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MMIS Analytical Skills IT Project Experience Medicaid Benefit Cost Analysis Claims
 
Requirement id 132061
Job title Consultant
Job location in Columbia, SC
Skills required Written And Verbal Communication Skills, Bachelor Of Science Degree, MMIS, Analytical Skills IT Project Experience
Open Date 17-Feb-2022
Close Date
Job type Contract
Duration 12 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Consultant: Written And Verbal Communication Skills, Bachelor Of Science Degree, MMIS, Analytical Skills IT Project Experience

Start Date :03/4/2022

Submission Deadline :02/24/2022

Client Info : Department of Health and Human Services

Note :

* INTERVIEW PROCESS (who will conduct i/v, phone or in-person, how many rounds of i/v)?

Telephone interview conducted by project staff. A video interview may be conducted at the discretion of the hiring manager. This will be communicated via Beeline interview setup process.

* SCHEDULE INTERVIEW: How soon can you schedule an interview (date / times)?

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 rules along with associated artifacts such as requirements and models.

Specific duties include, but are not limited to:
• Familiar with Agile/Waterfall/SDLC Methodology as it relates to day to day work activities
• Develop business rules and requirements via interviews, translation of governing documents and other means
• Conduct JAD Sessions with the Product Owners and business owners
• Must have experience in performing detailed analysis and creating documentation
• Strong user support and interpersonal skills are required.
• Must have strong analytical skills, the ability to think logically, and must be a self-starter able to research and find solutions independently
• Serve as team expert on Claim Adjudication, Reference, Waiver Programs, Business Rules, Provider Enrollment, MITA 3.0, and related topics
• Assist other team members in performing business rules and requirements
• Research and maintain business rules and requirements

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/processes
• Experience using a Requirements Traceability Matrix (RTM)
• Strong analytical skills
• Strong Understanding of State/Commercial Medicaid Claims, Claims Payment Cycle, Waiver Programs and Reference
• Ability to effectively communicate to executive management, program 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.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• MMIS experience (project or operations)

REQUIRED EDUCATION:
Bachelors degree in a technical, business, or healthcare or related field. Years of experience can substitute for formal education.

REQUIRED CERTIFICATIONS:
None required. IIBA certification is preferred.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 132061 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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(Consultant: Written And Verbal Communication Skills, Bachelor Of Science Degree, MMIS, Analytical Skills IT Project Experience in Columbia, SC)
     
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