Job ID: SC-18)
Hybrid/Local Healthcare Cobol Developer with QA, EDI, SAS, UA and MMIS/Medicaid experience
Location: Columbia, SC
Duration: 12 Months
Medicaid/MMIS (Must)
Possibility for Extension: Yes
Work Location: Hybrid (3 days in office, 2 days remote).
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• 3 years Medicaid or healthcare
experience. (Experience working
with Medicaid claims and provider
operations concepts.)
• Proficient in COBOL programming
language.
• 3 years experience operating
healthcare Mainframe systems for
payers as a technical analyst or
related duties.
• At least 3 years experience with EDI
transactions, including managing
companion guides.
• Experience working with a Medicaid
eligibility and/or enrollment
information system in an operations
capacity.
• Understanding of MMIS capabilities
and intricacies.
PREFERRED SKILLS (RANK IN ORDER OF
IMPORTANCE):
• Subject Matter Expertise as it relates
to MMIS Operations.
• Proficient in data analysis tools and
techniques, such as SAS, Excel, data
visualization tools, and statistical
analysis software.
• Experience providing status reports
and other technical or operational
reports in a clear and concise
manner.
DDITIONAL SKILLS/DUTIES:
• Self-motivated and able to learn on
the job with little training/guidance.
• Able to review job schedules and logs
to troubleshoot issues.
• Experience working in a cross-
functional team environment.
• Superb written and oral
communications skills, including the
ability to relay moderately complex
technical instructions and requests.
• Ability to effectively communicate
with team members, technical team,
key stakeholders, and vendors.
REQUIRED EDUCATION:
Bachelor’s degree in a technical, business, or
healthcare field.
3+ years of equivalent experience in
systems analysis and/or computer
systems
development/modification may be
substituted.
Specific duties include, but are not limited to:
• Serves as a liaison between the business programs and the IT organization to provide
technical solutions to meet user needs.
• Develops, retrieves, and distributes reports and datasets to multiple internal and
external stakeholders for purposes of monitoring, reconciliation, and operational
processing.
Performs operational support activities for the legacy MMIS and subsystems.
Receives and responds to requests and inquiries from business stakeholders.
Monitors vendor requests and coordinates between business and technical staff.
Identifies trending issues and escalates to program management as needed.
Translates business requests and needs into system requirements and technical
requests. Serves as a subject matter expert associated with content, processes, and
procedures.
• Performs highly complex analysis, design, and testing as an analyst, to meet the needs
of the users of MMIS and its subsystems.
• Reviews and verifies QA and UA results as assigned. Documents issues and defects for
triage and resolution.
• 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 other stakeholders).
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