Sr. Business Systems Analyst – Revenue Leakage (Medicaid SME)

Sr. Business Systems Analyst – Revenue Leakage (Medicaid SME) | SRM Tech

About SRM Tech

SRM Technologies is a global digital and engineering partner delivering capabilities across data and AI, enterprise platforms, embedded and platform engineering, supply chain, and design-to-manufacturing services.

We work across high-impact industries such as Mobility, Life Sciences, Healthcare, and Logistics, supporting enterprises across North America, APAC, and Europe in building intelligent, future-ready ecosystems and driving transformation at scale.

As a Great Place to Work®-certified organization, we are committed to creating an environment where people can learn, grow, and thrive. We believe empowered individuals drive innovation, deliver value to customers, and play a meaningful role in shaping our collective success.

At SRM Tech, every contribution matters, and we are always looking for passionate individuals who are eager to shape their careers with us.

Role

Sr. Business Systems Analyst – Revenue Leakage (Medicaid SME)

Location – Chennai | Remote

Preferred Experience

8–12 years of experience in Business Analysis within Healthcare/Pharma, with strong exposure to Medicaid and Government Programs.

Reporting To

Delivery Manager – Life Sciences Practice

About the Role

We are seeking a results-driven Sr. Business Systems Analyst to lead initiatives focused on identifying and mitigating revenue leakage across US Commercial and Government programs. The role will drive optimization of Medicaid claim validation processes, enhance system capabilities (Model N vs custom solutions), and ensure compliance with evolving regulatory requirements.

Key Responsibilities

• Collaborate with business stakeholders to gather, analyze, and translate requirements related to revenue leakage and claim validation
• Lead evaluation and optimization of systems (Model N Validata vs custom solutions) to improve accuracy and reduce overpayments
• Analyze large datasets to identify leakage patterns, anomalies, and opportunities for process improvement
• Ensure compliance with federal and state regulations, including Medicaid, 340B, MDP, and MFN requirements
• Partner with cross-functional teams (IT, Finance, Contracting) to deliver end-to-end solutions
• Contribute to intuitive, user-centric UI/UX design for internal tools and workflows
• Support audit readiness through robust validation processes and documentation
• Drive continuous improvement initiatives to enhance revenue integrity

Technical Skills

• Strong expertise in Medicaid claims processing and validation
• Hands-on experience with Model N Validata (Fall ’24 release or newer preferred)
• Proficiency in SQL and data analysis tools such as Tableau or Power BI
• Understanding of 340B duplicate discounts, payer rebates, MDP, and MFN compliance
• Experience in evaluating and implementing enterprise systems (COTS vs custom solutions)

Non-technical Skills

• Strong communication and stakeholder management skills
• Analytical thinking and problem-solving ability
• Ability to influence decision-making through data-driven insights
• High ownership and accountability in a fast-paced environment
• Collaboration and cross-functional coordination

Required Qualification

• Bachelor’s degree in Business, Healthcare Management, or related field
• Master’s degree (preferred)
• Relevant certifications in Business Analysis or Healthcare domain (good to have)

SRM Tech is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We make all hiring decisions based on merit, without bias or discrimination, in line with applicable laws.