Business Analyst (SME) with MMIS, healthcare/insurance, claims, provider management, ICD-9/ICD-10, X12, affordable care act, medicaid, HIE, business process/data modeling an MITA/MECT experience

IN4991-1

Business Analyst (SME) with MMIS, healthcare/insurance, claims, provider management, ICD-9/ICD-10, X12, affordable care act, medicaid, HIE, business process/data modeling an MITA/MECT experience

Location: Columbia SC

Duration: 12 Months  

Background Checks:

Criminal Record - 7 Year History

Credit Report - 7 Year History

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• Analytics Background required
o Training and experience in statistical analysis and decision support;
o Experience in the analysis and presentation of data in very large health data systems;
o Experience in Medicaid related analytic work; 
o Experience in the design of and use of decision support systems
• 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.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• 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.

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