*Hi **Partner,*
Hope you are doing good!
I am * Saidulu *from Araucaria Enterprises LLC. You can directly reach me @
*404-462-3558*
Here is our urgent client requirement. Please Let me know if you available
and interested in this position. Kindly respond to this requirement with
your updated profile and contact details.
*Note : If your are interested in this position ,please update your resume
according to the Job description*
Position:MMIS (Medicare Management) Business Analyst with Enrollment &
Eligibility expertise in Columbia, SC,
Location:Columbia, SC
Duration:12+ months.
*Interview:*
Round 1 – Telephone interview conducted by project staff. Candidates may
be required to give a presentation on a topic relevant to the position. The
topic will be provided at the time the interview is scheduled, at least two
days in advance.
Round 2 – Video/in-person interview conducted by project staff.
Round 3 – Used only if necessary. The State may request that this interview
is in person. If so, travel costs are the responsibility of the vendor or
candidate.
MUST HAVE STATE GOVERNMENT MMIS Business Analyst experience. Prefer at
least 5 years.
MUST HAVE STATE GOVERNMENT MMIS Business Analyst experience. Prefer at
least 5 years.
*Company / Department culture*
This position will provide business and requirement analysis in support of
the *Eligibility and Enrollment Member Management Project,* a large project
whose team brings significant experience along with an “entrepreneurial” or
“startup” attitude and approach. The team is a mixture of state personnel,
industry focused information technology professionals and experienced
consultants. 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 for individuals who are strong
collaborators, who want to make a positive contribution to the State of
South Carolina, can understand top-level goals and objectives, and drive
toward them.
This position could carry over to other projects as directed by the PMO
director.
Candidates who enjoy working on complex, change-oriented projects with
motivated team members will find this position attractive.
*What types of staffing challenges or headaches have you experienced in the
past?*
- Resumes that include extensive details for candidates with limited
actual experience. Especially, with candidates who may have worked on
“many” projects but were not required to develop a plan/strategy given the
objectives.
- Recruiters submitting clearly unqualified candidates
- Commuting candidates not understanding the challenges of an onsite
position.
- Candidates unable to prepare and deliver a coherent presentation as
part of the interview process.
Notes to recruiters:
- *Previous experience in health care related information technology,
insurance information technology, Medicaid Management Information Systems
(MMIS), Medicaid Eligibility and Enrollment eligibility is REQUIRED*.
- This position requires excellent communications and leadership skills
including effective oral and written communication. If a vendor finds it
necessary to substantially revise a candidate’s resume or add additional or
clarifying information at the top of the candidate’s resume, then the
resume is not yet ready for submission and the candidate will likely not be
a good fit.
*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.
*Position:*
Business Analyst
Start Date:
December 7, 2015
Duration:
12 months
Possibility of Extension?
Yes or NO – Yes
*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
· Public sector and/or academic environment experience is a plus
· Medicaid Management Information System (MMIS) experience
--
Thanks & Regards,
*Saidulu Nayakapu | Araucaria Enterprises LLC
*
6002 Cypress Ct, Alpharetta, GA 30005, USA | Work: 1-404-424-4131
saidulu.nayak...@araucariatechnologies.com| www.araucariatechnologies.com
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