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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
Business Analyst Business Modeling Medicaid Healthcare Analyst
(Jobs in Columbia
 
Requirement id 74944
Job title Analyst
Job location in Columbia, SC
Skills required Business Analyst, Verbal Communication, Written Communication Skills, Business Modeling Medicaid Healthcare
Open Date 31-Oct-2018
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Analyst: Business Analyst, Verbal Communication, Written Communication Skills, Business Modeling Medicaid Healthcare

Start Date :11/29/2018
Submission Deadline :11/07/2018

Description :



SCOPE OF THE PROJECT:

The Replacement MMIS project is among the most complex IT projects taken on by the States Department of Health and Human Services. This project is a multi-year effort to replace many of the States aging Medicaid systems with modern technologies and supporting business operations.

OBJECTIVES TO BE FULFILLED BY CANDIDATE:
The principal duties of this position are to develop and maintain business requirements with associated artifacts such as requirements plans, process flows, and other models as needed.

Daily work will concentrate on these work streams:
• Member
• Provider
• Claims
• Prior Authorization
• Finance
These work streams will support the following modules for RMMIS:
• Business Intelligence System
• Administrative Services Organization (ASO) for Fee for Service (FFS) claims
• Pharmacy Benefits Administrator (PBA)
• Dental Administrative Services Organization (DASO)
• Accounting and Finance
• Third Party Liability (TPL)
• System Integration and Operations (SIOPS)
• Technology Framework (Integration Hub, Portal and Enterprise Data Services)
• RMMIS Program Management
Specific duties include, but are not limited to:
• Plan, elicit, capture, analyze and validate business, functional and technical requirements.
• Facilitate requirements elicitation sessions and walkthroughs with business and IT resources.
• Collaborate with departments to identify, document and communicate business needs and provide
solutions.
• Develop business rules via interviews, translation of governing documents and other means.
• Conduct JAD Sessions with Product Owners
• Partner with business owners on requirements development and project collaboration
• Assist other team members in performing business rules, requirements, and modeling duties.
• Research business rules, requirements, and models.
• Use case development
• Requirements traceability

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• 8+ years experience in government IT projects as a business analyst or related duties
• 6+ years experience eliciting, mining, and documenting business rules
• General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project
or operations)
• Firm understanding of health care payer business process
• Strong understanding of business modeling techniques
• Integrated healthcare delivery from member enrollment though to claims payment
• Business operations experience in member enrollment though to claims payment
• Ability to effectively communicate to executive management, line management, project management, and
team members.
• Experience and ability to obtain business rules and requirements information by interviewing business
personnel and by mining laws, regulations, and policy documents.
• Superb written and oral communications skills, including the ability to write requirements and Use Cases.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 74944 while calling.
 
Other jobs in SC: Beaufort (1), Blythewod (2), Blythewood (3), Charleston (17), Columbia (37), Greenville (4), Hartsville (2), North Charleston (2), Overland Park (1), San Francisco (1), SENECA (4), South Carolina (1), Spartanburg (3), Unknown (2),
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(Analyst: Business Analyst, Verbal Communication, Written Communication Skills, Business Modeling Medicaid Healthcare in Columbia, SC)
     
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