Job ID: SC-9963 (99990304)
Hybrid/Local MMIS BA with Medicaid claims/provider operations, eligibility/enrollment system, Jira, Footprints, SharePoint, SAS/Excel/data visualization tools/statistical analysis software experience
Location: Columbia, SC (SCDHHS)
Duration: 12 months
Work Location: Hybrid (3 days in office, 2 days remote).
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• 1+ years of experience supporting MMIS Legacy system projects as a business analyst or related duties. (Understanding capabilities and intricacies of MMIS.)
• 1+ years of experience working with Medicaid claims and provider operations concepts.
• 1+ years of experience working with a Medicaid eligibility and/or enrollment information system in an operations capacity.
• Proficient in Office Suite, Jira, Footprints, and SharePoint.
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• Subject Matter Expertise as it relates to MMIS Operations.
• Proficient in data analysis tools and techniques, such as SAS, Excel, data visualization tools, and statistical analysis software.
REQUIRED EDUCATION:
Bachelor’s degree in a technical, business, or healthcare field.
4+ years of experience in business/systems analysis and/or computer systems development/modification may be substituted.
ADDITIONAL SKILLS:
• Superb written and oral communications skills, including the ability to relay moderately complex technical instructions and requests.
• Experience working in a cross- functional team environment.
• Ability to effectively communicate with team members, technical team, key stakeholders, and vendors.
• Experience providing status reports and other technical or operational reports in a clear and concise manner.
SCOPE OF THE PROJECT:
SCDHHS is seeking an IT Healthcare Consultant-Business Analyst -Advanced to assist with supporting operations for the legacy MMIS system in the Bureau of Medicaid Systems.
Related systems include the MMIS Online application, Provider Web Tool, Provider Enrollment application, and EDI/Translator.
Objectives to Be Fulfilled by Candidate:
The principal duties of this position are to serve as a Business Analyst for the MMIS Operations team, under general supervision by the Medicaid Systems Operations Manager. As such, the Information Systems/Business Analyst is responsible for activities supporting MMIS operational activities including reporting and analytics, systems support, testing, and coordination with business users.
Specific duties include, but are not limited to:
• Serves as a liaison between the business programs and the IT organization to provide technical solutions to meet user needs.
• Develops, retrieves, and distributes reports and datasets to multiple internal and external stakeholders for purposes of monitoring, reconciliation, and operational processing.
• Performs operational support activities for the legacy MMIS and subsystems. Receives and responds to requests and inquiries from business stakeholders. Monitors vendor requests and coordinates between business and technical staff. Identifies trending issues and escalates to program management as needed. Translates business requests and needs into system requirements and technical requests. Serves as a subject matter expert associated with content, processes, and procedures.
• Supports, monitors, and coordinates the Data Match process whereby providers can request eligibility information for recipients for periods outside of those available in the standard eligibility verification interfaces/tools.
• Documents and performs user acceptance testing for MMIS changes as assigned. Reviews and verifies QA and UA results as assigned. Documents issues and defects for triage and resolution.
• Identifies and completes appropriate and relevant professional development activities.
• Performs other duties as assigned by supervisor.
• Documenting and analyzing agency business processes and recommending improvements.
• Proactively identifying risks, issues, and action items leading to possible solutions.
• Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers, and other stakeholders).
• Other project-related duties.
SCMSP_Candidate_Cover_Sheet_Updated.docx