Request ID:IN- 8450-1(97791106)
Healthcare BA/PM with rules, Medicaid, insurance, payer process, modeling and enrollment experience
Location:J02 – 301 Gervais Street, Columbia, SC 29201
Duration:12 Months
Remote Work Availability:25%
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
•General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)
•Firm understanding of health care payer business process
•Strong understanding of business modeling techniques
•Integrated healthcare delivery from member enrollment though to claims payment
•Business operations experience in member enrollment though to claims payment
•Ability to effectively communicate to executive management, line 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.
SCOPE OF THE PROJECT:
The Replacement MMIS project is among the most complex IT projects. This project is a multi-year effort to replace many of the State’s aging Medicaid systems with modern technologies and supporting business operations.
Experience
AdministrativeVerbal Communication SkillsYes1ExpertCurrently Using6 + Years
AdministrativeWritten Communication SkillsYes1ExpertCurrently Using6 + Years
EducationBachelor’s degree in a technical or business fieldYes1
Miscellaneousbusiness modeling techniquesYes1ExpertCurrently Using6 + Years
Miscellaneousexperience in government IT projects as a business analyst or related dutiesYes1ExpertCurrently Using6 + Years
Program Management – RUP methodologyEliciting, mining, and documenting business rules, processesYes1ExpertCurrently Using6 + Years
SpecialtiesMedicaid or healthcare experienceYes1ExpertCurrently Using6 + Years