            Work closely with developers and QA team members to ensure timely resolution of issues and delivery of high-quality releases.

Medicaid Domain Expertise

•            Apply in-depth knowledge of Medicaid programs, eligibility, claims processing, provider management, and compliance requirements to all analysis and testing activities.

•            Ensure all deliverables meet Medicaid, HIPAA, and other relevant healthcare regulations and standards.

Agile Collaboration

•            Actively participate in all SAFe Agile ceremonies: daily stand-ups, sprint reviews, retrospectives, and PI planning.

•            Foster clear and timely communication with team members and stakeholders.

•            Support continuous improvement efforts and promote best practices in both business analysis and testing.

Required Skills & Qualifications

•            Experience: Minimum 5 years as a business analyst and/or tester in healthcare IT, with at least 3 years on Medicaid projects.

•            SQL Server: Advanced proficiency in writing and executing complex SQL queries for data validation and backend testing.

•            Medicaid/Healthcare IT: Deep understanding of Medicaid business processes, claims, eligibility, provider management, Long Term Care and regulatory compliance.

•            Business Analysis: Strong skills in requirements gathering, user story creation, process mapping, and documentation.

•            Testing/QA: Proven experience in test case design, execution, defect management, and UAT.

•            Agile Experience: Hands-on experience in Agile teams; SAFe Agile experience strongly preferred.

•            Tools: Proficiency with test management and defect tracking tools (e.g., Azure DevOps, Jira, HP ALM).

•            Communication: Excellent verbal and written communication skills, with the ability to interact effectively with both technical and non-technical stakeholders.

•            Austin Location: Strong preference in Austin, TX  and the ability to work closely with teams and stakeholders.

•           

Preferred Skills and Qualifications

•            Requirements Translation: Ability to understand Texas Medicaid business needs and translate them into functional and technical requirements for provider enrollment, prior authorization, analytics, and fee-for-service claims systems.

•            Test Planning & Execution: Develop comprehensive test plans, test cases, and test scenarios—including database validation—for Medicaid IT projects.

•            Quality Assurance & Defect Tracking: Execute manual and automated test cases to identify defects, ensure data accuracy, and maintain compliance with Medicaid standards. Identify, document, and track defects, collaborating with development teams for timely resolution.

•            Data Integrity: Verify Medicaid data integrity and accuracy using SQL queries, stored procedures, and Medicaid-specific data validation techniques.

•            Cross-Functional Collaboration: Work with development, QA, and business teams to ensure quality and meet project goals for Medicaid initiatives.

•            Reporting & Documentation: Prepare test reports, analyze test results, and communicate findings to Medicaid stakeholders. Maintain accurate documentation of test plans, test cases, and findings for audit and compliance purposes.

•            Experience with large-scale Medicaid Management Information Systems (MMIS).

•            Familiarity with automated testing tools and practices.

•            Experience in state government or public sector healthcare IT projects.

•            Relevant certifications (CBAP, ISTQB, SAFe, Scrum).

You’ll have (Qualification & Experience):

•  Bachelor's Degree in related field is required.  

Don’t worry if you don’t check all the boxes; we’d still love to hear from you. 

Our Commitment to Diversity & Inclusion:

Did you know that Apexon has been Certified™ by Great Place To Work®, the global authority on workplace culture, in each of the three regions in which it operates: USA (for the fourth time in 2023), India (seven consecutive certifications as of 2023), and the UK.

Apexon is committed to being an equal opportunity employer and promoting diversity in the workplace. We take affirmative action to ensure equal employment opportunity for all qualified individuals. Apexon strictly prohibits discrimination and harassment of any kind and provides equal employment opportunities to employees and applicants without regard to gender, race, color, ethnicity or national origin, age, disability, religion, sexual orientation, gender identity or expression, veteran status, or any other applicable characteristics protected by law. 

You can read about our Job Applicant Privacy policy here 

Our Perks and Benefits: 

Our benefits and rewards program has been thoughtfully designed to recognize your skills and contributions, elevate your learning/upskilling experience and provide care and support for you and your loved ones. 

As an Apexon Associate, you get continuous skill-based development, opportunities for career advancement, and access to comprehensive health and well-being benefits and assistance.

We also offer:

1. Health Insurance with Dental & Vision
2. 401K Plan
3. Life Insurance, STD & LTD
4. Paid Vacations & Holidays
5. Paid Parental Leave
6. FSA Dependent & Limited Purpose care
7. Learning & Development 

Job Tags

Similar Jobs