Senior MMIS Systems Analyst – Medicaid Operations
About The Position
The Senior MMIS Systems Analyst supports Medicaid Management Information System (MMIS) operations under the general supervision of the Bureau Chief of Business Systems Management. The role includes reporting and analytics, systems support, and testing, and serves as a liaison between business programs and IT to develop technical solutions that meet user needs. The analyst develops, retrieves, and distributes reports and datasets for internal and external stakeholders to support monitoring, reconciliation, and operational processing. The role provides operational support for the legacy MMIS and its subsystems, responds to stakeholder inquiries, monitors vendor requests, coordinates business and technical staff, identifies issues for escalation, translates business requests into system requirements, and serves as a subject matter expert on relevant content, processes, and procedures. The position performs complex analysis, design, and testing; reviews and verifies QA and UA results; documents defects for triage and resolution; and proactively identifies risks and potential solutions. It involves collaboration with vendors and other internal and external organizations, including state and federal agencies and providers. The analyst works with MMIS vendor teams on SDLC processes and client-specific COBOL and JCL code library changes, follows standard SDLC processes, and contributes to process improvement.
Requirements
- At least 5 years of Medicaid or healthcare experience, including experience with Medicaid claims and provider operations concepts.
- Proficiency in COBOL.
- At least 5 years of experience operating healthcare mainframe systems for payers as a technical analyst or in related duties.
- At least 3 years of experience with EDI transactions, including managing companion guides.
- Experience working with a Medicaid eligibility or enrollment information system in an operations capacity.
- Understanding of MMIS mainframe capabilities and intricacies.
- Experience with MVS COBOL, JCL, IDMS/NETWORK, CA-ADS, CHANGEMAN, and SAS.
- Bachelor's degree in a technical, business, or healthcare field; alternatively, 7 or more years of equivalent experience in systems analysis or computer systems development/modification.
- Self-motivated and able to learn on the job with little guidance.
- Ability to review job schedules and logs to troubleshoot issues.
- Experience working in a cross-functional team environment.
- Strong written and oral communication skills, including the ability to relay complex technical instructions and requests.
Nice To Haves
- Subject matter expertise in MMIS operations.
- Proficiency in data analysis tools and techniques, such as SAS, Excel, data visualization tools, and statistical analysis software.
- Experience providing clear and concise status reports and other technical or operational reports.
Responsibilities
- Support MMIS operational activities, including reporting, analytics, systems support, and testing.
- Serve as a liaison between business programs and IT to provide technical solutions that meet user needs.
- Develop, retrieve, and distribute reports and datasets for monitoring, reconciliation, and operational processing.
- Provide operational support for the legacy MMIS and its subsystems and respond to business stakeholder requests and inquiries.
- Monitor vendor requests and coordinate between business and technical staff.
- Identify trending issues for escalation to program management and translate business requests into system requirements.
- Serve as a subject matter expert on MMIS content, processes, and procedures.
- Perform complex analysis, design, and testing for MMIS and subsystem users.
- Review and verify QA and UA results, and document issues and defects for triage and resolution.
- Identify risks, issues, and action items proactively and contribute to possible solutions.
- Interact with vendors, state and federal agencies, state providers, and other stakeholders.
- Collaborate with MMIS vendor teams on SDLC processes and client-specific COBOL and JCL program code library changes.
- Follow standard SDLC processes and contribute to ongoing process improvement.
- Communicate technical and operational information clearly to team members, technical teams, stakeholders, and vendors.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
