MO - 2/25 - 9963 - Business Analyst

Focused HR Solutions, LLC; Columbia (SC); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Focused HR Solutions, LLC is seeking a Business Analyst with Medicaid MMIS experience to support MMIS Operations. The role involves analytics, reporting, testing, and coordination with business users.

The candidate will work in a hybrid schedule (3 days on-site in Columbia, SC) with EST business hours, and must report to the Medicaid Systems Operations Manager. 12+ month engagement with extension option.

Qualifications

• Bachelor's degree in a technical, business, or healthcare field.
• 4+ years of experience in business/systems analysis and/or computer systems development/modification.
• 1+ years supporting MMIS Legacy projects as a BA or related duties.
• 1+ years working with Medicaid claims and provider operations concepts.
• 1+ years working with a Medicaid eligibility/enrollment information system in operations.
• Proficient in Office Suite, Jira, Footprints, and SharePoint.

Responsibilities

• Serve as a Business Analyst for MMIS Operations, supporting reporting, analytics, and testing.
• Act as liaison between business programs and IT to provide technical solutions.
• Support Data Match processes for eligibility requests outside standard interfaces.
• Document and perform user acceptance testing; verify QA/UA results.
• Identify risks, issues, and action items; interact with vendors and agencies.

Skills

Business analysis

MMIS knowledge

Medicaid claims

Medicaid enrollment systems

Office Suite

Jira

Footprints

SharePoint

Education

Bachelor's degree in a technical, business, or healthcare field

Tools

SAS

Excel

Data visualization tools

Statistical analysis software

Job description

• Candidate will work a hybrid work schedule - 3 days on-site in Columbia, SC each week. Candidate is responsible for travel cost when required to report on-site. **
• No work outside the United States is allowed. Candidate must work EST business hours. **

• Candidate will work a hybrid work schedule - 3 days on-site in Columbia, SC each week. Candidate is responsible for travel cost when required to report on-site. **
• No work outside the United States is allowed. Candidate must work EST business hours. **

Our direct client has an opening for a Business Analyst w/ Medicaid Exp # 9963. This position is for 12+ months, with option of extension, and will be worked hybrid - 3 days onsite in Columbia each week. Candidate work EST business hours.

If You Are Interested, Please Submit The Following

YOUR CURRENT RESUME

YOUR HOURLY RATEW2 ONLY - No Corp to Corp Allowed

Required Skills

• Bachelor's degree in a technical, business, or healthcare field.
• 4+ years of experience in business/systems analysis and/or computer systems development/modification may be substituted.
• 1+ years of experience supporting MMIS Legacy system projects as a business analyst or related duties. (Understanding capabilities and intricacies of MMIS.)
• 1+ years of experience working with Medicaid claims and provider operations concepts
• 1+ years of experience working with a Medicaid eligibility and/or enrollment information system in an operations capacity.
• Proficient in Office Suite, Jira, Footprints, and SharePoint

Desired Skills

• Subject Matter Expertise as it relates to MMIS Operations.
• Proficient in data analysis tools and techniques, such as SAS, Excel, data visualization tools, and statistical analysis software.

Description

The principal duties of this position are to serve as a Business Analyst for the MMIS Operations team, under general supervision by the Medicaid Systems Operations Manager. As such, the Information Systems/Business Analyst is responsible for activities supporting MMIS operational activities including reporting and analytics, systems support, testing, and coordination with business users.

Specific Duties Include, But Are Not Limited To

• 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.
• Supports, monitors, and coordinates the Data Match process whereby providers can request eligibility information for recipients for periods outside of those available in the standard eligibility verification interfaces/tools.
• Documents and performs user acceptance testing for MMIS changes as assigned. Reviews and verifies QA and UA results as assigned. Documents issues and defects for triage and resolution.
• Identifies and completes appropriate and relevant professional development activities.
• Performs other duties as assigned by supervisor.
• Documenting and analyzing agency business processes and recommending improvements.
• 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).
• Other project-related duties.