Hi,
Hope you doing well,

Currently, I am recruiting candidates for one of my requirement as
mentioned below. If you have a matching profile, please send me the updated
resume along with contact details at the earliest.



*Job Title*

HEALTH CARE BUSINESS ANALYST

*Project Location*

Columbia SC

*Duration*

12 months /Contract

* LOOKING SOMEONE WHO CAN DO IN PERSON*
* Skills Required and Job Description:*

DAILY DUTIES / RESPONSIBILITIES:

A replacement Eligibility and Enrollment Member Management Project *Business
Analyst* 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 BA will provide detailed analysis and document business
processes and requirements. The position will conduct and document gap
analysis to determine if the Cứram software meets the business
requirements. The position will assist with user acceptance testing and
identify solutions based on testing results. The position will communicate
concepts for both technical personnel and non-IT business users.

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.
• Participating in the requirements management processes, including change
control, version control, tracking and status reporting, and traceability.
• Providing requirements 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).
• Participating in standup of business operations supporting the
Eligibility and Enrollment Member Management Project.
• Planning for, conducting, and reporting on testing and other quality
assurance activities.
• Other duties as assigned.
Subject matter areas include member related eligibility determination,
enrollment and disenrollment, eligibility inquiry, program policy, and
state plan. Familiarity with the Affordable Care Act and impacts on
Medicaid eligibility and member related processes is also beneficial.

*REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):*
• Strong background and at least four years in social services and/or
healthcare insurance operations (payer or provider side; government or
commercial side).
• At least three years of experience in social services and/or healthcare
insurance IT software/systems implementations
• Minimum of (3) years of experience in business application consulting,
training or development.
• Experience in business process analysis (Use Cases and/or process flows)
and mapping (Gap Analysis) techniques
• Ability to properly document business requirements and business rules.
• Ability to establish and maintain effective working relationships with
customers
• Ability to organize, prioritize and follow complex and detailed procedures
• Capable of performing job with minimal supervision
• Superb written and oral communication 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.

*PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):*
• Experience in Cứram social program management platform
• Medicaid eligibility system/business operations experience
• Knowledge and experience with the BizAgi BPM tools
• Knowledge of healthcare insurance principles and processes
• Medicaid operations experience
• Medicaid Management Information System (MMIS) experience
• Public sector and/or academic environment experience is a plus

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

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