Senior Requirements Analysis (Medi-Cal)

COMPANY OVERVIEW:

HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We will transform the way healthcare is administered in the United States by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences.

We prioritize the well-being, needs, and dignity of individuals with empathy guiding all interactions. We embrace curiosity, foster creativity, and leverage technology to enhance healthcare accessibility and efficiency. We uphold the highest ethical standards, maintain transparency, and take responsibility to build trust. We drive excellence through teamwork, partnerships, and dedication to continuous improvement. We are committed to equitable, purpose-built healthcare solutions that benefit all communities.

We're not just about business – we're about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish.

Purpose and Scope

The Requirements Analyst is responsible for gathering, analyzing, and documenting business requirements, as well as managing projects from initiation through completion. This role combines the analytical skills of a Requirements Analyst with the leadership and organizational skills of a Project Manager to ensure successful project outcomes. The ideal candidate will be able to seamlessly transition between understanding client needs and managing project timelines, resources, and deliverables.

Position Summary

We are seeking a Requirements Analyst / Project Team member with direct experience in D-SNP and Medi-Cal programs. This client facing role is responsible for translating complex regulatory requirements into clear business and technical solutions while managing projects through successful delivery.

This role is structured as a temporary W-2 position for up to 11 months. While not guaranteed, there may be opportunities for extension or future consideration based on performance and business needs.

Key Responsibilities

• Gather, analyze, and document requirements aligned with CMS, D-SNP, and Medi-Cal regulations

• Translate regulatory and operational needs into functional and technical specifications

• Manage projects from initiation through completion, including timelines, risks, and deliverables

• Maintain alignment between business goals, compliance requirements, and system design

• Lead cross-functional collaboration across business, compliance, and technical teams

• Support testing, validation, and implementation activities

• Maintain requirement traceability and ensure delivery accuracy

Required Experience

• Demonstrated experience with D-SNP and/or Medi-Cal programs

• Experience within a health plan, TPA, or healthcare services organization

• Working knowledge of claims processing, enrollment and eligibility, care coordination, and regulatory reporting (e.g., HEDIS, encounter data)

• Experience interpreting and applying CMS requirements, state Medicaid (Medi-Cal) requirements, and Medicare-Medicaid integration models

Core Competencies

• Ability to manage both requirements analysis and project execution

• Strong stakeholder communication and alignment skills

• Ability to translate complex regulatory requirements into clear deliverables

• Strong organizational and problem-solving capabilities

Qualifications

• Bachelor’s degree or equivalent experience

• Minimum 3+ years in business requirements analyst or similar role

Preferred Tools

• Zendesk, Microsoft Project, Monday.com, or similar tools

• Microsoft Excel and PowerPoint

What Success Looks Like

• Requirements are clear, complete, and actionable

• Projects are delivered on time with minimal rework

• Regulatory requirements are accurately implemented

• Teams remain aligned and informed throughout delivery