MMIS Systems Analyst - Contract - Columbia, SC

SUNSHINE ENTERPRISE USA LLC•Columbia, SC
•Hybrid

About The Position

The Senior MMIS Systems Analyst will support the Medicaid Management Information System (MMIS) team’s operational activities, including reporting and analytics, system support, requirements analysis, and testing. The role serves as a liaison between business programs and IT teams, translating business needs into technical requirements and coordinating with vendors and technical stakeholders. The consultant will support legacy MMIS systems and subsystems, including mainframe applications and related COBOL and JCL programs. The position requires Medicaid or healthcare domain knowledge, hands-on COBOL experience, and familiarity with healthcare payer mainframe systems and EDI transactions. The assignment is a 12-month contract based in Columbia, South Carolina, with a hybrid schedule of three days in the office and two days remote. Candidates must be South Carolina residents or willing to relocate to South Carolina before starting at their own expense.

Requirements

  • At least 5 years of Medicaid or healthcare experience, including knowledge of Medicaid claims and provider operations concepts.
  • Proficiency in COBOL programming.
  • At least 5 years of experience operating healthcare mainframe systems for payers in a technical analyst or related role.
  • At least 3 years of experience with EDI transactions, including management of companion guides.
  • Experience working operationally with Medicaid eligibility and/or enrollment information systems.
  • Understanding of MMIS mainframe capabilities and technical complexities.
  • Experience with MVS COBOL, JCL, IDMS/NETWORK, CA-ADS, CHANGEMAN, and SAS.
  • Bachelor's degree in a technical, business, or healthcare-related field.
  • Must be a South Carolina resident or willing to relocate to South Carolina before starting at their own expense.

Nice To Haves

  • Subject matter expertise in MMIS operations.
  • Proficiency with data analysis tools and techniques, including SAS, Microsoft Excel, data visualization tools, and statistical analysis software.
  • Experience preparing clear and concise status reports and technical or operational reports.

Responsibilities

  • Serve as a liaison between business programs and IT teams to identify user needs and provide technical solutions.
  • Translate business requests and operational requirements into system requirements and technical requests.
  • Perform complex analysis, system design, and testing to meet MMIS user requirements.
  • Serve as a subject matter expert for assigned system content, processes, and procedures.
  • Coordinate with vendors, state and federal government agencies, healthcare providers, and other organizations.
  • Develop, retrieve, and distribute reports and datasets to internal and external stakeholders.
  • Support monitoring, reconciliation, and operational processing through reporting and analytics.
  • Provide technical and operational reports to support business activities.
  • Use data analysis tools and techniques to investigate issues and support operational decisions.
  • Provide operational support for legacy MMIS systems and associated subsystems.
  • Receive and respond to requests and inquiries from business stakeholders.
  • Monitor vendor requests and coordinate activities between business and technical teams.
  • Identify recurring issues and trends and escalate them to program management when necessary.
  • Review job schedules and system logs to troubleshoot operational issues.
  • Support MMIS mainframe capabilities and related operational processes.
  • Perform system analysis, design, and testing activities.
  • Review and verify Quality Assurance (QA) and User Acceptance (UA) results as assigned.
  • Document issues and defects for triage, tracking, and resolution.
  • Proactively identify risks, issues, and action items and recommend possible solutions.
  • Collaborate with MMIS vendor teams to support Software Development Life Cycle (SDLC) processes.
  • Support agency-specific code library changes to COBOL and JCL programs.
  • Work with relevant mainframe technologies and tools.
  • Follow established SDLC processes and contribute to continuous process improvement.
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