*Business Analyst- Health Care Exp*

# of positions : 8

Location: Columbia, SC

Duration: 12 Months

*Citizens|Green Card| EADs only*


*Required /Preferred Skill?*

*Required Experience (Yrs)*

Business Process Modeling (BPM)


2 - 4 Years

Agile/Scrum Methodology


JAD Sessions


Business Analyst


4 - 6 Years



4 - 6 Years

Public Sector


6 + Years

ICD-9/ICD-10 - International Statistical Classification of Diseases and
Related Health Problems


4 - 6 Years

IT Healthcare Systems


6 + Years

MECT - Medicaid Enterprise Certification Toolkit


4 - 6 Years

MITA - Medicaid Information Technology Architecture


4 - 6 Years

*Specific duties :*

·         Working and Using an Agile Methodology as it relates to
completing sprints and working on tasks this included Daily Standups and

·         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.

*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

·         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


Thank you

*Sandeep R Tummuru || Resource Manager*

*Clear Thought Solutions LLC.,*

*Ph: 919 290 4346*

*Email : **sand...@clearthoughtsolutions.com*<sand...@clearthoughtsolutions.com>

*gtalk : **sandy4cts*

*Website : 

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