Job Description :
SCDHHS is the State Medicaid Agency for South Carolina. The overarching project is focused on the replacement of the State’s Medicaid Management Information System (MMIS

The replacement of the MMIS (RMMIS) program will be incremental and modular in nature with a focus on configurable and scalable integrations, which allow for more flexibility and reduces time and cost necessary to respond to federal and state enhancements.

The sub-project this position will work on is Accounting and Finance which deals with the payment of medical, pharmacy, dental and MCO payments as well as other financial processing through the State SAP solution, SCEIS.

The current payment process involves payment processing in the current legacy MMIS, and processing through a variety of non-integrating and manual processes. A key strategy of the RMMIS project is to remove these inefficiencies and transition all Medicaid payments to the State of SC SAP solution, SCEIS.

This position will represent the department’s Chief Financial Officer (CFO) in the Accounting and Finance sub-project by providing expertise in business analytics and draw from experience in previous financial SAP implementations.

DAILY DUTIES / RESPONSIBILITIES:
The Accounting and Finance Business Analyst will work with the RMMIS Project Director and the implementation vendor to ensure the claim solutions are coordinated with the Accounting and Finance solution. This position will serve as the CFO representative on the Accounting and Finance sub-project.

This analyst will also provide leadership expertise in the following areas:
Accounting Standards
SCEIS

Duties include:
Serve as subject matter expert, ensuring project meets the goals and objectives of the business owner, the agency Chief Financial Officer (CFO)
Coordinate related business transformation activities needed with the CFO and other key staff
Coordinate project tasks and activities with the project manager
Provide project scheduling support as needed
Build positive relationships with team members and vendor staff
Participate in financial and claims business design sessions within assigned modules and work streams
Advocate and lead business analysis in support of the Accounting and Finance project and its related impacts to the Medicaid claims payments
Provide updates on status and issues to the CFO
Participate in scheduled operational meetings and routine team leads meetings
Participate in cross-functional meetings and produce business designs that integrate functionality across modules
Provide recommendations of appropriate resources if necessary to ensure assignments are completed within given time and budget.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
At least ten years of accounting experience
At least five years of experience in major SAP financial implementations
Interest, skill and ability to innovate including business processes, methods/procedures, and technology.
Ability to effectively work and communicate, in both oral and written, with all levels of the agency from frontline workers to Executive Staff as well as the Contractor(s
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.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
Integrations with Medicaid or other Government operations
Project management
Knowledge of Federal Certification requirements and processes is preferable.
Familiarity with standard MMIS data structures, electronic data interchange, processes and related file formats.
Experience in State Medicaid payer system integration and delivery
Healthcare IT

EDUCATION: Bachelor Degree, preferred

REQUIRED CERTIFICATIONS: Certified Public Accountant (CPA)
             

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