IT Healthcare Consultant – Business Analyst (BA) – Advanced

Statement of Work (SOW) – Contingent Labor Request

Position Overview

Position: IT Healthcare Consultant – Business Analyst (BA) – Advanced
Primary Work Location: 1801 Main Street, Columbia, SC
Team Size: Each Business Analyst may be assigned to test multiple projects.

Company / Department Culture

The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina.

The IT Healthcare Consultant – Business Analyst (BA) – Advanced will be assigned to projects supporting the South Carolina Department of Health and Human Services (SCDHHS), the Medicaid Agency for South Carolina.

Candidates who enjoy working on complex, change-oriented projects will find this position attractive.

Project Scope

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

Pre-Employment Checks

State-mandated background checks are required, including:

• Criminal background check
• Credit check
• E-Verify

Position 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 both 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

The Business Analyst will:

• Serve as a liaison between the business programs community and the IT organization to provide technical solutions that meet user needs.
• Possess expertise in the business unit(s) supported, along with an understanding of the IT organization's systems and capabilities.
• Analyze business partners' operations to understand their strengths and weaknesses and identify opportunities to automate processes and functions.
• Assist with business process redesign and documentation as needed for new technology.
• Conduct efficient requirements-gathering sessions with multiple stakeholders to capture business requirements.
• Translate high-level business requirements into functional specifications for the IT organization and manage changes to those specifications.
• Educate the IT organization on the direction and needs of the business.
• Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements through final implementation.
• Maintain an understanding of technological trends and use this knowledge to bring solutions to supported business units and enhance the enterprise's competitive edge.
• Execute requirements development activities, including elicitation, analysis, specification, and validation.
• Document and analyze agency business processes and recommend improvements.
• Document and analyze data requirements and relationships.
• Participate in requirements management processes, including:
  • Change control
  • Version control
  • Tracking and status reporting
  • Requirements traceability
• Provide requirements interpretation and guidance to technical and testing teams.
• Proactively identify risks, issues, and action items and contribute to possible solutions.
• Interact with internal and external organizations, including:
  • Vendors
  • State government agencies
  • Federal government agencies
  • State providers
  • Beneficiaries
  • Other stakeholders
• May make recommendations regarding buy-versus-build decisions.
• Research business rules, requirements, and models.
• Maintain business rules, requirements, and models in a repository.
• Perform other project-related duties as required.

Required Skills

The following skills are listed in the SOW in order of importance:

1. At least 1 year of business analysis experience with IBM Cúram software.
2. At least 1 year of experience working on government IT projects as a Business Analyst or in related duties.
3. At least 1 year of experience eliciting, mining, and documenting business rules and processes.
4. At least 2 years of Medicaid Eligibility or other healthcare insurance experience.

Preferred Skills

Preferred skills are listed in the SOW in order of importance:

1. General Subject Matter Expertise related to Medicaid or other healthcare insurance, including project or operations experience.
2. MMS experience, either project or operations experience.
3. Microsoft Office Project / Project Server experience.

Required Education

• Bachelor's degree in a technical, business, or healthcare field.

Additional Skills & Duties

The successful candidate should possess:

• Superb written and oral communication skills, including the ability to write requirements and Use Cases.
• Very strong proficiency in English.
• Experience and ability to obtain business process and requirements information by:
  • Interviewing business personnel.
  • 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 with:
  • Executive management
  • Line management
  • Project management
  • Team members

Key Candidate Profile

The ideal candidate will combine Business Analysis, Medicaid/Healthcare Insurance, Government IT, and IBM Cúram experience, with strong requirements gathering, business-process analysis, documentation, stakeholder management, and communication skills. The role requires the ability to work across business and IT teams and support projects ranging from small to large implementations.