Hello,

Hope you’re doing great.

Please find the below requirement.  Thanks.!!!



*Job Title: 6273-1: Business Analyst*

*Location: Columbia, SC*

*Duration:12 months*



SCOPE OF THE PROJECT:

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 State’s aging Medicaid Eligibility Determination
System and other member management applications with a with a multi-tier
application environment that requires modern technologies, technical
practices and substantial collaboration with a variety of stakeholders.
This system will primarily be a commercial-off-the-shelf (COTS) framework
that will be configured/implemented by the State in partnership with
Clemson University. SC uses the social program management platform from IBM
Cứram in the provision of services. This software combines the advantages
of commercial off-the-shelf software, an enterprise platform and
service-oriented architecture with the business and technical flexibility
required to implement solutions to meet agency objectives.

DAILY DUTIES / RESPONSIBILITIES:

A replacement Eligibility and Enrollment Member Management Project Business
Analyst 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 BA will provide detailed analysis and document business
processes and requirements. The position will conduct and document gap
analysis to determine if the Cứram software meets the business
requirements. The position will assist with user acceptance testing and
identify solutions based on testing results. The position will communicate
concepts for both technical personnel and non-IT business users.

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.
• Participating in the requirements management processes, including change
control, version control, tracking and status reporting, and traceability.
• Providing requirements 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).
• Participating in standup of business operations supporting the
Eligibility and Enrollment Member Management Project.
• Planning for, conducting, and reporting on testing and other quality
assurance activities.
• Other duties as assigned.
Subject matter areas include member related eligibility determination,
enrollment and disenrollment, eligibility inquiry, program policy, and
state plan. Familiarity with the Affordable Care Act and impacts on
Medicaid eligibility and member related processes is also beneficial.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• Strong background and at least four years in social services and/or
healthcare insurance operations (payer or provider side; government or
commercial side).
• At least three years of experience in social services and/or healthcare
insurance IT software/systems implementations
• Minimum of (3) years of experience in business application consulting,
training or development.
• Experience in business process analysis (Use Cases and/or process flows)
and mapping (Gap Analysis) techniques
• Ability to properly document business requirements and business rules.
• Ability to establish and maintain effective working relationships with
customers
• Ability to organize, prioritize and follow complex and detailed procedures
• Capable of performing job with minimal supervision
• Superb written and oral communication 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 to effectively engage with people and
organizations on a continuous basis.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):
• Experience in Cứram social program management platform
• Medicaid eligibility system/business operations experience
• Knowledge and experience with the BizAgi BPM tools
• Knowledge of healthcare insurance principles and processes
• Medicaid operations experience
• Medicaid Management Information System (MMIS) experience
• Public sector and/or academic environment experience is a plus

REQUIRED EDUCATION:
Bachelor’s degree in a technical, business, or related field.

REQUIRED CERTIFICATIONS:
None required.





*Skills:*

*Category *

*Name *

*Required *

*Importance *

*Level *

*Last Used *

*Experience *

Documentation/Language

Business Process Modeling (BPM)

No

3

Advanced

Within 1 Year

1 - 2 Years

Education

Medicaid Management Information System (MMIS) experience

No

1

Miscellaneous

Ability to analyze and document, business and system processes using
various methods and tools.

Yes

2

Expert

Within 6 Months

2 - 4 Years

Miscellaneous

Mapping business process flow

Yes

2

MMIS - Medicaid Management Informaiton System

Healthcare Insurance IT software/systems implementations

Yes

1

Expert

Within 6 Months

2 - 4 Years

MMIS - Medicaid Management Informaiton System

Healthcare Insurance Operations

Yes

1

Expert

Within 6 Months

2 - 4 Years

MMIS - Medicaid Management Informaiton System

Medicaid eligibility system/business operations

No

1

Programming Languages

BizAgi BPM Tools

No

1

Specialties

Business Analysis experience to include data flow diagrams, requirements
specifications, use case scenarios, and acceptance testing.

Yes

1

Expert

Within 6 Months

2 - 4 Years

Specialties

Public sector and/or academic environment

No

1

*Additional Skills:*

• Minimum of (3) years of experience in business application consulting,
training or development.
• Experience in business process analysis (Use Cases and/or process flows)
and mapping (Gap Analysis) techniques

.



Acha

Integrated Technology Services Inc.,



Desk: 703-436-1267 || Email: a...@its-incorp.com

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1033 Sterling Road, Suite 205,  Herndon VA 20170-3838|| www.its-incorp.com



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E-Mail is the best way to reach me.

<http://www.linkedin.com/in/achaayyappavarma/>

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