Medicaid Systems BA - MITA, EDI & Data Expert (Hybrid)

Focused HR Solutions, LLC; Charleston (SC); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Focused HR Solutions, LLC in Columbia, SC is seeking an experienced Business Analyst to manage data structures, EDI, and related file formats while supporting Medicaid payer system integration.

You will collaborate with stakeholders to gather and analyze business requirements and apply MITA business architecture principles to ensure alignment with project goals and timelines. The role is a hybrid arrangement with potential for extension and requires state residency.

Qualifications

• 7+ years of experience in commercial healthcare.
• 3+ years of experience in State Medicaid payer system integration and delivery.
• 1+ year of experience with MITA business architecture principles.
• 1+ year of experience with standard data structures, EDI, processes, and related file formats (e.g., SharePoint, Microsoft Suite)

Responsibilities

• Manage and interpret standard data structures, electronic data interchange (EDI), and related file formats
• Collaborate with stakeholders to gather and analyze business requirements
• Support Medicaid payer system integration and delivery
• Apply MITA business architecture principles to ensure alignment with project goals

Skills

Healthcare domain knowledge

Data analysis

Stakeholder collaboration

MITA framework knowledge

EDI data formats

Tools

SharePoint

Microsoft Office

Job description

Focused HR Solutions, LLC in Columbia, SC is seeking an experienced Business Analyst to manage data structures, EDI, and related file formats while supporting Medicaid payer system integration.

You will collaborate with stakeholders to gather and analyze business requirements and apply MITA business architecture principles to ensure alignment with project goals and timelines. The role is a hybrid arrangement with potential for extension and requires state residency.