*Business Analyst w/healthcare - Direct Client *
*Immediate Interview and Start ASAP!!!*



*Please send resume to [email protected] <[email protected]> *



Job Title: Business Analyst w/healthcare
Location: Columbia, SC
Duration: 12 Months
Direct Client Position
Client: State of SC

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

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

*Please send resume to [email protected] <[email protected]> *

Thanks,
Sam
CNC Consulting, Inc.
201-546-3096
[email protected]

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