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 including input/output requirements, information and paper flow, hardware, and software needs.
• Analyze “soft" system factors including roles, responsibilities, policy, culture, etc.
• Evaluate the impact of potential software and process changes on the organization.
• Develop and facilitate groups as necessary in pursuit of eliciting and defining requirements.
• Assist in the creation of the business case documentation.
• Understanding of architectural consistency and usability standards.
• Defines and develops user test cases and validates test results during testing.
• Executes unit and functional test cases.
• May conduct system demonstrations and training sessions, as well as participate in design/review of training content.
• Plays a third level support role by helping to troubleshoot and resolve issues with production systems.
• Participates in associate meetings and communicates any concerns to management.
QUALIFICATIONS AND REQUIREMENTS:
• Bachelor’s degree in computer science, Information Systems, Business, or another related field or equivalent work experience.
• Proven experience leading data migration requirements from legacy systems into a new ERP (Sage X3) environment
• Strong hands-on expertise in requirements elicitation, documentation, and management, with emphasis on data mapping, transformation rules, and validation
• Deep understanding of data structures, data quality, and migration best practices, with the ability to identify gaps and risks early
• Self-driven and accountable professional with strong stakeholder management and communication skills, able to drive outcomes with minimal oversight
• Working knowledge of Confluence and JIRA.
• Experience in any of the following business areas is desired: Sales operations, order entry, accounting, finance, procurement, warehouse operations, order management, and order fulfillment.
• Minimum of 3-5 years’ business analysis or systems analysis experience is preferred.
• Bonus: Sage X3 experience (ERP).
Associate is expected to operate at a proficient level across the following areas of technical knowledge and skill:
• Ability to organize and prioritize work.
• Detail oriented, proactive, creative, and efficient
• Intermediate level abilities in Excel, Outlook, PowerPoint, Visio, and Word
• Familiarity with application integration methods to include understanding of data mapping process.
• Ability to effectively work both independently and collaboratively in a team environment
• Ability to work on simultaneous and complex projects, with domain expertise in at least one business area.
• Expertise in ERP solution selection and implementation is a plus
• Ability to communicate effectively to both technical and non-technical audiences in written and non-written format
• Ability to work with all levels of associates
• Ability to work with minimal supervision in a very dynamic environment
• Ability to learn new systems and tools
• Knowledge of software development life cycle methodologies, processes, and procedures.
• Active listener
• Effective in a variety of formal/informal presentation settings: one-on-one, small, and large groups.
Job Title: Enterprise Project Manager – QA
Location: Columbia, SC
Duration: 12 Months
Scope of the project:
The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the Client. It focuses on Client Medicaid Eligibility system. This project will be very complex and will demand exceptionally high-quality team members.
Daily duties / responsibilities:
The Quality Manager is responsible for a PMI-oriented approach and methodology to ensuring DDI (Design, Development, and Implementation) process conformance, as well as assisting in monitoring and controlling the quality of project deliverables.
Duties include:
- Understanding of solution requirements, monitoring development execution, and performing validation of deliverables against original requirements as expressed in a requirements traceability matrix.
- Assist the Project Management Organization in the design and implementation of templates relating to quality management processes to be used as organizational process assets throughout Client projects.
- Assist project director and project manager in the development of technical metrics for compliance with industry best practices and standards as defined by CMS and the ‘MITA-Mature’ Medicaid Information Systems suite of standards.
- 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 test teams.
- Proactively identifying risks, issues, and action items leading to possible solutions; risk resolution techniques highly desired, including mitigation, transference, avoidance, and where required, acceptance.
- Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders).
- Consolidating defect tracking and resolution efforts of the User Acceptance Team lead and respective staff, developing testing activity protocols, and developing techniques and standards for use in defect tracking and resolution.
- Planning for, conducting, and reporting on testing and other quality assurance activities.
- Support activities to gain approval for certification for the system from state and federal partners.
- Help identify project schedules to ensure all dependencies from a testing and
- logistics perspective are accounted for.
- Other duties as assigned.
Subject matter areas include member related eligibility determination, enrollment and disenrollment, eligibility inquiry, capitation premium payment, health insurance premium payment, Medicare premium payment, premium invoice, program policy, and state plan. Familiarity with the Affordable Care Act and impacts on Medicaid eligibility and member related processes is also beneficial.
Required skills (rank in order of importance):
- 3+ years of Quality management experience on major IT healthcare systems development
- 3+ years’ experience in healthcare insurance IT software/systems implementations performing duties described in the “Daily Duties/Responsibilities” section above.
- Experience using modern commercial rules engines and their respective orchestration layers.
Preferred skills (rank in order of importance):
- Medicaid eligibility system/business operations experience
- Understanding of the Medicaid Information Technology Architecture (MITA)
- Understanding of the Medicaid Enterprise Certification Toolkit (MECT)
- Experience in an outsourced IT development project.
Required education:
Bachelor Degree or equivalent experience; Master’s Degree preferred.
Additional duties/ skills:
- Ability to properly document quality audit and monitoring and controlling activities.
- Ability to interpret business process and business data models.
- Experience in creating solution metrics within an IT healthcare
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