Job Title: Systems Analyst Consultant
Location: Columbia, SC - Hybrid (3 Days Onsite / 2 Days Remote)
Duration: 12 Months
Job Description
We are seeking a Systems Analyst Consultant to support operational activities for a legacy Medicaid Management Information System (MMIS) environment. The consultant will assist with system support, reporting, analytics, and testing activities related to MMIS and its associated subsystems.
The role involves working closely with business teams, technical teams, vendors, and external stakeholders to ensure smooth operation of Medicaid-related systems and processes.
Scope of Work
The Systems Analyst will work under general supervision of the Business Systems Management leadership team and will support operational functions for the MMIS platform.
Supported systems may include:
The analyst will assist with system operations, data analysis, reporting, issue resolution, and coordination between business and technical teams.
Key Responsibilities
Serve as a liaison between business programs and IT teams to deliver technical solutions aligned with user requirements.
Develop, retrieve, and distribute reports and datasets for internal and external stakeholders to support:
Monitoring
Reconciliation
Operational processing
Provide operational support for legacy MMIS systems and subsystems.
Respond to requests and inquiries from business stakeholders and users.
Monitor vendor-related requests and coordinate activities between business and technical teams.
Identify recurring or trending issues and escalate to program management when necessary.
Translate business requirements into system specifications and technical requests.
Act as a subject matter expert on system processes, procedures, and operational workflows.
Perform complex analysis, system design review, and testing activities.
Review and verify Quality Assurance (QA) and User Acceptance (UA) test results.
Document issues and defects for triage and resolution.
Proactively identify risks, issues, and improvement opportunities.
Collaborate with vendors, internal teams, government entities, and external stakeholders as required.
Required Education
OR
Required Skills (Ranked by Importance)
Minimum 3 years of Medicaid or healthcare industry experience, including:
Medicaid claims
Provider operations
Proficiency in COBOL programming language.
Minimum 3 years of experience supporting healthcare mainframe systems for payer organizations as a technical analyst or similar role.
At least 3 years of experience working with EDI transactions, including management of EDI companion guides.
Experience working with Medicaid eligibility and/or enrollment systems in an operational support capacity.
Strong understanding of MMIS system capabilities and operations.
Preferred Skills (Ranked by Importance)
Subject Matter Expertise related to MMIS operational environments.
Experience using data analysis tools, such as:
Experience producing technical or operational reports and presenting information in a clear and concise manner.
Additional Skills
Self-motivated with the ability to learn quickly with minimal supervision.
Experience reviewing job schedules and system logs to troubleshoot operational issues.
Experience working in cross-functional team environments.
Strong written and verbal communication skills.
Ability to communicate moderately complex technical instructions to both technical and non-technical stakeholders.
Ability to collaborate effectively with team members, technical staff, business stakeholders, and vendors.
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