DIRECT CLIENT // Business Analyst with MMIS

2016-11-17 Thread Direct Client Recruiter
Very urgent DIRECT CLIENT OPENING. *Please send resume at ds...@dsscorp.com
*

Role: Business Analyst with MMIS
Location:  Little Rock, AR  72202
Duration: 6 Months

Required / Desired Skills
Medicaid System Experience - Required 7 Years
Healthcare Claims Experience - Required 7 Years
IT Program/Project Management - Required 8 Years
Full Lifecycle Program Management - Required 8 Years
Multiple Concurrent Projects - Required 8 Years
Developing Testing Strategy - Required 6 Years
Superior Presentation Skills - Required
Excellent Communication Skills - Required
PMP Certification from PMI - Required

Thank you,
David Shah
ds...@dsscorp.com

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DIRECT CLIENT // Business Analyst with MMIS

2016-09-21 Thread Direct Client Recruiter
Very urgent DIRECT CLIENT OPENING. *Please send resume at ds...@dsscorp.com
*

Role: Business Analyst with MMIS
Location: Harrisburg, PA
Duration: 8+ months

*Rate: $30/hr on C2C*

The Business Analyst is responsible for the set of tasks and techniques
used to work as a liaison among stakeholders in order to understand the
structure, policies, and operations of an organization, and to recommend
solutions that enable the organization to achieve its goals.

Role Description:
• Experience conducting Facilitated Workshops for requirements analysis.
• Experience creating workflows using formal notation such as the Business
Process Modeling Notation (BPMN).
• Knowledge of formal requirements gathering methodologies.
• Experience developing Business Requirements - project initiation
document, what the needed achievements will be, and the quality measures.
• Experience developing Functional requirements - describe what the system,
process, or product/service must do in order to fulfill the business
requirements.
• Experience developing User (stakeholder) requirements - are a very
important part of the deliverables, the needs of the stakeholders will have
to be correctly interpreted. This deliverable can also reflect how the
product will be designed, developed, and define how test cases must be
formulated.
• Experience developing Quality-of-service (non-functional) requirements -
requirements that do not perform a specific function for the business
requirement but are needed to support the functionality.  For example:
performance, scalability, quality of service (QoS), security and usability.
• Experience developing Report Specifications - define the purpose of a
report, its justification, attributes and columns, owners and runtime
parameters.
• Experience developing Requirements Traceability Matrix - a cross matrix
for recording the requirements through each stage of the requirements
gathering process.
• Strong organization and writing skills.
• Experienced developing graphic representations of complex business
processes.

Required / Desired Skills
Experience with MMIS systems - Required 2 Years
Experience with Medicaid programs - Required 2 Years
Applied analytical skills - Required 2 Years
Strong written and verbal communication skills - Required 2 Years
Proficiency in Microsoft Project and Microsoft Office Suite, including
Access, Excel, Power Point and Word - Required 2 Years
Ability to facilitate executive level meetings and/or presentations -
Required 2 Years
Working knowledge of Medicaid Management Information Systems - Required 2
Years
Excellent organizational skills - Required 2 Years
Experience with large scale IT implementations having year or longer
timeframes - Required 2 Years
Ability to multi-task in a fast-paced environment - Required 2 Years

Thank you,
David Shah
ds...@dsscorp.com

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DIRECT CLIENT // Business Analyst with MMIS

2016-09-21 Thread Direct Client Recruiter
Very urgent DIRECT CLIENT OPENING. *Please send resume at ds...@dsscorp.com
*

Role: Business Analyst with MMIS
Location: Harrisburg, PA
Duration: 8+ months

*Rate: $30/hr on C2C*

The Business Analyst is responsible for the set of tasks and techniques
used to work as a liaison among stakeholders in order to understand the
structure, policies, and operations of an organization, and to recommend
solutions that enable the organization to achieve its goals.

