South Carolina Staffing
MES Modernization Business Analyst
SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the States aging MMIS and related applications with more modern capabilities along with corresponding business operations services. The MES Modernization effort will be incremental and modular in nature with a focus on configurable and scalable integrations, which allow for more flexibility and reduces time and cost necessary to respond to federal and state enhancements. The Delivery of Automated Systems for Healthcare (DASH) Program is the project management program that will be managing the MES Modernization. Daily Duties / Responsibilities: The Business Analyst will serve as a liaison between the business community and the IT organization to provide technical solutions to meet user needs. They will work with the Program Manager and the Lead Project Managers and will support the Project Management team to ensure the principles, business goals and values of the program are met. The Business Analyst will: Possess expertise in the business unit(s) they support, as well as an understanding of the IT organization's systems and capabilities Analyze business partner's operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions Assist in the business process redesign and documentation as needed for new technology Translate high level business requirements into functional specifications for the IT organization and manage changes to such specifications Educate the IT organization on the direction of the business Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation Possess an understanding of technological trends and use this knowledge to bring solutions to business units supported to enhance the enterprise's competitive edge Required Skills: At least seven years of experience in commercial healthcare At least three years experience in State Medicaid payer system integration and delivery Experience with inner workings of cross functional projects Familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles Familiarity with standard data structures, electronic data interchange, processes and related file formats Interest, skill and ability to innovate including business processes, methods/procedures, and technology Ability to effectively work and communicate, in both oral and written, with all levels of the Agency from frontline workers to Executive Staff as well as the Contractor(s) Ability to work in a professional office environment with a diverse group of teammates Must have exceptional attention to detail Preferred Skills: Large business and technology integration Commercial integrations with Medicaid or other Government operations Knowledge of Federal Certification requirements and processes Project management Required Education/Certifications: Bachelors degree in a technical, business, or healthcare field or equivalent experience.
SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the States aging MMIS and related applications with more modern capabilities along with corresponding business operations services. The MES Modernization effort will be incremental and modular in nature with a focus on configurable and scalable integrations, which allow for more flexibility and reduces time and cost necessary to respond to federal and state enhancements. The Delivery of Automated Systems for Healthcare (DASH) Program is the project management program that will be managing the MES Modernization. Daily Duties / Responsibilities: The Business Analyst will serve as a liaison between the business community and the IT organization to provide technical solutions to meet user needs. They will work with the Program Manager and the Lead Project Managers and will support the Project Management team to ensure the principles, business goals and values of the program are met. The Business Analyst will: Possess expertise in the business unit(s) they support, as well as an understanding of the IT organization's systems and capabilities Analyze business partner's operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions Assist in the business process redesign and documentation as needed for new technology Translate high level business requirements into functional specifications for the IT organization and manage changes to such specifications Educate the IT organization on the direction of the business Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation Possess an understanding of technological trends and use this knowledge to bring solutions to business units supported to enhance the enterprise's competitive edge Required Skills: At least seven years of experience in commercial healthcare At least three years experience in State Medicaid payer system integration and delivery Experience with inner workings of cross functional projects Familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles Familiarity with standard data structures, electronic data interchange, processes and related file formats Interest, skill and ability to innovate including business processes, methods/procedures, and technology Ability to effectively work and communicate, in both oral and written, with all levels of the Agency from frontline workers to Executive Staff as well as the Contractor(s) Ability to work in a professional office environment with a diverse group of teammates Must have exceptional attention to detail Preferred Skills: Large business and technology integration Commercial integrations with Medicaid or other Government operations Knowledge of Federal Certification requirements and processes Project management Required Education/Certifications: Bachelors degree in a technical, business, or healthcare field or equivalent experience.