Medicaid Mainframe Systems Analyst

Medicaid Mainframe Systems Analyst

The South Carolina Department of Health and Human Services (SCDHHS) is seeking a Systems Analyst to support operations for the legacy Medicaid Management Information System (MMIS) within the Bureau of Medicaid Systems. This role involves working with related systems such as the MMIS Online application, Provider Web Tool, Provider Enrollment application, and EDI/Translator. The Systems Analyst will be responsible for supporting MMIS operational activities, including reporting and analytics, systems support, testing, and coordination between business programs, IT teams, vendors, and other stakeholders.

Responsibilities

• Serve as a liaison between business programs and IT to provide technical solutions that meet user needs.
• Develop, retrieve, and distribute reports and datasets for monitoring, reconciliation, and operational processing.
• Provide operational support for legacy MMIS and its subsystems.
• Respond to business stakeholder requests and inquiries.
• Monitor vendor requests and coordinate between business and technical teams.
• Identify recurring issues and escalate them to program management.
• Translate business needs into system requirements and technical requests.
• Perform complex analysis, design, and testing for MMIS and its subsystems.
• Review and verify QA and UA results; document issues and defects for resolution.
• Identify risks, issues, and action items and recommend possible solutions.
• Collaborate with vendors, State and Federal government agencies, State providers, and other stakeholders.
• Work with MMIS vendor teams to support SDLC processes and SCDHHS-specific code library changes to COBOL and JCL programs.
• Follow standard SDLC processes and contribute to ongoing process improvements.

Requirements

<>Required Skills

• Medicaid or healthcare experience, including Medicaid claims and provider operations concepts (5+ Years)
• Proficiency in COBOL programming language
• Experience operating healthcare Mainframe systems for payers as a technical analyst or in related duties (5+ Years)
• Experience with EDI transactions, including managing companion guides (3+ Years)
• Experience working with a Medicaid eligibility and/or enrollment information system in an operations capacity
• Understanding of MMIS mainframe capabilities and intricacies
• Knowledge of MVS COBOL, JCL, IDMS/NETWORK, CA-ADS, CHANGEMAN, and SAS

<>Preferred Skills

• Subject Matter Expertise related to MMIS Operations
• Proficiency in data analysis tools and techniques, such as SAS, Excel, data visualization tools, and statistical analysis software
• Experience providing clear and concise status reports and technical/operational reports

<>Education Requirements

Bachelor's degree in a technical, business, or healthcare field. Alternatively, 7+ years of equivalent experience in systems analysis and/or computer systems development/modification may be substituted.

<>Additional Skills & Duties

• Self-motivated and able to learn with minimal training or guidance.
• Ability to review job schedules and logs to troubleshoot issues.
• Experience working in a cross-functional team environment.
• Excellent written and verbal communication skills.
• Ability to explain moderately complex technical instructions and requests.
• Strong communication and collaboration skills when working with technical teams, stakeholders, and vendors.