Medicaid Mainframe MMIS Analyst – Hybrid

Goodfit; Columbia (SC); Hybrid; USD 85,000 - 115,000; Full time

Job summary

Goodfit is seeking a Systems Analyst to support the MMIS team, focusing on reporting, analytics, and testing under the Bureau Chief of Business Systems Management.

The role acts as a liaison between business programs and IT to deliver technical solutions and datasets for operational monitoring and processing. Candidates should have deep Medicaid/healthcare experience and COBOL/Mainframe expertise.

Qualifications

• 3 years Medicaid or healthcare experience.
• Proficient in COBOL programming language.
• 3 years operating healthcare Mainframe systems for payers as a technical analyst or related duties.
• At least 3 years experience with EDI transactions, including managing companion guides.
• Experience with Medicaid eligibility and/or enrollment information systems in an operations capacity.
• Understanding of MMIS capabilities and intricacies.

Responsibilities

• Serves as a liaison between the business programs and the IT organization to provide technical solutions to meet user needs.
• Develops, retrieves, and distributes reports and datasets to multiple internal and external stakeholders for purposes of monitoring, reconciliation, and operational processing.
• Performs operational support activities for the legacy MMIS and subsystems. Receives and responds to requests and inquiries from business stakeholders. Monitors vendor requests and coordinates between business and technical staff. Identifies trending issues and escalates to program management as needed. Translates business requests and needs into system requirements and technical requests. Serves as a subject matter expert associated with content, processes, and procedures.
• Performs highly complex analysis, design, and testing as an analyst, to meet the needs of the users of MMIS and its subsystems.
• Reviews and verifies QA and UA results as assigned. Documents issues and defects for triage and resolution.
• Proactively identifying risks, issues, and action items leading to possible solutions.
• Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers, and other stakeholders).

Skills

Medicaid/healthcare experience

COBOL

Mainframe systems

EDI transactions

Medicaid eligibility/enrollment

MMIS understanding

Education

Bachelor’s degree in technical/business/healthcare

3+ years substitute for education

Tools

Mainframe tools

EDI tooling

Job description

Goodfit is seeking a Systems Analyst to support the MMIS team, focusing on reporting, analytics, and testing under the Bureau Chief of Business Systems Management.

The role acts as a liaison between business programs and IT to deliver technical solutions and datasets for operational monitoring and processing. Candidates should have deep Medicaid/healthcare experience and COBOL/Mainframe expertise.