IT - SCDHHS - Business Analyst - Consultant

SUNSHINE ENTERPRISE USA LLC•Columbia, SC

10d•Onsite

About The Position

The Business Analyst will be responsible for evaluating agency needs, analyzing business and technical processes, and providing recommendations for IT and non-technical solutions. The role includes documenting business requirements, supporting process redesign, and acting as a liaison between business units and IT.

Requirements

7+ years experience in commercial healthcare
3+ years experience with State Medicaid payer system integration & delivery
Experience supporting cross-functional project teams
Familiarity with MITA (Medicaid Information Technology Architecture)
Knowledge of data structures, EDI, and file formats
Strong communication skills (oral & written) with stakeholders at all levels
Ability to innovate and improve processes, technology, and methods

Nice To Haves

Medicaid / healthcare insurance expertise
MMIS (Medicaid Management Information Systems) experience
Microsoft Project / Project Server
High attention to detail
Ability to work effectively in a professional and diverse team environment
General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)

Responsibilities

Serve as a liaison between business teams and IT to deliver technical solutions.
Analyze business operations to identify opportunities for automation and improvement.
Document current (“as-is”) and future (“to-be”) business processes.
Translate business requirements into functional specifications.
Facilitate communication between stakeholders from requirements to implementation.
Participate in change management, version control, and status reporting.
Support technical and testing teams with requirements interpretation.
Identify risks, issues, and recommend solutions.
Interact with vendors, state/federal agencies, and internal teams.
Maintain business rules, requirements, and process models in repositories.
Assist with buy vs. build evaluations as needed.