MMIS Business Analyst, Columbia, SC
MMIS Business Analyst, Columbia, SC
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Job Description
TOP SKILLS:
Knowledge of CMS Federal Certification requirements and processes rules/processes
Experience in State Medicaid payer system integration and delivery
Experience with inner workings of cross functional projects
Experience with Medicaid Information Technology Architecture (MITA) business architecture principles
MUST HAVE 5 years experience in GOVERNMENT IT MMIS projects as a Business Analyst/Lead.
Must be a CURRENT SC resident No Relocations allowed.
SCOPE OF THE PROJECT:
SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the States 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.
POSITION TITLE: IT HEALTHCARE CONSULTANT - BUSINESS ANALYST - CONSULTANT
PUBLIC SECTOR/GOVT
PRE-EMPLOYMENT CHECKS (drug credit criminal motor vehicle)
Criminal E-verify Credit DHHS Confidentiality
DAILY DUTIES / RESPONSIBILITIES:
The Business Analyst 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 will:
Possess expertise in the business unit(s) they support as well as an understanding of the IT organizations systems and capabilities Analyze business partners 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 enterprises competitive edge
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
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
7 years of experience in commercial healthcare
6 years of experience eliciting mining and documenting business
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
Knowledge of CMS Federal Certification requirements and processes rules/processes
3 years of experience in State Medicaid payer system integration and delivery
3 years of experience with inner workings of cross functional projects
3 years familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles
3 years familiarity with standard data structures electronic data interchange processes and related file formats
3 years 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
Project management
MMIS experience (project or operations)
REQUIRED EDUCATION/CERTIFICATIONS:
Bachelors degree in a technical business healthcare or related field. Years of experience can substitute for formal education.
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Employment Type
Full-time
