Business Analyst- Medicaid

Business Analyst - Medicaid

Location: Columbia SC

Duration: 12 months

Pay Rate: $55-$60 On W2 (No C2C/Sub Vendor Candidates allowed)

Daily Duties/Responsibilities:

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.

General Duties and Responsibilities:

• Serves as a liaison between the business programs community and the IT organization in order 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.
• Negotiates agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.
• 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).
• May make recommendations for buy versus build decision.
• Research business rules, requirements, and models.
• Maintain business rules, requirements, and models in a repository.
• Other project-related duties.

Required skills (rank in order of importance):

• At least seven years of experience in commercial healthcare
• At least three years' experience in State Medicaid payer system integration and delivery
• Experience with inner workings of cross functional projects
• Familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles
• Familiarity with standard data structures, electronic data interchange, processes and related file formats
• Interest, skill and ability to innovate including business processes, methods/procedures, and technology
• 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):

• 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