Business Analyst

Duration: 12 months, with possibility of extension (starting August 26, 2025)

Work Location: Columbia, SC - Hybrid (1 day remote per week). Candidate must be a CURRENT SC resident. No relocation allowed.

Scope of the Project:

The client 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 and corresponding business operations services. This effort will be incremental and modular, focusing on configurable and scalable integrations for flexibility and reduced time/cost in responding to federal and state enhancements. The Delivery of Automated Systems for Healthcare (DASH) Program will manage the MES Modernization.

Daily Duties / Responsibilities:

The Business Analyst will serve as a liaison between the business community and the IT organization, providing technical solutions to meet user needs. They will work with the Program Manager and Lead Project Managers, supporting the Project Management team to ensure program principles, business goals, and values are met. The Business Analyst will:

• Possess expertise in the business unit(s) they support, along with an understanding of the IT organization's systems and capabilities.
• Analyze business partner's operations to understand strengths and weaknesses to identify opportunities for process and function automation.
• Assist in business process redesign and documentation as needed for new technology.
• Translate high-level business requirements into functional specifications for the IT organization and manage changes to these specifications.
• Educate the IT organization on the direction of the business.
• Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.
• Possess an understanding of technological trends and use this knowledge to bring solutions to supported business units, enhancing the enterprise's competitive edge.

General Duties and Responsibilities:

• Perform business process analysis and performance assessments for assigned projects.
• Train and mentor team members in delivering high-quality business solutions that meet the overall strategy and vision.
• Build positive relationships with clients and proactively address specific needs.
• Lead business design sessions within assigned modules and work streams.
• Advocate and lead business integration in support of the MES Modernization.
• Drive efficient data configuration within the core MES Modernization modules through dynamic discussion.
• Provide a liaison role between business and IT verticals.
• Ensure project deliverables for each project connect to the operational principles.
• Coordinate priorities and resources between multiple projects.
• Provide updates on status and issues for all assignments.
• Participate in scheduled operational meetings and routine team lead meetings.
• Lead cross-functional meetings and produce business designs that integrate functionality across modules.
• Facilitate sessions to effectively resolve issues if any.
• Provide recommendations for appropriate resources if necessary to ensure assignments are completed within given time and budget.
• Create and maintain key performance indicators to indicate project progress toward business integration goals.

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 communicate, both orally and in writing, 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):

• Large business and technology integration.
• Commercial integrations with Medicaid or other Government operations.
• Knowledge of Federal Certification requirements and processes.
• Project management communication, 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.

Required Education/Certifications:

Bachelor s degree in a technical, business, or healthcare field or equivalent experience.