Role Description:
• Experience conducting Facilitated Workshops for requirements analysis.
• Experience creating workflows using formal notation such as the Business
Process Modeling Notation (BPMN).
• Knowledge of formal requirements gathering methodologies.
• Experience developing Business Requirements - project initiation
document, what the needed achievements will be, and the quality measures.
• Experience developing Functional requirements - describe what the system,
process, or product/service must do in order to fulfill the business
requirements.
• Experience developing User (stakeholder) requirements - are a very
important part of the deliverables, the needs of the stakeholders will have
to be correctly interpreted. This deliverable can also reflect how the
product will be designed, developed, and define how test cases must be
formulated.
• Experience developing Quality-of-service (non-functional) requirements -
requirements that do not perform a specific function for the business
requirement but are needed to support the functionality.  For example:
performance, scalability, quality of service (QoS), security and usability.
• Experience developing Report Specifications - define the purpose of a
report, its justification, attributes and columns, owners and runtime
parameters.
• Experience developing Requirements Traceability Matrix - a cross matrix
for recording the requirements through each stage of the requirements
gathering process.
• Strong organization and writing skills.
• Experienced developing graphic representations of complex business
processes.

Required / Desired Skills
Experience with MMIS systems - Required 2 Years
Experience with Medicaid programs - Required 2 Years
Applied analytical skills - Required 2 Years
Strong written and verbal communication skills - Required 2 Years
Proficiency in Microsoft Project and Microsoft Office Suite, including
Access, Excel, Power Point and Word - Required 2 Years
Ability to facilitate executive level meetings and/or presentations -
Required 2 Years
Working knowledge of Medicaid Management Information Systems - Required 2
Years
Excellent organizational skills - Required 2 Years
Experience with large scale IT implementations having year or longer
timeframes - Required 2 Years
Ability to multi-task in a fast-paced environment - Required 2 Years

Thank you,
David Shah
ds...@dsscorp.com

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DIRECT CLIENT // Business Analyst with MMIS

2016-06-09 Thread Direct Client Recruiter
Very urgent DIRECT CLIENT OPENING. *Please send resume at ds...@dsscorp.com
*

Role: Business Analyst with MMIS
Location: Harrisburg, PA
Duration: 12 Months

*Rate: $30/hr on C2C*

The Business Analyst is responsible for the set of tasks and techniques
used to work as a liaison among stakeholders in order to understand the
structure, policies, and operations of an organization, and to recommend
solutions that enable the organization to achieve its goals.

Role Description:
Experience conducting Facilitated Workshops for requirements analysis.
Experience creating workflows using formal notation such as the Business
Process Modeling Notation (BPMN).
Knowledge of formal requirements gathering methodologies.
Experience developing Business Requirements - project initiation document,
what the needed achievements will be, and the quality measures.
Experience developing Functional requirements - describe what the system,
process, or product/service must do in order to fulfill the business
requirements.
Experience developing User (stakeholder) requirements - are a very
important part of the deliverables, the needs of the stakeholders will have
to be correctly interpreted. This deliverable can also reflect how the
product will be designed, developed, and define how test cases must be
formulated.
Experience developing Quality-of-service (non-functional) requirements -
requirements that do not perform a specific function for the business
requirement but are needed to support the functionality.  For example:
performance, scalability, quality of service (QoS), security and usability.
Experience developing Report Specifications - define the purpose of a
report, its justification, attributes and columns, owners and runtime
parameters.
Experience developing Requirements Traceability Matrix - a cross matrix for
recording the requirements through each stage of the requirements gathering
process.
Strong organization and writing skills.
Experienced developing graphic representations of complex business
processes.

