Business Analyst (MITA) - Contract - Columbia, SC Hybrid

SUNSHINE ENTERPRISE USA LLC•Irmo, SC

21h•Hybrid

About The Position

The organization is executing a large-scale Medicaid Enterprise System (MES) Modernization Program aimed at replacing legacy MMIS systems with a modern, modular, and scalable architecture. The initiative is part of the DASH (Delivery of Automated Systems for Healthcare) program and focuses on improving integration, configurability, and responsiveness to state and federal healthcare requirements. The Business Analyst will play a key role in bridging business operations and IT systems to ensure successful delivery of Medicaid modernization initiatives aligned with MITA (Medicaid Information Technology Architecture) standards. The Business Analyst (MITA) will serve as a liaison between business stakeholders and IT teams, ensuring that business requirements are accurately captured, analyzed, and translated into functional system solutions. The role requires strong knowledge of Medicaid systems, healthcare operations, and large-scale system integration programs. The candidate will support enterprise-level Medicaid transformation efforts by analyzing business processes, improving operational efficiency, and ensuring alignment with federal Medicaid standards.

Requirements

7+ years of experience in commercial healthcare
3+ years of experience in Medicaid payer system integration or MES/MMIS environments
Strong understanding of Medicaid Information Technology Architecture (MITA)
6+ years of experience with data structures, EDI, and healthcare file formats
6+ years of experience in business process analysis and enterprise integration projects
Strong experience working on cross-functional large-scale IT initiatives
Candidate MUST be a SC resident.

Nice To Haves

Experience in large-scale business and technology integration programs
Knowledge of federal certification and Medicaid compliance processes
Experience in project management and enterprise delivery environments
Strong understanding of healthcare business operations and system workflows

Responsibilities

Serve as a liaison between business stakeholders and IT teams, ensuring successful translation of business needs into functional system solutions.
Possess expertise in the business unit(s) supported and understand IT systems and capabilities.
Analyze business operations to identify strengths, weaknesses, and automation opportunities.
Assist in business process redesign and documentation for system enhancements and modernization initiatives.
Translate high-level business requirements into detailed functional specifications for IT teams.
Manage requirement changes throughout the project lifecycle and ensure proper communication of updates.
Educate IT teams on business direction, priorities, and operational needs.
Facilitate communication between business units and IT teams from requirement gathering through implementation.
Apply knowledge of technological trends to recommend solutions that improve enterprise efficiency.
Perform business process analysis, modeling, and performance assessments for assigned projects.
Lead or participate in business design sessions across multiple workstreams and modules.
Advocate for business integration and alignment within MES modernization efforts.
Facilitate cross-functional discussions to resolve business and system-related issues.
Maintain and track key performance indicators (KPIs) to measure project and business alignment progress.
Coordinate priorities and resources across multiple projects and stakeholders.
Provide regular status updates on deliverables, risks, and issues.
Participate in operational and project team meetings and discussions.
Recommend resource adjustments or process improvements to meet deadlines and objectives.
Build and maintain strong relationships with business stakeholders and technical teams.
Ensure project deliverables align with enterprise goals, regulatory requirements, and MITA framework principles.