Business Analyst

Job ID: BL-11576-1

Hybrid/Local SC Govt Healthcare BA with MMIS, MITA, Medicaid, Benefit Plans, Claims Payment Cycle, Waiver Programs, PM, Federal Certification experience

Location: Columbia, SC
Duration: 12 Months
***Government experience required*** Remote Work Availability: 50%

Skills:
Administrative business process improvement Yes 1 Expert Currently Using 6 Years
Administrative Verbal Communication Skills Yes 1 Expert Currently Using 6 Years
Administrative Written Communication Skills Yes 1 Expert Currently Using 6 Years
Education Bachelor s degree in a technical or business field Yes 1 Expert Currently Using 6 Years
Miscellaneous Detail oriented Yes 1 Expert Currently Using 6 Years
Miscellaneous Government experience Yes 1
MMIS Medicaid Management Information System Experience with the Medicaid Information Technology Architecture (MITA) principles and framework Yes 1 Expert Currently Using 6 Years
MMIS Medicaid Management Information System Commercial healthcare Yes 1 Expert Currently Using 6 Years
MMIS Medicaid Management Information System Knowledge of Federal Certification requirements and processes Yes 1 Expert Currently Using 6 Years
MMIS Medicaid Management Information System State/Commercial Medicaid Claims, Benefit Plans, Claims Payment Cycle, Waiver Programs and Reference Yes 1 Expert Currently Using 2 4 Years
Specialties Integration Yes 1 Expert Currently Using 4 6 Years
Specialties Medicaid or Healthcare Delivery Systems Yes 1 Expert Currently Using 4 6 Years
Specialties Project Management Yes 1 Expert Currently Using 6 Years

Additional Skills:
Experience with inner workings of cross functional projects (required, expert, currently using, 6 years); Familiarity with standard data structures, electronic data interchange, processes and related file formats (required, expert, currently using, 6 years); Ability to work in a professional office environment with a diverse group of teammates (required, expert, currently using, 6 years)

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
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 (RANK IN ORDER OF IMPORTANCE):
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.

Job Description:
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 reduce 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

General Duties and Responsibilities:
Perform business process analysis and performance assessments for the assigned projects
Train and mentor team members in delivering high quality business solutions that meet the overall strategy and vision
Build positive relationships with clients and proactively address specific needs
Lead business design sessions within assigned modules and work streams
Advocate and lead business integration in support of the MES Modernization
Drive, though dynamic discussion, efficient configuration of data within the core modules of MES Modernization
Provide liaison role between business and IT verticals
Ensure project deliverables for each project connect to the operational principles
Coordinate priorities and resources between multiple projects.
Provide updates on status and issues for all assignments
Participate in scheduled operational meetings and routine team leads meetings
Lead cross-functional meetings and produce business designs that integrate functionality across modules
Facilitate sessions to effectively resolve issues if any
Provide recommendations of appropriate resources if necessary to ensure assignments are completed within given time and budget
Create and maintain key performance indicators to indicate project progress toward business integration goals