Healthcare Business Analyst

Role: Business Analyst

Location: Columbia, SC - Hybrid

Objectives to Be Fulfilled by Candidate:

The principal duties of this position are to evaluate agency needs, as-is and to-be business processes, and technical designs to provide analysis and document requirements on strategies for information technology solutions and non-technical solutions.

The Business Analyst - Advanced will serve on a team of business analysts responsible for providing detailed analysis and documenting business processes and requirements.

Specific duties include, but are not limited to:

• Serves as a liaison between the business programs community and the IT organization to provide technical solutions to meet user needs.

• Possesses expertise in the business unit(s) they support, as well as, an understanding of the IT organization's systems and capabilities.

• Analyzes business partner's operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions.

• Assists in business process redesign and documentation as needed for new technology.

• Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications. Educates the IT organization on the direction of the business.

• Negotiates agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation.

• Possesses an understanding of technological trends and uses this knowledge to bring solutions to business units supported to enhance the enterprise's competitive edge.

• 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).

• May make recommendations for buy versus build decision.

• Research business rules, requirements, and models.

• Maintain business rules, requirements, and models in a repository.

• Other project-related duties.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• 5 years’ experience in government IT projects as a business analyst or related duties

• 5 years’ experience eliciting, mining, and documenting business rules, processes

• 3 years of Medicaid experience

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations)

• MMIS experience (project or operations)

• Microsoft Office Project/Project Server

REQUIRED EDUCATION:

Bachelor’s degree in a technical, business, or healthcare field. Experience in lieu of a degree year by year is acceptable

ADDITIONAL SKILLS/DUTIES:

• Superb written and oral communications skills, including the ability to write requirements and Use Cases.

• Understanding of business modelling techniques, including the use of graphical process flow software

• Ability to effectively communicate to executive management, line management, project management, and team members.

• Experience and ability to obtain business processes and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents.

• Knowledge of formal business process documentation.