Required / Desired Skills
Experience with MMIS systems
Experience with Medicaid programs
Applied analytical skills
Strong written and verbal communication skills
Proficiency in Microsoft Project and Microsoft Office Suite, including
Access, Excel, Power Point and Word
Ability to facilitate executive level meetings and/or presentations
Working knowledge of Medicaid Management Information Systems
Excellent organizational skills
Experience with large scale IT implementations having year or longer
timeframes
Ability to multi-task in a fast-paced environment

Thank you,
David Shah
ds...@dsscorp.com

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DIRECT CLIENT // Business Analyst W/ MMIS

2016-06-09 Thread Peter Smith
I have a very urgent DIRECT CLIENT requirement for *Business Analyst W/
MMIS* in *Harrisburg, PA*. 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 pe...@cncconsulting.com

Job Title: Business Analyst W/ MMIS
Location: Harrisburg, PA
Duration: 12 Months
*Rate: $35-40/hr on c2c max.*

The Business Analyst is responsible for the set of tasks and techniques
used to work as a liaison among stakeholders in order to understand the
structure, policies, and operations of an organization, and to recommend
solutions that enable the organization to achieve its goals.

Role Description:
Experience conducting Facilitated Workshops for requirements analysis.
Experience creating workflows using formal notation such as the Business
Process Modeling Notation (BPMN).
Knowledge of formal requirements gathering methodologies.
Experience developing Business Requirements - project initiation document,
what the needed achievements will be, and the quality measures.
Experience developing Functional requirements - describe what the system,
process, or product/service must do in order to fulfill the business
requirements.
Experience developing User (stakeholder) requirements - are a very
important part of the deliverables, the needs of the stakeholders will have
to be correctly interpreted. This deliverable can also reflect how the
product will be designed, developed, and define how test cases must be
formulated.
Experience developing Quality-of-service (non-functional) requirements -
requirements that do not perform a specific function for the business
requirement but are needed to support the functionality.  For example:
performance, scalability, quality of service (QoS), security and usability.
Experience developing Report Specifications - define the purpose of a
report, its justification, attributes and columns, owners and runtime
parameters.
Experience developing Requirements Traceability Matrix - a cross matrix for
recording the requirements through each stage of the requirements gathering
process.
Strong organization and writing skills.
Experienced developing graphic representations of complex business
processes.

Experience with MMIS systems Required2Years
Experience with Medicaid programs Required2Years
Applied analytical skills Required2Years
Strong written and verbal communication skills Required2Years
Proficiency in Microsoft Project and Microsoft Office Suite, including
Access, Excel, Power Point and Word Required2Years
Ability to facilitate executive level meetings and/or presentations
Required2Years
Working knowledge of Medicaid Management Information Systems Required2Years
Excellent organizational skills Required2Years
Experience with large scale IT implementations having year or longer
timeframes Required2Years
Ability to multi-task in a fast-paced environment Required2Years

Thanks

Peter Smith
Direct: 201-546-3164
Email ID: pe...@cncconsulting.com

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DIRECT CLIENT // Business Analyst w/MMIS

2014-06-10 Thread IT staffing
I have a very urgent DIRECT CLIENT requirement for *Business Analyst w/MMIS
*in 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 r...@cncconsulting.com

Job Title: Business Analyst w/MMIS
Location: Columbia, SC
Duration: 12 Months
Client: State of SC/# 5565

SCOPE OF THE PROJECT:
The Replacement Medicaid Management Information System (MMIS) project is
one of the largest IT projects for the State of South Carolina. It is a
multi-year effort to replace the State’s aging MMIS, eligibility system,
and related applications with a modern, service oriented architecture based
system. This project will be very complex and will demand exceptionally
high quality team members

DAILY DUTIES / RESPONSIBILITIES:
A Replacement MMIS Business Analyst (BA) is responsible for evaluating
agency needs, as-is and to-be business processes, and technical designs to
provide analysis and advice on strategies for information technology
solutions and non-technical solutions. The majority of the system
development work will be outsourced to vendors and other State
organizations.

