Location: 1801 Main Street - Columbia, SC 29201
Interview Process: 1 round, Virtual/Online
Duration of the Contract: 12 months
Possibility for Extension: Yes
Work Location: Fully onsite for the first 30-90 days with potential to switch to hybrid (3 days in office, 2 days remote).
Key Responsibilities
- Serve as a liaison between business program areas and IT teams to identify business needs and recommend technical solutions.
- Develop, retrieve, analyze, and distribute reports and datasets to support monitoring, reconciliation, and operational activities.
- Provide day-to-day operational support for the legacy MMIS and associated applications.
- Respond to stakeholder requests and monitor vendor-related requests to ensure timely follow-up and resolution.
- Coordinate with business and technical teams to identify trends, troubleshoot issues, and escal ate problems when necessary.
- Translate business requirements into system and technical specifications.
- Serve as a subject matter expert (SME) for Medicaid system processes, procedures, and operations.
- Perform complex systems analysis, design, and testing activities.
- Review and verify Quality Assurance (QA) and User Acceptance (UA) testing results.
- Document defects, coordinate defect triage, and support issue resolution.
- Proactively identify project risks, issues, and action items.
- Collaborate with MMIS vendors and technical teams throughout the Software Development Life Cycle (SDLC).
- Coordinate and support changes to COBOL/JCL programs within the SCDHHS code library.
- Work with vendors, state and federal agencies, healthcare providers, and other stakeholders.
- Follow established SDLC processes and recommend improvements where appropriate.
- Prepare clear technical documentation, operational reports, and status updates.
Required Skills (rank in order of Importance):
- 5 years Medicaid or healthcare experience. (Experience working with Medicaid claims and provider operations concepts)
- Proficient in COBOL programming language.
- 5 years experience 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 working with a Medicaid eligibility and/or enrollment information system in an operations capacity.
- Understanding of MMIS mainframe capabilities and intricacies.
Preferred Skills (rank in order of Importance):
- 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.
- Experience providing status reports and other technical or operational reports in a clear and concise manner.
Preferred Skills (rank in order of Importance):
- 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.
- Experience providing status reports and other technical or operational reports in a clear and concise manner.