Senior Business Analyst / Healthcare IT Consultant

Job ID: SC-10851 Remote/Local Healthcare BA with ICD/CPT/HCPCS, Optum Encoder/Medical Coding/Claim processing system, remediation, SME, MMIS experience Location: Columbia, SC (SCDHHS)Duration: 12 MonthsWork Location: Fully RemoteCandidate Location: Candidate MUST be a SC resident. No relocation allowed. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 5 years experience in healthcare insurance; medical review, program integrity, or appeals. 5 years experience working with IT developers/programme

We are looking for a highly skilled MMIS Business analyst to join a fast-paced team focused on critical Medicaid policy and system improvements. If you are a problem-solver who enjoys bridging the gap between healthcare policy and technical implementation, this role is for you. Logistics & Details Work Arrangement: Fully Remote. Location Requirement: Must be a South Carolina resident. (No relocation allowed). Interview Process: 1-round, Virtual/Online. Preferred Skills: Experience in policy re

DUTIES AND RESPONSIBILITES: Responsible for elicitation, analysis, and documentation of business requirements. Research and exploration of user requirements, costs, and benefits in support of documentation required for the demand management process. Responsible for analyzing the business needs to identify new processes and process improvements that will meet those needs. Documents current business processes and models to define requirements and/or gaps. Analyze detailed system factors inclu

Job Description: Only W2 resumes are accepted Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. This project is an immediate support need that will primarily focus on providing consulting services to operations and policy staff for the current medical coding federal requirements, quarterly and intermittently, and all coding changes associated with agency initiatives to ensure compliance policy and code change alignment. Note - Medicaid Manage