Position - Health Care BA
Interview Process:1 round - virtual
Duration of the Contract: 12 months
Possibility for Extension: Yes
Work Location: Hybrid (1 day remote per week) & Candidate must be a CURRENT SC resident. No relocation allowed.
COMPANY / DEPARTMENT CULTURE (why do you enjoy working for the company – selling points for
potential candidates):
The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid
Agency for South Carolina. This program is focused on the replacement of the State’s Medicaid
Management Information System (MMIS). The program is a major undertaking for SCDHHS and
requires major transformation of culture, processes and technology. This program also supports
the Department’s transition from primarily a fee-for-service payor of claims towards a program
and policy driver for health outcomes primarily through managed care programs. The project’s
strategy supports significant innovation in MMIS thinking and mindset and is aligned with MMIS
innovation at the national level as well.
WHY IS THIS POSITION OPEN (new role, increased work load, new dept, resignation, promotion)?
This is a new position needed to provide business integration expertise and support for the
MMIS Modernization efforts.
SCOPE OF THE PROJECT:
SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to
replace the State’s aging MMIS and related applications with more modern capabilities along
with corresponding business operations services.
The MES Modernization effort 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 Delivery of Automated Systems for Healthcare (DASH) Program is the project management
program that will be managing the MES Modernization.
DAILY DUTIES / RESPONSIBILITIES:
The Business Analyst will serve as a liaison between the business community and the IT
organization to provide technical solutions to meet user needs. They will work with the Program
Manager and the Lead Project Managers and will support the Project Management team to
ensure the principles, business goals and values of the program are met. The Business Analyst
will:
* Possess expertise in the business unit(s) they support, as well as an understanding of the
IT organization's systems and capabilities
* Analyze business partner's operations to understand their strengths and weaknesses to
determine opportunities to automate processes and functions
* Assist in the business process redesign and documentation as needed for new
technology
* Translate high level business requirements into functional specifications for the IT
organization and manage changes to such specifications
* Educate the IT organization on the direction of the business
* Negotiate agreements and commitments by facilitating communication between
business unit(s) and IT from initial requirements to final implementation
* Possess an understanding of technological trends and use this knowledge to bring
solutions to business units supported to enhance the enterprise's competitive edge
General Duties and Responsibilities:
* Perform business process analysis and performance assessments for the assigned
projects
* Train and mentor team members in delivering high quality business solutions that meet
the overall strategy and vision
* Build positive relationships with clients and proactively address specific needs
* Lead business design sessions within assigned modules and work streams
* Advocate and lead business integration in support of the MES Modernization
* Drive, though dynamic discussion, efficient configuration of data within the core
modules of MES Modernization
* Provide liaison role between business and IT verticals
* Ensure project deliverables for each project connect to the operational principles
* Coordinate priorities and resources between multiple projects.
* Provide updates on status and issues for all assignments
* Participate in scheduled operational meetings and routine team leads meetings
* Lead cross-functional meetings and produce business designs that integrate
functionality across modules
* Facilitate sessions to effectively resolve issues if any
* Provide recommendations of appropriate resources if necessary to ensure assignments
are completed within given time and budget
* Create and maintain key performance indicators to indicate project progress toward
business integration goals
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
* At least seven years of experience in
commercial healthcare
* At least three years’ experience in State
Medicaid payer system integration and
delivery
* Experience with inner workings of cross
functional projects
* Familiarity with Medicaid Information
Technology Architecture (MITA) business
architecture principles
* Familiarity with standard data structures,
electronic data interchange, processes
and related file formats
* Interest, skill and ability to innovate
including business processes,
methods/procedures, and technology
* Ability to effectively work and
PREFERRED SKILLS (RANK IN ORDER OF
IMPORTANCE):
* Large business and technology
integration
* Commercial integrations with
Medicaid or other Government
operations
* Knowledge of Federal Certification
requirements and processes
* Project management
communicate, in both oral and written,
with all levels of the Agency from
frontline workers to Executive Staff as
well as the Contractor(s)
* Ability to work in a professional office
environment with a diverse group of
teammates
* Must have exceptional attention to detail
REQUIRED EDUCATION/CERTIFICATIONS:
Bachelor’s degree in a technical, business, or
healthcare field or equivalent experience.
PREFERRED EDUCATION/CERTIFICATIONS:
None required.