Hi Partner,

Hope you are doing great, please find the below requirement and let me know
if you have any suitable candidates, send your updated resume to
*j...@corpsystems.net
<j...@corpsystems.net>*

*Title: Business Analyst (Healthcare)*

*Location: Columbia, SC*

*Duration: One Year*

*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.

   - Serves as a liaison between the business community and the IT
   organization in order to provide technical solutions to meet user needs.
   Possesses expertise in the business unit(s) they support, as well as, an
   understanding of the IT organization's systems and capabilities.
   - Analyzes business partner's operations to understand their strengths
   and weaknesses to determine opportunities to automate processes and
   functions. Assists in the business process redesign and documentation as
   needed for new technology.
   - Translates high level business requirements into functional
   specifications for the IT organization and manages changes to such
   specifications.
   - Educates the IT organization on the direction of the business.
   Negotiates agreements and commitments by facilitating communication between
   business unit(s) and IT from initial requirements to final implementation.
   - Possesses an understanding of technological trends and uses this
   knowledge to bring solutions to business units supported to enhance the
   enterprise's competitive edge.
   - May make recommendations for buy versus build decision.

*Objectives to be fulfilled by candidate:*

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

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

   - Analysis of business operations and developing test strategies that
   align with operations
   - Frequent verbal communications with staff and organizational members.
   - Conducting of WebEx meetings to facilitate discussions and decision
   making.
   - Serve as team expert on Claim Adjudication, Waiver Programs, Managed
   Care Organization, Medicaid Policy and related Medicaid topics.
   - Perform leadership type functions such as the management of small
   teams and external vendors Research business rules, requirements, and
   models.
   - Maintain business rules, requirements, and models in a repository.
   - Other project-related duties such as, technical writing, project
   management and/or Test coordination.

*Required skills (rank in order of importance):*

   - 15+ years’ experience in IT projects as a business analyst, project
   manager or organizational leader.
   - 10+ years’ experience eliciting, mining, and documenting business
   rules, processes and operations.
   - 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):*

   - General Subject Matter Expertise as it relates to Medicaid or other
   healthcare insurance experience (project or operations)
   - MMIS experience (project or operations)
   - Medicaid operations experience (project or operations)
   - Microsoft Office Project/Project Server
   - Microsoft Visio or other visual process software

Required Education:

Bachelor’s degree in a technical, business, or healthcare field. Master’s
degree in a technical or business field required.

Required certifications:

At least one professional certification confirmed.

Pre-employment checks?

Criminal record check. Undergraduate degree confirmation, Master’s degree
confirmation and professional certification confirmation





Thanks & Regards

John Hill

Sr. Technical Recruiter

Corpsystems LLC

5400 Laurel Springs Pkwy, Suite 708, Suwanee GA 30024

Office : 404 410 1212 X 104

Fax     : 404 420 2704

Email  : j...@corpsystems.net

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