Duties include:
Requirements development execution, including the elicitation, analysis,
specification and validation.
Documenting and analyzing agency business processes and recommending
improvements.
Documenting and analyzing data requirements and relationships.
Participate in the requirements management processes, including change
control; version control; tracking and status reporting; and traceability.
Providing requirement interpretation and guidance to technical and test
teams.
Proactively identifying risks, issues, and action items leading to possible
solutions.
Interacting with internal and external organizations (i.e. vendors, State
and Federal government agencies, State providers and beneficiaries, and
other stakeholders).
Planning for, conducting, and reporting on testing and other quality
assurance activities.
Other related activities.

Subject matter areas include: provider management, member (beneficiary)
management/eligibility, claims (professional, institutional, pharmacy,
dental, durable medical equipment, transportation, etc.), third party
liability, claims payment, and State budget assignments, financial
management, provider reimbursement methodology, drug rebate, prior
authorization, managed care, behavioral health, long-term care, program
integrity, electronic health records, benefit plan administration, etc.
Familiarity with X12 EDI transactions, and the Affordable Care Act and it
impacts on Medicaid eligibility and health insurance exchanges is also
beneficial.

EXPERIENCE REQUIRED?
Experience with Claims Payment and Financial systems
Experience with Medicaid budget assignments and financial general ledger
reporting
Strong background and at least six years experience in healthcare insurance
business operations (payer or provider side; government or commercial
side). Note: IT operations are not the same as business operations.
At least four years experience in healthcare insurance IT software/systems
implementations performing duties described in the “Daily
Duties/Responsibilities” section above.
Ability to properly document business requirements.
Ability to interpret business process and business data models.
Vendor management experience –
Superb written and oral communications skills, including the ability to
give presentations to executive management. Strong proficiency in English
is required.
Impeccable integrity. This project will have very high visibility and will
impact significant expenditures of public funds. Candidates must be
confident with their abilities to make correct decisions and the courage to
speak out when necessary.
Willingness and ability to effectively engage with people and organizations
on a continuous basis.
Agile, waterfall, SDLC, PLC
Requirements gathering experience

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
Understanding of the Medicaid Information Technology Architecture (MITA).
Understanding of the Medicaid Enterprise Certification Toolkit (MECT).
Experience in an outsourced healthcare insurance operations environment.
Experience on an outsourced IT development project.
Experience in creating business process and business data models.
Public sector procurement experience is a plus.

REQUIRED EDUCATION:
Bachelor’s degree.

Thanks,

Raj Chouhan - IT Recruiter
201-546-3479Phone
r...@cncconsulting.com

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DIRECT CLIENT // Business Analyst w/MMIS

2014-06-06 Thread IT staffing
I have a very urgent DIRECT CLIENT requirement for *Business Analyst w/MMIS
*in 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 r...@cncconsulting.com

Job Title: Business Analyst w/MMIS
Location: Columbia, SC
Duration: 12 Months
Client: State of SC/DHHS/# 5564

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.

Thanks,

Raj Chouhan - IT Recruiter
201-546-3479Phone
r...@cncconsulting.com

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DIRECT CLIENT // Business Analyst w/MMIS (3 positions)

2014-06-06 Thread Sunny Roy
I have a very urgent DIRECT CLIENT requirement for Business Analyst w/MMIS
(3 positions) in 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 (3 positions)
Location: Columbia, SC
Duration: 12 Months

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.

Thanks,

Sunny Roy
480-463-3006  Phone
su...@cncconsulting.com

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DIRECT CLIENT // Business Analyst w/MMIS/Public Sector

2014-03-21 Thread IT staffing
I have a very urgent DIRECT CLIENT requirement for *Business Analyst
w/MMIS/Public Sector *in 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 r...@cncconsulting.com

Job Title: Business Analyst w/MMIS/Public Sector
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,

Raj Chouhan - IT Recruiter
201-546-3479Phone
r...@cncconsulting.com

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DIRECT CLIENT // Business Analyst w/MMIS (8 positions)

2014-03-21 Thread Sunny Roy
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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DIRECT CLIENT \\ Business Analyst w/MMIS/Public Sector (8 positions) \\ Columbia, SC.

