Business Analyst Business Modeling Medicaid Healthcare Analyst (Jobs in Columbia   Requirement id 74944 Job title Analyst Job location in Columbia, SC Skills required Business Analyst, Verbal Communication, Written Communication Skills, Business Modeling Medicaid Healthcare Open Date 31-Oct-2018 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Analyst: Business Analyst, Verbal Communication, Written Communication Skills, Business Modeling Medicaid Healthcare Start Date :11/29/2018 Submission Deadline :11/07/2018 Description : SCOPE OF THE PROJECT: The Replacement MMIS project is among the most complex IT projects taken on by the States Department of Health and Human Services. This project is a multi-year effort to replace many of the States aging Medicaid systems with modern technologies and supporting business operations. OBJECTIVES TO BE FULFILLED BY CANDIDATE: The principal duties of this position are to develop and maintain business requirements with associated artifacts such as requirements plans, process flows, and other models as needed. Daily work will concentrate on these work streams: • Member • Provider • Claims • Prior Authorization • Finance These work streams will support the following modules for RMMIS: • Business Intelligence System • Administrative Services Organization (ASO) for Fee for Service (FFS) claims • Pharmacy Benefits Administrator (PBA) • Dental Administrative Services Organization (DASO) • Accounting and Finance • Third Party Liability (TPL) • System Integration and Operations (SIOPS) • Technology Framework (Integration Hub, Portal and Enterprise Data Services) • RMMIS Program Management Specific duties include, but are not limited to: • Plan, elicit, capture, analyze and validate business, functional and technical requirements. • Facilitate requirements elicitation sessions and walkthroughs with business and IT resources. • Collaborate with departments to identify, document and communicate business needs and provide solutions. • Develop business rules via interviews, translation of governing documents and other means. • Conduct JAD Sessions with Product Owners • Partner with business owners on requirements development and project collaboration • Assist other team members in performing business rules, requirements, and modeling duties. • Research business rules, requirements, and models. • Use case development • Requirements traceability REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 8+ years experience in government IT projects as a business analyst or related duties • 6+ years experience eliciting, mining, and documenting business rules • General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations) • Firm understanding of health care payer business process • Strong understanding of business modeling techniques • Integrated healthcare delivery from member enrollment though to claims payment • Business operations experience in member enrollment though to claims payment • Ability to effectively communicate to executive management, line management, project management, and team members. • Experience and ability to obtain business rules and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents. • Superb written and oral communications skills, including the ability to write requirements and Use Cases.   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 74944 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), Business Analyst job openings in Columbia, SC Jobs List Business Analyst - Advanced - 11426-1 Create date: 21-Oct-2024 Candidate Submission Limit Per Supplier : 2 Start date : 11/18/2024 Submission deadline : 10/28/2024 Client Info : Department of Health and Human Services Note : Q) INTERVIEW PROCESS(who will conduct i/v, phone or in-person, how many rounds of i/v)? A) The interviews will be conduct.... 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