*Hello,*


*Kindly let me know if you have anyone available for the below position.*

*Please share resume at **[email protected]
<[email protected]>*



Hi,



*DO NOT SEND RESUMES UNLESS THEY HAVE 3 YEARS OF PUBLIC SECTOR EXPERTISE.
State Government MMIS experience REQUIRED !!!*



*Title: Sr. Business Analyst*

*Location: Columbia, SC*

*Duration: 12-24 months*

*Interview: Phone than Skype*



*SCOPE OF THE PROJECT:*

The ICD-10 initiative is among the most complex IT projects taken on by the
State’s Department of Health and Human Services. This project is a
multi-year effort to enhance many of the State’s aging Medicaid business
processes and associated systems.



*OBJECTIVES TO BE FULFILLED BY CANDIDATE:*

The principal duties of this position are to assist with the management and
execution of the user acceptance testing process. Management and execution
will include hands-on authorship, and execution of test cases but within
and external to the organization.

*Specific duties include, but are not limited to:*

• Working and Using an Agile Methodology as it relates to completing
sprints and working on tasks that are included in daily standups and
reporting.

• Develop business rules via interviews, translation of governing documents
and other means.

• Conduct JAD Sessions with the Product/Program Owners and other affected
parties.

• *Serve as team expert on Claim Adjudication, Reference, Waiver Programs,
Managed Care Organization, Medicaid Policy and related topics.*

• Perform leadership type functions such as the management of small teams
and external vendors (2-5 resources).

• Research business rules, requirements, and models.

• Maintain business rules, requirements, and models in a repository.

• Other project-related duties.



*REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):*

• 8+ years’ experience in government IT projects as a business analyst or
related duties

• 6+ years’ experience eliciting, mining, and documenting business rules,
processes

• Superb written and oral communications skills, including the *ability to
write requirements and Use Cases*. *Very Strong proficiency in English is
required*.

• Experience and ability to obtain business processes and requirements
information by interviewing business personnel and by mining laws,
regulations, and policy documents.

• Strong knowledge of formal business process documentation.

• Strong Understanding of State/Commercial Medicaid Claims, Benefit Plans,
Claims Payment Cycle, Waiver Programs and Reference

• Strong understanding of business modeling techniques, including the use
of graphical process flow software

• Ability to effectively communicate to executive management, line
management, project management, and team members.



*PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):*

• Knowledge of the *Agile Business Rules Development (ARBD)*

• Knowledge of Agile Methodologies

• General Subject Matter Expertise as it relates to *Medicaid or other
healthcare insurance experience (project or operations)*

*• MMIS experience (project or operations)*

• *Medicaid eligibility experience* (project or operations)

• Microsoft Office Project/Project Server

*Skills*



*Skills:*

*Category *

*Name *

Administrative

Verbal Communication Skills

Administrative

Written Communication Skills

Documentation/Language

Business writing

Education

BA Degree- Technical, Business, or Healthcare field

Miscellaneous

business modeling techniques

Miscellaneous

graphical process flow software

Miscellaneous

Requirements Gathering

*MMIS - Medicaid Management Information System*

*State/Commercial Medicaid Claims, Benefit Plans, Claims Payment Cycle,
Waiver Programs and Reference*

*Program Management - RUP methodology*

*Eliciting, mining, and documenting business rules, processes*

Quality Assurance (QA)

Use Cases

*Specialties*

*Public Sector*





Thanks and Regards



*Neetu Narwal*
Technical Recuriter
* IDC Technologies Inc.* • 1851 McCarthy Boulevard, Suite 116, Milpitas,
CA, USA, 95035
* Phone*: 408-457-9381 • *Ext.*: 4032 • *Fax*: 408-608-6088 • *Email*:
[email protected]

*Gtalk: *[email protected]

CMM Level 3 Company • ISO Certified • BBB Accredited Business • 16th Best
Company (2013) in Silicon Valley



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