Job Description

Job Title: Business Analyst – Consultant

Location: Columbia, SC (Hybrid) (Onsite 4 days/week) – Only candidates currently residing in South Carolina will be considered.

Duration: 12 Months

A major multi-year Medicaid Enterprise System (MES) Modernization project is underway to replace legacy MMIS and associated applications with scalable, configurable, and modern technology solutions. The Business Analyst will play a key role in bridging business needs with IT solutions, working within the Delivery of Automated Systems for Healthcare (DASH) Program to drive system integration and process improvement.

• Act as a liaison between business stakeholders and IT teams to deliver functional solutions.

• Analyze existing operations to identify opportunities for automation and improved efficiency.

• Lead business process redesign sessions and document system requirements.

• Translate high-level business needs into clear, actionable functional specifications.

• Facilitate communication and negotiation between technical and business teams.

• Advocate for MES modular design and business integration during project phases.

• Coordinate cross-functional teams and drive alignment across multiple projects.

• Provide updates on project status, risks, and deliverables to leadership.

• Lead workshops, design sessions, and training activities as needed.

• Track key performance indicators to assess progress toward business integration goals.

• 7+ years of experience in commercial healthcare environments.

• 3+ years of experience in Medicaid payer system integration and delivery.

• Strong understanding of Medicaid Information Technology Architecture (MITA) principles.

• Familiarity with electronic data interchange (EDI), standard data structures, and file formats.

• Proficiency with Microsoft Office Suite and SharePoint.

• Ability to drive innovation in business processes and technology solutions.

• Excellent communication skills, both written and verbal, across all organizational levels.

• Strong attention to detail and documentation skills.

• Experience managing cross-functional projects and facilitating collaborative sessions.

• Large-scale business and technology integration experience.

• Experience with Medicaid or other government programs.

• Understanding of Federal Certification processes.

• Project management experience with full lifecycle involvement.

Bachelor's degree in Business, Healthcare, Information Technology, or related field, or equivalent professional experience.

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