Job ID: BL-11313-1 (97590801)
Onsite/Local Healthcare BA with Medicaid/MMIS/insurance, rules, laws/regulations/policies mining, modeling, MS Project and PM experience
Location: Columbia, SC
Duration: 12+ Months Hrs/Wk: 40.00
Remote Work Availability: 0%
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• 5 years’ experience in government IT projects as a business analyst or related duties
• 5 years’ experience eliciting, mining, and documenting business rules, processes
• 3 years Medicaid or healthcare experience
• Superb written and oral communications skills, including the ability to write requirements and Use Cases.
• Experience and ability to obtain business processes and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents.
• Knowledge of formal business process documentation.
• Understanding of business modeling techniques, including the use of graphical process flow software
• Ability to effectively communicate to executive management, line management, project management, and team members.
Preferred Skills
• General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)
• MMIS experience (project or operations)
• Microsoft Office Project/Project Server
REQUIRED EDUCATION:
Bachelor’s degree in a technical, business, or healthcare field.
REQUIRED CERTIFICATIONS:
None required.
Skills;
Administrative Verbal Communication Skills Yes 5 Advanced Currently Using 6 + Years
Administrative Written Communication Skills Yes 5 Expert Currently Using 6 + Years
Documentation/Language Business Process Modeling (BPM) Yes 4 Expert Currently Using 4 – 6 Years
Education Medicaid Management Information System (MMIS) experience No 1
Miscellaneous Interpret business process and business data models No 1
MMIS – Medicaid Management Informaiton System Medicaid eligibility system/business operations Yes 3 Advanced Within 1 Year 1 – 2 Years
MMIS – Medicaid Management Informaiton System • US Code and Code of Federal Regulations (CFR) regarding the Medicaid program No 1
MMIS – Medicaid Management Informaiton System 5010 X12 HEALTHCARE TRANSACTIONS No 1
MMIS – Medicaid Management Informaiton System Healthcare Insurance IT software/systems implementations No 1
Specialties Business Analysis experience to include data flow diagrams, requirements specifications, use case scenarios, and acceptance testing. Yes 2 Expert Currently Using 4 – 6 Years
SCOPE OF THE PROJECT:
SCDHHS is seeking a Business Analyst – Advanced to assist with implement small to large projects.
Objectives to Be Fulfilled by Candidate:
The principal duties of this position are to evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The BA will provide detailed analysis and document business processes and requirements.
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.
• Possesses expertise in the business unit(s) they support, as well as, an understanding of the IT organization’s systems and capabilities.
• Analyzes business partner’s operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions.
• Assists in the business process redesign and documentation as needed for new technology.
• Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications. Educates the IT organization on the direction of the business.
• Possesses an understanding of technological trends and uses this knowledge to bring solutions to business units supported to enhance the enterprise’s competitive edge.
• Requirements development execution, including the elicitation, analysis, specification and validation.
• Documenting and analyzing agency business processes and recommending improvements.
• Documenting and analyzing data requirements and relationships.
• Participating in the requirements management processes, including change control, version control, tracking and status reporting, and traceability.
• Providing requirements interpretation and guidance to technical and test teams.
• 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 beneficiaries, and other stakeholders).
• Research business rules, requirements, and models.
• Maintain business rules, requirements, and models in a repository.
• Other project-related duties.