Job Title: Business Analyst – Consultant
Location: Columbia, SC (Hybrid) (Onsite 4 days/week) – Only candidates currently residing in South Carolina will be considered.
Duration: 12 Months
A major multi-year Medicaid Enterprise System (MES) Modernization project is underway to replace legacy MMIS and associated applications with scalable, configurable, and modern technology solutions. The Business Analyst will play a key role in bridging business needs with IT solutions, working within the Delivery of Automated Systems for Healthcare (DASH) Program to drive system integration and process improvement.
Responsibilities:Act as a liaison between business stakeholders and IT teams to deliver functional solutions.
Analyze existing operations to identify opportunities for automation and improved efficiency.
Lead business process redesign sessions and document system requirements.
Translate high-level business needs into clear, actionable functional specifications.
Facilitate communication and negotiation between technical and business teams.
Advocate for MES modular design and business integration during project phases.
Coordinate cross-functional teams and drive alignment across multiple projects.
Provide updates on project status, risks, and deliverables to leadership.
Lead workshops, design sessions, and training activities as needed.
Track key performance indicators to assess progress toward business integration goals.
7+ years of experience in commercial healthcare environments.
3+ years of experience in Medicaid payer system integration and delivery.
Strong understanding of Medicaid Information Technology Architecture (MITA) principles.
Familiarity with electronic data interchange (EDI), standard data structures, and file formats.
Proficiency with Microsoft Office Suite and SharePoint.
Ability to drive innovation in business processes and technology solutions.
Excellent communication skills, both written and verbal, across all organizational levels.
Strong attention to detail and documentation skills.
Experience managing cross-functional projects and facilitating collaborative sessions.
Large-scale business and technology integration experience.
Experience with Medicaid or other government programs.
Understanding of Federal Certification processes.
Project management experience with full lifecycle involvement.
Bachelor's degree in Business, Healthcare, Information Technology, or related field, or equivalent professional experience.
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