Business Analyst - MITA , EDI

IT Healthcare Consultant – Business Analyst – Consultant Location: 1628 Browning Road, Columbia, SC 29210 Work Arrangement: Onsite (Business Casual attire, occasional formal wear) Candidate Location: Candidate MUST be a SC resident. No relocation allowed SCDHHS is modernizing its Medicaid Management Information System (MMIS) through a modular, multi-year transformation project named the Delivery of Automated Systems for Healthcare (DASH). This project aims to create a scalable, modern Medicaid Enterprise System (MES) to improve efficiency, compliance, and patient outcomes. Responsibilities: • Act as a liaison between business and IT to ensure alignment of systems with user needs. • Analyze business operations and suggest automation opportunities. • Elicit, define, and document business processes and rules. • Translate business needs into detailed functional requirements and specifications. • Facilitate communications between business units and IT teams. • Lead cross-functional design sessions and maintain project documentation. • Support the implementation and adoption of MES modules. • Ensure all projects align with federal and state compliance (MITA, CMS). Required Skills & Experience: • 7+ years in commercial healthcare • 6+ years in business rule/process elicitation and documentation • 3+ years with Medicaid payer system integration and delivery • 3+ years experience with cross-functional project teams • 3+ years working with MITA principles • 3+ years working with EDI, data structures, and healthcare file formats • Strong communication and documentation skills across all organizational levels • Detail-oriented and comfortable working in structured government environments Preferred Skills: • Knowledge of CMS Federal Certification processes • MMIS project or operations experience • Project management and stakeholder coordination Education: Bachelor’s in Business, Healthcare, IT, or related field (or equivalent years of experience)