Home       |     Overview      |     Candidate Login      |     Post Resume       |     Contact us
 
  
     
     
Search Jobs
     
Keywords,Title,Skills,Company  Location,City,State,Zip  
  Advanced Search
     
Healthcare Business Process Analysis Development Experience Analysis And Design Tes
 
Requirement id 10960
Job title Analyst
Job location in Columbia, SC
Skills required Healthcare, Healthcare Insurance Business Operations, Healthcare IT, Business Process Analysis Development Ex
Open Date 07-Sep-2012
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Analyst: Healthcare, Healthcare Insurance Business Operations, Healthcare IT, Business Process Analysis Development Ex

[**Note : Start Date : 09/26/2012**]
[Note: Duration of the project is 12+ Months]
[POSSIBILITY OF EXTENSION: YES]

Description:


SCOPE OF THE PROJECT:
The Replacement Medicaid Management Information System (MMIS) project is one of the largest IT projects for the State. It is a multi-year effort to replace the States aging MMIS, eligibility system, and related applications with a modern, service oriented architecture based system. This project will be very complex and will demand exceptionally high quality team members.
The ICD10 Project prepares the Department for the October 2014 ICD10 Federal mandate.

RESPONSIBILITIES:
A Replacement MMIS and ICD10 Subject Matter Expert (SME) is responsible for evaluating agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The majority of the system development work will be outsourced to vendors and other State organizations.
Duties include:
? Requirements development execution, including the elicitation, analysis, specification and validation.
? Documenting and analyzing agency business processes and recommending improvements.
? Documenting and analyzing data requirements and relationships.
? Participate in the requirements management processes, including change control; version control; tracking and status reporting; and traceability.
? Providing requirement interpretation and guidance to technical and test teams.
? Proactively identifying risks, issues, and action items leading to possible solutions.
? Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders).
? Planning for, conducting, and reporting on testing and other quality assurance activities.
? Other related activities.
Subject matter areas include provider management, member (beneficiary) management/eligibility, claims (professional, institutional, pharmacy, dental, durable medical equipment, transportation, etc.), third party liability, financial management, reimbursement methodology, drug rebate, prior authorization, managed care, behavioralhealth, long-term care, program integrity, electronic health records, benefit plan administration, etc.

REQUIRED SKILLS :
? Strong background and at least six years experience in healthcare insurance business operations (payer or provider side; government or commercial side). Experience in multiple business areas is a plus. Note: IT operations are not the same as business operations.
? At least three years experience in healthcare insurance IT software/systems implementations performing duties described in the “Daily Duties/Responsibilities” section above.
? Ability to properly document business requirements.
? Ability to interpret business process and business data models.
? Vendor management experience.
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.
? Superb written and oral communications 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 t
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 10960 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),
Healthcare job openings in Columbia, SC
Jobs List

Quality Assurance Tester Advanced - 8480-1
Create date: 15-Nov-2018
Start Date :12/11/2018
Submission Deadline :11/22/2018
Client Info :Department of Health and Human Services
Description :




Responsible for performing tests on technical solutions to isolate and solve issues. Initiates tests, analyzes results, and finds solutions to technical probl.... (This job is for - HealthcareDevelopment Jobs in SC Columbia Tester - (in Columbia, SC))

IT Healthcare Business Analyst Consultant - 7921-1
Create date: 14-Mar-2018
Start date : 04/09/2018
Deadline : 03/21/2018
Client : Department of Health and Human Services
Description :



SCOPE OF THE PROJECT:
This project is a multi-year effort which primarily focuses on replacing an aging Medicaid MMIS infrastructure and enhancing the medical coding structure. It is necessary.... (This job is for - Healthcare Business Analyst Jobs in SC Columbia Analyst - (in Columbia, SC))

IT HEALTHCARE CONSULTANT - 7416-1
Create date: 25-May-2017
Start date : 06/05/2017
Deadline : 06/01/2017
Client : Department of Health and Human Services
Description :


