I have a very urgent DIRECT CLIENT requirement for Business Analyst
w/MMISin Columbia,
SC. 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 su...@cncconsulting.com

Job Title: Business Analyst w/MMIS (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
su...@cncconsulting.com

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