I have a very urgent DIRECT CLIENT requirement for Business Analyst
w/Healthin Little Rock, AR. Please Let Me Know If you have available
candidate,
please reply with their word resume, location, rate and contact number.

Please send the resumes at [email protected]

Job Title: Business Analyst w/Health (8 positions)
Location: Columbia, SC
Duration: 12 Months

SCOPE OF THE PROJECT:
The Replacement MMIS project 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 replace many of the State's aging Medicaid systems
with modern technologies and supporting business operations.
OBJECTIVES TO BE FULFILLED BY CANDIDATE:
The principal duties of this position are to develop and maintain business
rules along with associated artifacts such as requirements and models.
Specific duties include, but are not limited to:
* Working and Using an Agile Methodology as it relates to completing
sprints and working on tasks this included Daily Standups and reporting.
* Develop business rules via interviews, translation of governing documents
and other means.
* Conduct JAD Sessions with the Product Owners and other
* CONOPS Development as it relates to Claims (ASO)
* Serve as team expert on Claim Adjudication, Reference, Waiver Programs,
Managed Care Organization, Business Rules, and related topics.
* Assist other team members in performing business rules, requirements, and
modeling duties.
* 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
* Strong knowledge of formal business rules methodologies
* Strong understanding of business modeling techniques
* Strong Understanding of State/Commercial Medicaid Claims, Benefit Plans,
Claims Payment Cycle, Waiver Programs and Reference
* Ability to effectively communicate to executive management, line
management, project management, and team members.
* Experience and ability to obtain business rules and requirements
information by interviewing business personnel and by mining laws,
regulations, and policy documents.
* Superb written and oral communications skills, including the ability to
write requirements and Use Cases. Very Strong proficiency in English is
required

REQUIRED EDUCATION:
Bachelor's degree in a technical, business, or healthcare field.

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
Business Process Modeling (BPM)  Yes  1  Intermediate  Currently Using  2 -
4 Years
ICD-9/ICD-10 - International Statistical Classification of Diseases and
Related Health Problems  No  1  Advanced  Within 5 Years  4 - 6 Years
IT Healthcare Systems  No  1  Advanced  Within 5 Years  6 + Years
MECT - Medicaid Enterprise Certification Toolkit  No  1  Advanced  Within 5
Years  4 - 6 Years
MITA - Medicaid Information Technology Architecture  No  1  Advanced
Within 5 Years  4 - 6 Years
Agile/Scrum Methodology  Yes  1
JAD Sessions  Yes  1
Business Analyst  Yes  1  Advanced  Within 5 Years  4 - 6 Years
Documentation  Yes  1  Expert  Currently Using  4 - 6 Years
Public Sector  Yes  1  Expert  Within 2 Years  6 + Years

Thanks,

Sunny Roy
224-764-8419  Phone
[email protected]

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