Systems Analyst - Consultant

Lumen Solutions Group Inc.Columbia, SC
Remote

About The Position

This role involves systems analysis and modification within the healthcare sector, specifically focusing on Medicaid systems. The consultant will leverage their technical and operational expertise to support client needs, requiring proficiency in Mainframe systems, COBOL programming, and EDI transactions. The position demands a strong understanding of MMIS capabilities and healthcare operations, with an emphasis on Medicaid claims and provider operations.

Requirements

  • Bachelor’s degree in a technical, business, or healthcare field, or 3+ years of equivalent experience in systems analysis and/or computer systems development/modification.
  • 3+ years of Medicaid or healthcare experience (experience working with Medicaid claims and provider operations concepts).
  • Proficient in COBOL programming language.
  • 3+ years of experience operating healthcare Mainframe systems for payers as a technical analyst or related duties.
  • 3+ years of experience with EDI transactions, including managing companion guides.
  • Understanding of MMIS capabilities and intricacies.
  • Experience working with a Medicaid eligibility and/or enrollment information system in an operations capacity.

Nice To Haves

  • Subject Matter Expertise as it relates to MMIS Operations.
  • Proficient in data analysis tools and techniques, such as SAS, Excel, data visualization tools, and statistical analysis software.
  • Experience providing status reports and other technical or operational reports in a clear and concise manner.

Responsibilities

  • Perform systems analysis and modification.
  • Operate healthcare Mainframe systems for payers as a technical analyst.
  • Manage EDI transactions, including companion guides.
  • Utilize expertise in MMIS capabilities and intricacies.
  • Work with Medicaid eligibility and/or enrollment information systems in an operations capacity.

Benefits

  • Access to a virtual desktop set up (software) will be provided by Lumen’s client, allowing the user access to the required systems and technology.
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