SCOPE OF THE PROJECT:
Contractor will be responsible for working with SCDHHS in the following areas:
• RMMIS Organizational Assessment – Contractor must establish an “as is” baseline articulati.... (This job is for - Healthcare Jobs in SC COLUMBIA Consultant - (in Columbia, SC))

IT Healthcare Software Engineer Consultant - 7339-1
Create date: 05-May-2017
Start date : 05/22/2017
Deadline : 05/12/2017
Client : Department of Health and Human Services
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 Determina.... (This job is for - Healthcare Jobs in SC Columbia Engineer - (in Columbia, SC))

Quality Assurance Tester Project Lead - 7268-1
Create date: 30-Mar-2017
Start date : 04/25/2017
Deadline : 04/06/2017
Client : Department of Health and Human Services
Description :


Analyze and test software to ensure that products meet design specifications and are within total quality management limits and standards. Participate actively in the entire software development life cy.... (This job is for - Healthcare Jobs in SC Columbia Tester - (in Columbia, SC))
 
 Healthcare job openings in other states
Jobs List

RFP 24-085 Materials Management Plan Consultant - NSPO
Create date: 19-Sep-2024
Bid URL :https://www.bidnetdirect.com/private/solicitations/4274751306/abstract

Note : Online Submission

Submission deadline : 10/17/2024 12:00 PM MDT

Start date : 11/4/2024

End Date : 11/4/2025

Client : County of Ottawa

Description :

The County of Ottawa, on behalf of the.... (This job is for - Healthcare Management Jobs in MI WestOlive Consultant - (in West Olive, MI))

Health Insurance Mandate Cost-Benefit Analyst-401-24-008-NSP
Create date: 03-Sep-2024
Start date : 10/7/2024

Submission deadline : 09/25/2024 02:00 PM CT

Short Description: The intent of this solicitation is to select a consultant who will be available to support the 69th Legislative Assembly of North Dakota.

Client Info : Insurance Department

Description :
---------------------------.... (This job is for - Healthcare Jobs in ND Bismarck Consultant - (in Bismarck, ND))

Social Worker 2 - 63303
Create date: 03-Sep-2024
No of Submissions :

Start date : 09/10/2024

End Date : 06/30/2025

Submission deadline : 09/10/2024

Client Info : TN DOH

Note:

* Position Location : Hybrid

Description :

The Clinical Care Team will take referrals from primary care providers and will work with t.... (This job is for - Healthcare Education Jobs in TN Cookeville Consultant - (in Cookeville, TN))

DSS IT Security Analyst 2 (743601)
Create date: 27-Aug-2024
No of Submissions : 2

Start date : 09/03/2024

End Date : 09/02/2025

Submission deadline : 8/30/2024

Client Info : DSS

Note:

* Agency Interview Type : Either Phone or In Person

* Hybrid

* Please do not submit candidates previously submitted to 743571.

Healthcare Jobs in VA GlenAllen Analyst - (in Glen Allen, VA))

Business Integration Specialist- Mid Level (743865)
Create date: 19-Aug-2024
No of Submissions : 1

Start date : 09/03/2024

End Date : 09/03/2025

Submission deadline : 08/23/2024

Client Info : NCDHHS-PH

Note:

* Agency Interview Type : Webcam Interview Only

* Hybrid

Description :

Business Integration Specialist Mid

A.... (This job is for - Healthcare Jobs in NC Raleigh Specialist - (in Raleigh, NC))
 
 
(Analyst: Healthcare, Healthcare Insurance Business Operations, Healthcare IT, Business Process Analysis Development Ex in Columbia, SC)
   
 
     
Search Jobs
     
Keywords,Title,Skills,Company  Location,City,State,Zip  
  Advanced Search
     
    About Us     Services    Privacy policy    Legal     Contact us     Copyright JobsInHand.com All Rights Reserved