System Analyst

Ventures Unlimited Inc; Columbia (SC); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Ventures Unlimited Inc. seeks an experienced technical analyst to support Medicaid MMIS operations on legacy mainframe systems. You will analyze, design, and test solutions, develop reports, and coordinate with vendors and stakeholders to ensure compliant operations.

The role requires COBOL and mainframe expertise, plus knowledge of EDI and MMIS processes. This is a 12-month onsite-to-hybrid contract located in South Carolina, with relocation as needed.

Qualifications

• Minimum 5 years of Medicaid or healthcare experience.
• Strong understanding of Medicaid claims processing and provider operations.
• Proficiency in COBOL programming language.
• Experience supporting and maintaining legacy mainframe applications.
• Minimum 5 years operating healthcare mainframe systems for payers as a technical analyst or related role.
• Strong understanding of MMIS mainframe capabilities and operations.
• Minimum 3 years of experience with EDI transactions.
• Experience managing and maintaining EDI companion guides.
• Experience working with Medicaid eligibility and/or provider enrollment information systems in an operational capacity.
• Experience with mainframe technologies: MVS COBOL, JCL, IDMS/NETWORK, CA-ADS, CHANGEMAN, SAS.

Responsibilities

• Serve as liaison between business programs and IT to identify and implement technical solutions.
• Develop, retrieve, analyze, and distribute reports and datasets to stakeholders.
• Provide operational support for legacy MMIS applications and subsystems.
• Respond to business stakeholder requests, inquiries, and system-related issues.
• Monitor vendor requests and coordinate activities between business and technical teams.
• Identify recurring system issues, troubleshoot, and escalate to program management.
• Translate business needs into system requirements and technical specifications.
• Perform complex systems analysis, design, and testing to meet requirements.
• Review and validate QA and UA results.
• Document defects, issues, risks, and action items for tracking and resolution.
• Collaborate with MMIS vendor teams to support SDLC processes.
• Review job schedules and system logs to troubleshoot operational issues.
• Interact with vendors, state and federal agencies, healthcare providers, and stakeholders.
• Follow SDLC standards and contribute to continuous improvements.
• Prepare clear and concise technical and operational status reports.

Skills

Medicaid/healthcare experience

Mainframe operations

EDI transactions

Medicaid eligibility / enrollment

COBOL programming

Education

Bachelor's degree in technical, business, or healthcare-related field

Tools

JCL

IDMS/NETWORK

CA-ADS

CHANGEMAN

SAS

MVS COBOL

Job description

• Work Arrangement: Initially fully onsite for 30–90 days, with potential to transition to a hybrid schedule (3 days onsite / 2 days remote).
• Contract Duration: 12 Months
• Candidate Location: Must be a South Carolina resident or willing to relocate to South Carolina at their own expense before starting.

Key Responsibilities

• Serve as a liaison between business programs and IT organizations to identify and implement technical solutions.
• Develop, retrieve, analyze, and distribute reports and datasets to internal and external stakeholders.
• Provide operational support for legacy MMIS applications and related subsystems.
• Respond to business stakeholder requests, inquiries, and system-related issues.
• Monitor vendor requests and coordinate activities between business and technical teams.
• Identify recurring system issues, troubleshoot problems, and ***escalate concerns to program management.***
• Translate business needs and requests into system requirements and technical specifications.
• Perform complex systems analysis, design, and testing to meet business and user requirements.
• Review and validate QA and User Acceptance (UA) results.
• Document defects, issues, risks, and action items for tracking and resolution.
• Collaborate with MMIS vendor teams to support SDLC processes.
• Review job schedules and system logs to troubleshoot operational issues.
• Interact with vendors, state and federal agencies, healthcare providers, and other stakeholders.
• Follow established SDLC standards and contribute to continuous process improvements.
• Prepare clear and concise technical and operational status reports.

Required Qualifications

• Minimum 5 years of Medicaid or healthcare experience.
• Strong understanding of Medicaid claims processing and provider operations.
• COBOL Programming
• Proficiency in COBOL programming language.
• Experience supporting and maintaining legacy mainframe applications.
• Minimum 5 years of experience operating healthcare mainframe systems for payers as a technical analyst or in a related role.
• Strong understanding of MMIS mainframe capabilities and operations.
• EDI Transactions
• Minimum 3 years of experience working with EDI transactions.
• Experience managing and maintaining EDI companion guides.
• Medicaid Eligibility / Enrollment
• Experience working with Medicaid eligibility and/or provider enrollment information systems in an operational capacity.
• Mainframe Technologies
• Experience with the following technologies:
• MVS COBOL
• JCL
• IDMS / NETWORK
• CA-ADS
• CHANGEMAN
• SAS

Preferred Qualifications

• Subject Matter Expertise (SME) in Medicaid Management Information System (MMIS) operations.
• Proficiency in data analysis tools and techniques, including SAS, Microsoft Excel, data visualization tools, and statistical analysis software.
• Experience preparing technical and operational status reports.
• Experience supporting healthcare payer systems and Medicaid program operations.

Education Requirements

• Bachelor's degree in a technical, business, or healthcare-related field.

Note: Candidates with 7+ years of equivalent experience in systems analysis and/or computer systems development or modification may be considered in place of a bachelor's degree.