Request ID: BL-9981-1 (98809730)
Healthcare BA with Medicaid Claims, Waiver Program and MMIS experience
Work Location: Columbia, SC
Duration:12 Months
Hrs/Wk:40.00
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
– 8+ years’ experience in government IT projects as a business analyst or related duties
– 6+ years’ experience eliciting, mining, and documenting business rules/processes
– Strong analytical skills
– Strong Understanding of State/Commercial Medicaid Claims, Claims Payment Cycle, Waiver Programs and Reference
– Ability to effectively communicate to executive management, program management, project management, and team members
– Experience and ability to obtain business rules and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents
– Superb written and oral communications skills, including the ability to write requirements and Use Cases.
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
– MMIS experience (project or operations)
REQUIRED EDUCATION:
Bachelor’s degree in a technical, business, or healthcare field or equivalent experience.
Experience
AdministrativeVerbal Communication SkillsYes1ExpertCurrently Using6 + Years
AdministrativeWritten Communication SkillsYes1ExpertCurrently Using6 + Years
EducationBachelor’s degree in a technical or business fieldNo1ExpertCurrently Using2 – 4 Years
EducationMedicaid Management Information System (MMIS) experienceNo1ExpertCurrently Using6 + Years
MiscellaneousAnalytical SkillsYes1ExpertCurrently Using6 + Years
Miscellaneousexperience in government IT projects as a business analyst or related dutiesYes1ExpertCurrently Using6 + Years
MMIS – Medicaid Management Informaiton SystemState/Commercial Medicaid Claims, Benefit Plans, Claims Payment Cycle, Waiver Programs and ReferenceYes1ExpertCurrently Using6 + Years
Program Management – RUP methodologyEliciting, mining, and documenting business rules, processesYes1ExpertCurrently Using6 + Years
Additional Skills:- Ability to effectively communicate to executive management, program management, project management, and team members.
– Experience and ability to obtain business rules and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents
Job Description:SCOPE OF THE PROJECT:
The Replacement MMIS project is among the most complex IT projects taken on by the State’s Department of Health and Human Services. This project is a multi-year effort to replace many of the State’s aging Medicaid systems with modern technologies and supporting business operations.
OBJECTIVES TO BE FULFILLED BY CANDIDATE:
The principal duties of this position are to develop and maintain business rules along with associated artifacts such as requirements and models.
Specific duties include, but are not limited to:
– Familiar with Agile Methodology as it relates to completing sprints and working on tasks
– Develop business rules and requirements via interviews, translation of governing documents and other means
– Conduct JAD Sessions with the Product Owners and business owners
– Must have experience in performing detailed analysis and creating documentation
– Strong user support and interpersonal skills are required.
– Must have strong analytical skills, the ability to think logically, and must be a self-starter able to research and find solutions independently
– Serve as team expert on Claim Adjudication, Reference, Waiver Programs, Business Rules, Provider Enrollment, MITA 3.0, and related topics
– Assist other team members in performing business rules and requirements
– Research and maintain business rules and requirements
Remote Work Availability:0%
DHHS – CONFIDENTIALITY AGREEMENT (2).docx