Medicaid Business Analyst

Job Title: IT Healthcare Consultant - Business Analyst - Advanced - 9963 Duration of the Contract: 12 months Possibility for Extension: Yes Work mode: Hybrid (3 days in office, 2 days remote). Location: Columbia, SC Specific duties include, but are not limited to: • Serves as a liaison between the business programs and the IT organization to provide technical solutions to meet user needs. • Develops, retrieves, and distributes reports and datasets to multiple internal and external stakeholders for purposes of monitoring, reconciliation, and operational processing. • Performs operational support activities for the legacy MMIS and subsystems. • Receives and responds to requests and inquiries from business stakeholders. • Monitors vendor requests and coordinates between business and technical staff. • Identifies trending issues and escalates to program management as needed. • Translates business requests and needs into system requirements and technical requests. Serves as a subject matter expert associated with content, processes, and procedures. • Supports, monitors, and coordinates the data match process whereby providers can request eligibility information for recipients for periods outside of those available in the standard eligibility verification interfaces/tools. • Documents and performs user acceptance testing for MMIS changes as assigned. • Reviews and verifies QA and UA results as assigned. Documents issues and defects for triage and resolution. • Identifies and completes appropriate and relevant professional development activities. • Performs other duties as assigned by supervisor. • Documents and analyzes agency business processes and recommends improvements. • Proactively identifies risks, issues, and action items leading to possible solutions. • Interacts with internal and external organizations (i.e., vendors, state and federal government agencies, state providers, and other stakeholders). Other project-related duties. Required skills (rank in order of importance): • 1+ years of experience supporting MMIS legacy system projects as a business analyst or related duties (understanding capabilities and intricacies of MMIS). • 1+ years of experience working with Medicaid claims and provider operations concepts. • 1+ years of experience working with a Medicaid eligibility and/or enrollment information system in an operations capacity. • Proficient in Office Suite, Jira, Footprints, and SharePoint. Preferred skills (rank in order of importance): • Subject matter expertise as it relates to MMIS operations. • Proficient in data analysis tools and techniques, such as SAS, Excel, data visualization tools, and statistical analysis software. Required education: • Bachelor’s degree in a technical, business, or healthcare field. • 4+ years of experience in business/systems analysis and/or computer systems development/modification may be substituted. Additional skills: • Superb written and oral communication skills, including the ability to relay moderately complex technical instructions and requests. • Experience working in a cross-functional team environment. • Ability to effectively communicate with team members, technical team, key stakeholders, and vendors. • Experience providing status reports and other technical or operational reports in a clear and concise manner.