Demo

Business Analyst (Consultant)

Excelraise, LLC
Columbia, SC Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 4/27/2025

Job Detail

  • Job Code 11576 1
  • Tax Term W2 Hourly
  • Career Level Mid Level
  • Experience 6 Years
  • US Work Status US Citizen
  • Job Duration 12 Months
  • Qualifications Bachelor's Degree

Job Description

Excelraise, LLC is a leading provider of full-service IT solutions and a talent management company headquartered in Denver, CO. At Excelraise, we specialize in IT staffing solutions tailored for government and federal clients across the USA.

Excelraise, LLC values your referrals! Refer qualified candidates for our open Job Postings and earn a generous REFERRAL BONUS for successful placements. Submit referrals here: Excelraise Referral Program.

Excelraise, LLC is seeking an Business Analyst (Consultant) for our client in Columbia, SC.

***This is 50% Remote Job***The majority of the work will be remote, with exceptions that will require a week onsite quarterly***

***Government experience required***

Scope of the project:

SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the State’s aging MMIS and related applications with more modern capabilities along with corresponding business operations services. The MES Modernization effort will be incremental and modular in nature with a focus on configurable and scalable integrations, which allow for more flexibility and reduces time and cost necessary to respond to federal and state enhancements. The Delivery of Automated Systems for Healthcare (DASH) Program is the project management program that will be managing the MES Modernization.

Daily duties / responsibilities:

The Business Analyst – Consultant will serve as a liaison between the business community and the IT organization to provide technical solutions to meet user needs. They will work with the Program Manager and the Lead Project Managers and will support the Project Management team to ensure the principles, business goals and values of the program are met. The Business Analyst – Consultant will:

  • Possess expertise in the business unit(s) they support, as well as an understanding of the IT organization’s systems and capabilities
  • Analyze business partner’s operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions
  • Assist in the business process redesign and documentation as needed for new technology
  • Translate high level business requirements into functional specifications for the IT organization and manage changes to such specifications
  • Educate the IT organization on the direction of the business
  • Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation
  • Possess an understanding of technological trends and use this knowledge to bring solutions to business units supported to enhance the enterprise’s competitive edge
  • May make recommendations for buy versus build decision

Required skills:

  • At least ten years of experience in commercial healthcare
  • At least five years’ experience in State Medicaid payer system integration and delivery
  • At least three years’ experience with South Carolina Medicaid systems
  • Experience with inner workings of cross functional projects
  • Familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles
  • Familiarity with standard data structures, electronic data interchange, processes and related file formats
  • Knowledge of Federal Certification requirements and processes is preferable
  • Interest, skill and ability to innovate including business processes, methods/procedures, and technology
  • Ability to effectively work and communicate, in both oral and written, with all levels of the Agency from frontline workers to Executive Staff as well as the Contractor(s)
  • Ability to work in a professional office environment with a diverse group of teammates
  • Must have exceptional attention to detail

Preferred skills:

  • Large business and technology integration
  • Commercial integrations with Medicaid or other Government operations
  • Project management

Required education/certifications:

  • Bachelor’s degree in a technical, business, or healthcare field or equivalent experience.

Required skills

Benefit Plans Claims Payment Cycle Commercial healthcare Government experience Medicaid Information Technology Architecture (MITA) State/Commercial Medicaid Claims Waiver Programs and Reference

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