Medicaid Business Analyst - IBM Cúram (govt IT exp) - HYBRID (SC Resident/MUST Relocate to SC) - W2 ONLY

Job Description:

***Only W2 resumes are accepted

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.

SCDHHS is seeking a IT Healthcare Consultant-Business Analyst (BA) - Advanced to assist with the implementation of small to large projects. 

DAILY DUTIES / RESPONSIBILITIES:

The principal duties of this position are to evaluate agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The IT Healthcare Consultant-Business Analyst (BA) - Advanced will provide detailed analysis and document business processes and requirements.

Specific duties include, but are not limited to:

·       Serves as a liaison between the business programs community and the IT organization in order to provide technical solutions to meet user needs.

·       Possesses expertise in the business unit(s) they support, as well as, an understanding of the IT organization''s systems and capabilities.

·       Analyzes business partner''s operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions.

·       Assists in the business process redesign and documentation as needed for new technology.

·       Conducts efficient requirement gathering session with multiple stakeholders to capture business requirement.

·       Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications. Educates the IT organization on the direction of the business.

·       Negotiates agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.

·       Possesses an understanding of technological trends and uses this knowledge to bring solutions to business units supported to enhance the enterprise''s competitive edge.

·       Requirements development execution, including the elicitation, analysis, specification and validation.

·       Documenting and analyzing agency business processes and recommending improvements.

·       Documenting and analyzing data requirements and relationships.

·       Participating in the requirements management processes, including change control, version control, tracking and status reporting, and traceability.

·       Providing requirements interpretation and guidance to technical and test teams.

·   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 beneficiaries, and other stakeholders).

·       May make recommendations for buy versus build decision.

·       Research business rules, requirements, and models.

·       Maintain business rules, requirements, and models in a repository.

·       Other project-related duties. 

Required Skills

·       1 years of business analysis experience IBM Cúram software

·       1 years’ experience in government IT projects as a business analyst or related duties

·       1years’ experience eliciting, mining, and documenting business rules, processes

·       2 years Medicaid Eligibility or other healthcare insurance experience

·       Bachelor’s degree in a technical, business, or healthcare field.

Preferred Skills

·       General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)

·       MMS experience (project or operations)

·       Microsoft Office Project/Project Server

additional skills & duties: 

·       Superb written and oral communications skills, including the ability to write requirements and Use Cases. Very Strong proficiency in English is required.

·       Experience and ability to obtain business processes and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents.

·       Knowledge of formal business process documentation.

·       Understanding of business modeling techniques, including the use of graphical process flow software

·       Ability to effectively communicate to executive management, line management, project management, and team members.