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Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
MMIS Business Analyst Customer Service Skills Microsoft Office Suite Analyst
(Jo
 
Requirement id 150854
Job title Analyst
Job location in Columbia, SC
Skills required Written And Verbal Communication Skills, Bachelors Degree, MMIS, Business Analyst Customer Service Skills
Open Date 10-Dec-2024
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Analyst: Written And Verbal Communication Skills, Bachelors Degree, MMIS, Business Analyst Customer Service Skills

No of Submissions : 2

Start date : 01/14/2025

Submission deadline : 12/18/2024

Client Info : Department of Health and Human Services

Note:

Q) INTERVIEW PROCESS(who will conduct i/v, phone or in-person, how many rounds of i/v)?

A) The interviews will be conducted by a team either in-person or via video conferencing.


Description :

SCOPE OF THE PROJECT:
SCDHHS is seeking a Business Analyst – Project Lead to assist with implementing small to large projects.

Objectives to Be Fulfilled by Candidate:
The principal duties of this position are evaluating agency needs, as-is and to-be business processes, and technical designs providing analysis and advice on strategies for information technology and non-technical solutions. The consultant 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 to provide technical solutions to meet user needs.
• Analyzes business 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.
• Documents and analyzes agency business processes and recommends improvements.
• Proactively identifies risks, issues, and action items leading to possible solutions.
• Researches and maintains business rules, requirements, and models in a repository.
• Review claim submission and documentation for completeness and validity to determine payment/rejection according to members plan benefits and department claims processing policies and procedures.
• Demonstrate a knowledge of relevant policies and procedures that impact claims processing decision points. Identify potential conflicts and share information with team and supervisor to eliminate delays and need for additional processing steps.
• Collaborate with other agency employees and external stakeholders, as necessary. Acts with proactive intent to improve claims related outcomes.
• Other project-related duties.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• 5 years experience in government IT projects as a business analyst or related duties
• Superb written and oral communications skills, including the ability to write requirements and Use Cases.
• 1 year experience in healthcare claims payment operations
• 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.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)
• MMIS experience (project or operations)
• Microsoft Office Project/Project Server
• An understanding of technological trends to bring solutions to business units supported to enhance the enterprises competitive edge.
• Healthcare Customer Service experience.

REQUIRED EDUCATION:
Bachelors degree in a technical, business, or healthcare field or equivalent experience.

2 years of relevant work experience may be substituted for 1 year of education
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 150854 while calling.
 
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(Analyst: Written And Verbal Communication Skills, Bachelors Degree, MMIS, Business Analyst Customer Service Skills in Columbia, SC)
     
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