Healthcare Systems Analyst

SMART TECH SKILLS LLC•Columbia, SC

15h•Hybrid

About The Position

The Business Analyst Consultant supports a multi-year enterprise systems modernization program to replace a state healthcare agency's legacy Medicaid Management Information System (MMIS) and related core applications. Operating within a modular, incremental modernization framework, this role serves as a key liaison between the business community and the IT organization. The consultant collaborates closely with Program Managers, Lead Project Managers, and cross-functional teams to design technical solutions, evaluate business processes, and align implementations with both state and federal requirements. This is a 12-month hybrid contract opportunity with a possibility of extension, requiring mandatory state-level criminal, credit, and E-Verify background screenings.

Requirements

7 or more years of experience working in the commercial healthcare industry.
3 or more years of experience supporting state Medicaid payer system integration, delivery, and modernization programs.
3 or more years of familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles.
6 or more years of familiarity with standard data structures, Electronic Data Interchange (EDI), healthcare file formats, and processing methodologies.
6 or more years of comprehensive knowledge of business processes, operational methods, administrative procedures, and modern technologies.
6 or more years of experience managing the inner workings and dependencies of complex, cross-functional projects.
Bachelor's degree in a technical, business, or healthcare-related field (or 7 or more years of equivalent professional experience in systems analysis or system delivery).
Ability to successfully pass mandatory state-level background screenings, including criminal, credit, and E-Verify checks, and sign an agency confidentiality agreement.
Exceptional written and verbal communication skills, with the ability to lead dynamic discussions and deliver technical presentations.
High precision and exceptional attention to detail in document generation and system design.
Strong interpersonal skills with a proven track record of building positive stakeholder relationships and proactively addressing specific client needs.
Ability to work productively within a professional, diverse office environment alongside a large team of distributed stakeholders.

Nice To Haves

6 or more years of experience driving large-scale business and technology integration initiatives.
6 or more years of experience working with Federal Certification requirements and public sector systems validation processes.
6 or more years of professional project management experience in a highly structured, enterprise IT environment.

Responsibilities

Perform detailed business process analysis, operational reviews, and system performance assessments across assigned work streams.
Lead structured business design sessions to evaluate operations, identify process bottlenecks, and determine opportunities to automate functional workflows.
Translate high-level business goals and requirements into detailed functional specifications, managing technical changes to those specifications.
Support complex data configuration within core platform modules to ensure scalability, flexibility, and alignment with enterprise modernization goals.
Act as the primary liaison between business verticals and the IT organization to successfully align user needs with technical capabilities.
Lead cross-functional meetings to produce integrated business designs that harmonize system functionality across various application modules.
Coordinate priority queues, resource allocations, and operational dependencies across multiple concurrently running technical projects.
Facilitate structured conflict resolution and collaborative sessions to resolve project bottlenecks, risks, and issue blocks.
Train, mentor, and guide project team members in delivering high-quality business solutions that meet the overall organizational strategy.
Educate IT stakeholders, systems developers, and engineering partners on the strategic direction and operational needs of the business.
Research and analyze emerging technology trends, leveraging this knowledge to suggest innovative solutions that enhance the agency's operational capabilities.
Create, monitor, and maintain key performance indicators (KPIs) to track and report on project progress toward integration milestones.