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- Analyst
(Jobs in Columbia, SC)
 
Requirement id 49043
Job title Analyst
Job location in Columbia, SC
Skills required Healthcare Insurance, Business Process Analysis, -,
Open Date 12-Oct-2015
Close Date
Job type Not specified
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: Healthcare Insurance, Business Process Analysis, -,

Description:


The Eligibility and Enrollment Member Management Project is one of the largest IT projects for the State of South Carolina. It is a multi-year effort to replace the States aging Medicaid Eligibility Determination System and other member management applications with a with a multi-tier application environment that requires modern technologies, technical practices and substantial collaboration with a variety of stakeholders. This system will primarily be a commercial-off-the-shelf (COTS) framework that will be configured/implemented by the State in partnership with Clemson University. SC uses the social program management platform from IBM C?ram in the provision of services. This software combines the advantages of commercial off-the-shelf software, an enterprise platform and service-oriented architecture with the business and technical flexibility required to implement solutions to meet agency objectives.


Required Skills:


• Strong background and at least four years in social services and/or healthcare insurance operations (payer or provider side; government or commercial side).
• At least three years of experience in social services and/or healthcare insurance IT software/systems implementations
• Minimum of (3) years of experience in business application consulting, training or development.
• Experience in business process analysis (Use Cases and/or process flows) and mapping (Gap Analysis) techniques
• Ability to properly document business requirements and business rules.
• Ability to establish and maintain effective working relationships with customers
• Ability to organize, prioritize and follow complex and detailed procedures
• Capable of performing job with minimal supervision
• Superb written and oral communication skills, including the ability to give presentations to executive management. Strong proficiency in English is required
• Impeccable integrity. This project will have very high visibility and will impact significant expenditures of public funds. Candidates must be confident with their abilities to make correct decisions and the courage to speak out when necessary.
• Willingness and ability to effectively engage with people and organizations on a continuous basis.


Desired Skills:


* • Experience in Curam social program management platform
• Medicaid eligibility system/business operations experience
• Knowledge and experience with the BizAgi BPM tools
• Knowledge of healthcare insurance principles and processes
• Medicaid operations experience
• Medicaid Management Information System (MMIS) experience
• Public sector and/or academic environment experience is a plus



REQUIRED EDUCATION:

* Bachelors degree in a technical, business, or related field.



Background Checks:

* Criminal Record - 7 Year History
* Credit Report - 7 Year History
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 49043 while calling.
 
Other jobs in SC: Beaufort (1), Blythewod (2), Blythewood (3), Charleston (17), Columbia (37), Greenville (4), Hartsville (2), North Charleston (2), Overland Park (1), San Francisco (1), SENECA (4), South Carolina (1), Spartanburg (3), Unknown (2),
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(Analyst: Healthcare Insurance, Business Process Analysis, -, in Columbia, SC)
     
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