I have a very urgent DIRECT CLIENT requirement for Healthcare Business
Analyst W/ Curam in Clemson, SC. Please Let Me Know If you have available
candidate, please reply with their word resume, location, rate and contact
number.

Please send the resumes at su...@cncconsulting.com

Job Title: Healthcare Business Analyst W/ Curam
Location: Clemson, SC
Duration: 6 months

This position will provide business and requirement analysis in support of
a larger technology modernization and transformation project. The team is a
combination of Clemson information technology professionals and experienced
consultants, and we are seeking individuals who are highly productive, very
flexible, and can work effectively in an environment where ambiguity is
common. Team members are expected to contribute with minimal supervision
and be self-motivated. The project demands individuals who are strong
collaborators, who want to make a positive contribution to the State of
South Carolina, and can understand top-level goals and objectives and drive
toward them.

This position will provide hands-on role of business analyst, training, and
change leadership to a team that is transitioning from a traditional
“waterfall” SDLC and associated business requirements documents toward a
modern “agile” SDLC through the use of collaboration tools, rigorous system
analysis and implementation of a commercial rules engine.

The project seeks a Business Analyst to assist the team in understanding
how to develop BPMs, document the required rules and produce them for use
in the software development process. This position demands an individual
who is an effective communicator, able to provide training and leadership
and who wants to make a positive contribution to the State of South
Carolina.

Candidates who enjoy working on complex, change-oriented projects with
motivated team members will find this position attractive. The project will
use modern technologies and modern software development strategies to
replace the State’s Medicaid eligibility systems and develop health
information technology.

SCOPE OF THE PROJECT:
The South Carolina Medicaid Eligibility & Enrollment project is one of the
most complex technology development projects undertaken by Clemson
University on behalf of the State of South Carolina’s Department of Health
and Human Services (SCDHHS). This project is a multi-year effort to replace
the State’s Medicaid Eligibility Determination System (MEDS) 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. Additionally, the State will be
transforming its business processes away from a “caseload” model (each
worker manages several hundred cases) to a process-driven model where a
team of workers manages a process such as application intake,
redeterminations, or complex eligibility.

DAILY DUTIES / RESPONSIBILITIES:
Business Analyst is responsible for understanding and refining the State’s
business requirements for the development and maintenance of its MMIS/MEDS
systems. Secondly, the BA will assist the State in developing a framework,
approaches, and processes to shift its requirements work away from lengthy
documents toward succinct well-designed user stories and supporting screen
shots/documentation. Additionally, the Consultant will assist the State in
developing Acceptance Criteria in a way that can be easily adapted to
modern commercial rules engines and structured in a manner that is scalable
and sustainable. The consultant will work with the team’s business owners,
software developers, and transformation team to meet these goals.

Duties and skills to include:
Knowledge of business processes
Ability to have a business-oriented vision
Improvement of business and engineering processes
Strategic planning
Use case development
Business writing
Developing system processes, standards, and strategies
Educating and training team members in effective system use
Educating and training team members in effective “Acceptance Criteria”
development
Other duties as assigned.

We are seeking a consultant who has significant practical experience with
the development of business process models and rules as a modern
alternative to traditional requirements documentation. This consultant will
assist the team in transitioning toward a significant process
transformation and through this effort work closely with business owners,
business analysts, and our development team to implement a strategy that
will lead to a successful project while also making a significant impact on
the culture and approach to software development and system implementation.
The successful candidate will recognize that the changes contemplated in
this project are much more significant than just the system/technology
changes and be able to assist the project’s leadership in facilitating
material change to organizational culture, processes and systems/technology.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):
Business Analyst has three major components: establishing requirements for
user stories and rules (acceptance criteria) for software development,
conducting rigorous system analysis and information gathering for system
customization, and participating with project leadership to influence
process, culture and system transformation. Candidates must display
excellence in all areas.
Knowledge and experience with IBM Curam (HCR and CGIS) or alternate social
services platform.
Demonstrated experience as change agent/leader for major process/system
transformation
Experience and relentless focus on performance-based process management
including ability to recognize key metrics
Demonstrated experience using business process modeling as a tool for
organizational and process transformation
Experience using modern commercial rules engines
Experience working on large technology/systems projects including product
vision/management and requirements development
Understanding of IT development lifecycle processes including experience
working in agile environments
Superb written and oral communications skills, including the ability to
effectively interact with software developers and system administrators
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):
Knowledge and experience with modern commercial rules engines
Knowledge and experience with agile methodologies
Knowledge of healthcare insurance principles and processes
Medicaid eligibility system/business operations experience
Medicaid Management Information System (MMIS) experience
Medicaid operations experience
Public sector and/or academic environment experience is a plus

Administrative Verbal Communication Skills       Yes         1
 Expert   Within 6 Months
Administrative Written Communication Skills     Yes         1
 Expert   Within 6 Months
Database Platforms        Agile      Yes         2              Expert
Within 6 Months
Documentation/Language           Business Process Modeling (BPM)
Yes         2              Expert   Within 6 Months
Education            Bachelor of Science Degree         Yes         1

MMIS - Medicaid Management Informaiton System       Healthcare Insurance -
Business Operations        No          3

MMIS - Medicaid Management Informaiton System       Medicaid eligibility
system/business operations                No          3

Program Management Software Development Lifecycle - SDLC                Yes
        2              Expert   Within 6 Months
Program Management Supervisory Leadership Experience         Yes         1
             Expert   Within 6 Months
Software Framwork        IBM Curam framework Yes         1
 Expert   Within 6 Months
Specialties           Public Sector      No          3

Thanks,

Sunny Roy
(201) 588-9460 Phone
su...@cncconsulting.com

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