2014-03-21 Thread albert smith
I have a very urgent DIRECT CLIENT requirement for Business Analyst
w/MMIS/Public Sector in 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 alb...@cncconsulting.com
alb...@cncconsulting.com*

Job Title: Business Analyst w/MMIS/Public Sector (8 positions)
Location: Columbia, SC
Duration: 12 Months
Direct Client Position
Client: State of SC

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,

*Albert Smith*
201-546-3254201-546-3254201-546-3254201-546-3254201-546-3254201-546-3254
201-546-3254224-764-8408224-764-8408224-764-8408224-764-8408224-764-8408
224-764-8408Phone
alb...@cncconsulting.com
Call
Send SMS
Add to Skype
You'll need Skype CreditFree via Skype

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DIRECT CLIENT// Business Analyst w/MMIS/BPM

2013-10-18 Thread Raj Chouhan
I have a very urgent DIRECT CLIENT requirement for Business Analyst
w/MMIS/BPM in 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 r...@cncconsulting.com
  *
Job Title: Business Analyst w/MMIS/BPM
Location: Columbia, SC
Duration:12 Month

Note: Healthcare/MMIS experience preferable – must be strong in BPM, must
show it in resume.
Client: State of SC

Business Analyst is responsible for understanding the State’s current
capacity and history in developing business requirements for the
development and maintenance of its MMIS/MEDS systems and then assisting the
State in developing a framework, approaches, and processes to shift its
requirements work away from lengthy documents toward succinct well-designed
Business Process Models. Additionally, the Consultant will assist the State
in developing Business Rules in a way that can be easily adapted to modern
commercial rules engines and structured in a manner that is scalable and
sustainable. The consultant will work with the team’s business owners,
software developers, and transformation team to meet these goals.

Duties and skills to include:
Knowledge of business processes
Ability to have a business-oriented vision
Improvement of business and engineering processes
Strategic planning
Case development
Business writing
Assessing the current status of business process modeling (BPM) and
requirements development on this major project
Developing processes, standards, and strategies for development of BPMs
Educating and training team members in effective BPM development
Developing processes, standards, and strategies for development of “rules”
Educating and training team members in effective “rule” development
Other duties as assigned.

We are seeking a consultant who has significant practical experience with
the development of BPMs and rules as a modern alternative to traditional
requirements documentation. This consultant will assist the team in
transitioning toward a significant process transformation and through this
effort work closely with business owners, business analysts, and our
development team to implement a strategy that will lead to a successful
project while also making a significant impact on the culture and approach
to software development and system implementation. The successful candidate
will recognize that the changes contemplated in this project are much more
significant than just the system/technology changes and be able to assist
the project’s leadership in facilitating material change to organizational
culture, processes and systems/technology

Database Platforms  Agile  Yes
Documentation/Language  Business Process Modeling (BPM)  Yes
Documentation/Language  Business writing  Yes
Education  College Degree  Yes
Education  Educating and Training  No
Education  Medicaid Management Information System (MMIS) experience
No
Miscellaneous  Case development  Yes
MMIS - Medicaid Management Information System  Healthcare Insurance
Operations  No
MMIS - Medicaid Management Information System  Medicaid eligibility
system/business operations  No
Program Management  Software Development Lifecycle - SDLC  Yes
Program Management  Business Activity Monitoring (BAM)  No
Programming Languages  BizAgi BPM Tools  No
Software Framework  Commercial-Off-The-Shelf (COTS) Framework  No
Software Framework  IBM Curam framework  No
Specialties  Technical  Yes
Specialties  Product Vision/Management  No
Specialties  Public sector and/or academic environment

Thanks,

*Raj Chouhan*
720-789-5728 Phone
r...@cncconsulting.com

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