Software People Inc.

MMIS BA with Medicaid Claims

Phone/Skype Hire. Onsite from day 1

Location: Columbia, SC

Duration: 12+ months

Responsibilities

  • Serves as a liaison between the business programs community and the IT organization to gather and develops business requirements and provide technical solutions to meet user needs
  • Communicates with business owners, vendor analysts, and testers as needed throughout the SDLC
  • 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 detailed business requirements and functional specifications for the IT vendor and manages changes to such specifications. Educates the IT vendor on the direction of the business.
  • Documenting and analyzing agency business processes and recommending improvements.
  • 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.
  • Other project-related duties.

Skills Needed

  • 5+ years of experience in IT projects as a business/systems analyst or performing related duties, prefer government IT project experience
  • 3+ years of experience in State/Commercial Medicaid Claims, Claims Payment Cycle, Waiver Programs, Provider Enrollment, and Reference
  • 5+ years of experience gathering and documenting business rules, requirements, and processes
  • Excellent written and verbal communication skills
  • Ability to develop well-written Use Cases consumable by business and technical staff
  • Ability to gather business rules, requirements, and processes by interviewing business users and stakeholders and mining from documents, federal/state rules and regulations, etc.
  • Knowledge of formal business process documentation including best practices.
  • Understanding of business process modeling, including ability to utilize graphical process modeling tools
  • Ability to effectively and professionally communicate with staff at all levels including executive leadership, middle management, front-line supervisors, and front-line workers
  • Experience with MMIS (Medicaid Management Information System) operations or project/development
  • Commercial integrations with Medicaid or other Government operations
  • Knowledge of Federal Certification requirements and processes is preferable.
  • Project management
  • Familiar with Agile Software Methodology
  • Public Sector Government Experience
  • Attention to detail and strong problem-solving skills
  • Demonstrate strong ability to take initiative and ability to work with minimal to no guidance

Required Education

Bachelor's degree in a technical, business, or healthcare field or equivalent experience.
  • Seniority level

    Mid-Senior level
  • Employment type

    Full-time
  • Job function

    Other
  • Industries

    IT Services and IT Consulting

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