Business Analyst

Job ID : SC-7951 (911090903)

Hybrid / Local Govt Healthcare BA with Medicaid payer system, MITA / MMIS / MES Modernization, CMS Federal Certification, PM experience

Location : Columbia (SCDHHS)

Duration : 12 Months

Position : 1

Skills :

Required Skills (rank in order of Importance) :

• 7 years of experience in commercial healthcare
• 6 years of experience eliciting, mining, and documenting business 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

Preferred Skills (rank in order of Importance) :

Required Education / Certifications :

Bachelor's degree in a technical, business, healthcare, or related field. Years of experience can substitute for formal education. Preferred Education / Certifications :

None required.

Job Description :

Scope of the project :

SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the State's 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.

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 :

General Duties and Responsibilities :

Company / Department culture (why do you enjoy working for the company selling points for potential candidates) :

The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. This program is focused on the replacement of the State's Medicaid Management Information System (MMIS). The program is a major undertaking for SCDHHS and requires major transformation of culture, processes and technology. This program also supports the Department's transition from primarily a fee-for-service payor of claims towards a program and policy driver for health outcomes primarily through managed care programs. The project's strategy supports significant innovation in MMIS thinking and mindset and is aligned with MMIS innovation at the national level as well.

innoSoul, Inc. is an Information Technology company and offers technology solutions in various platforms to different business domains. More specifically, business solutions for Application Development, System integration, network or software installation support, Custom Web Development, Hosting solutions. Our value-added solutions leverage technology to enhance business performance, increase productivity and secure data.