Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Medicaid Business Analyst - W2

Expired Job

Cynet Systems Columbia , SC 29201

Posted 2 months ago

We are looking for Medicaid Business Analyst

  • W2 for our client in Columbia, SC

Job Title: Medicaid Business Analyst

  • W2

Job Location: Columbia, SC

Job Type: Contract

US citizens and those authorized to work in the US are encouraged to apply. We are unable to sponsor H1b candidates at this time.

Job Description:

SCOPE OF THE PROJECT:

The Replacement Medicaid Management Information System (MMIS) project is one of the largest IT projects for the client.
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.DAILY DUTIES / RESPONSIBILITIES:

The Provider Services Business Analyst (BA) 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. Most 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;
Modeling Provider enrollment and payment business processes (As-Is and To-Be) through sequence diagrams, business process models, etc.;
Documenting and analyzing agency business processes and recommending improvements;
Documenting and analyzing provider enrollment and financial 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 requirements include:

Medicaid or Medicare provider enrollment and management;
Claims processing and payment;
State budget assignments;
Financial management;
Provider reimbursement methodologyREQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

Desired 6 years of experience in Provider Enrollment and Management, Claims Payment and Financial systems, but manager would look at someone with less. The more the better
4 years of experience with Medicaid budget assignments and financial general ledger reporting
3 years of experience in healthcare insurance business operations (payer or provider side; government or commercial side) with a focus on provider enrollment and provider reimbursement
3 years of experience in Financial ManagementPREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):

Understanding of the Medicaid Information Technology Architecture (MITA)
Provider outreach and education
Agile project methodologyREQUIRED EDUCATION:

Bachelors degree.

Skills:
Medicaid Business Analyst

  • W2
    Permanent
    LONG TERM
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Senior Business Analyst

Palmetto Health

Posted 4 days ago

VIEW JOBS 11/16/2018 12:00:00 AM 2019-02-14T00:00 Job Details 5-8 years experience required Job Summary: To implement, maintain and update financial systems, to modify systems menus/reports and to troubleshoot system problems. To review, analyze and evaluate user needs in order to create system solutions that support overall operational needs and strategies. To supply and analyze data for operation and to create reports for users and leaders in order to make current and future strategic decisions. All team members are expected to be knowledgeable and compliant with Palmetto Health's values of compassion, dignity, excellence, integrity and teamwork. Responsibilities: Evaluates user needs that support overall operational strategies. Implements, maintains and upgrades financial systems. Modifies menus and troubleshoots problems. Maintains up-to-date information for users. Prepares and analyzes system generated data utilizing products such as SQL-based reporting. Responds to requests from operations and furnishes necessary information. Creates data tools to be used by leaders in order for them to understand and manage financial information. Supports Finance and Patient Financial Services with data to assist in reporting. Prepares forecasts and analyzes trends in finance and general business conditions and other related areas. Requirements: Education: Bachelor's degree in Business or Associate's Degree and 9 years related business or IT experience, or High School and 11 years progressively responsible business or IT experience. Experience: 7 years related business or IT experience. Special Training: Knowledge/experience in financial systems implementation, maintenance and upgrades. Knowledge/experience in business application/requirements analysis. Excellent communication skills in order to communicate effectively with users, leaders and finance staff in order to deliver needed information. Excellent analytical and problem-solving skills in order to review, analyze and evaluate user needs. EEO/AA Minorities/Females/Disabled/Veterans Palmetto Health Columbia SC

Medicaid Business Analyst - W2

Expired Job

Cynet Systems