Medicaid Business Analyst
InterSources
Medicaid Business Analyst – Project LeadWork Location: Columbia, SC (Onsite – 5 days/week) Duration: 12 Months Extension Possible: Yes Interview: 1 Round – Virtual/Online Candidate Requirement: MUST be a South Carolina Resident (No relocation, No exceptions)Position SummaryThe Client is seeking a highly experienced Business Analyst – Project Lead to support complex Medicaid system modernization efforts, including MMIS Replacement and Member Management initiatives. This role requires strong commercial healthcare background, Medicaid expertise, business process analysis, and the ability to work across diverse internal and external stakeholder groups. The consultant will evaluate business needs, document requirements, support system integration efforts, and ensure alignment with MITA principles.ResponsibilitiesAct as liaison between business program teams and IT to identify and translate business needs into functional system requirements.Analyze business operations to identify automation opportunities, process improvements, and technology-driven solutions.Conduct requirements development including elicitation, analysis, validation, and documentation.Document as-is and to-be processes, workflows, business rules, data requirements, and integration dependencies.Support business process redesign efforts for new technology implementations.Create functional specifications and manage version control, change control, traceability, and approval workflows.Provide guidance to technical development teams and testing teams on requirements interpretation.Participate in cross-functional project meetings, vendor coordination, and stakeholder communication.Identify risks, issues, and dependencies and recommend mitigation strategies.Support buy-versus-build assessments.Maintain business rules and requirements repository.Perform other project-related duties as required.Required SkillsBachelor's degree in a technical, business, or healthcare field.7+ years of experience in commercial healthcare.3+ years of experience with State Medicaid payer system integration and delivery.Familiarity with Medicaid Information Technology Architecture (MITA).Experience working on cross-functional, enterprise-level IT projects.Familiarity with EDI, standard healthcare data structures, file formats, and business processes.Strong ability to communicate with all levels of the organization—business users, vendors, leadership.High attention to detail and strong documentation skills.Ability to work onsite daily and operate professionally within a diverse team environment.Preferred SkillsGeneral SME-level knowledge of Medicaid programs or healthcare insurance operations.Experience with MMIS—projects or production operations.Experience using Microsoft Project / Project Server.About UsInterSources Inc. is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. We make reasonable accommodations for clients and employees, and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud and Oracle partner company.
- ...Requirements 2 or more years of experience in business systems analysis within healthcare insurance or public welfare... ...programs. Proficiency in IBM C ram software platforms and Medicaid eligibility determination processes. Experience in eliciting...Suggested
- ...Job Description Job Description Business Analyst Medicaid Enterprise System (MES) Modernization Location: Columbia, SC Hybrid (4 days in office, 1 days remote). Interview Process: 1 round, Virtual/Online Duration: 12 Months Employment Type: Contract...SuggestedContract workWork at officeRemote workRelocation
- ...people who work here.NTT DATA Services currently seeks a Senior Business Analyst to join our team in Columbia, South Carolina (US-SC), United... ...of evidence and artifacts as required in the CMS Medicaid Enterprise Certification Toolkit (MECT)• Attend project and status...SuggestedFor contractorsWork experience placement
- ...This business analyst role is 100% on-site in Columbia, SC. The position is for up to 12 months, with the option for extension. The client... ...mining, and documenting business rules and processes. 2 years of Medicaid Eligibility or other healthcare insurance experience....Suggested
- ...Role Overview Position: IT Healthcare Consultant - Business Analyst (Advanced) Location: Columbia, SC Work Arrangement... ...hands-on Business Analysis experience with IBM C ram. Medicaid Eligibility & Healthcare: 2+ years of experience in Medicaid...SuggestedWork at officeRemote workRelocation
- ...Columbia, SC. Our direct client has an opening for an MMIS Business Analyst position # 9997-1. This position is for 6-12+ months, with... ...experience. ~3+ years of experience in State/Commercial Medicaid Claims, Claims Payment Cycle, Waiver Programs, Provider Enrollment...Hourly payImmediate start
- ...report on-site. **** No work outside the United States is allowed . Candidate must work EST business hours. ** Our direct client has an opening for a Business Analyst w/ Medicaid Exp # 9963. This position is for 12+ months, with option of extension, and will be worked...Hourly payWork at officeImmediate start
- ...in Columbia, SC Our direct client has an opening for a Business Analyst with Curam 10918-1This position is up to 12 months, with the... ...mining, and documenting business rules, processes. ~2 years Medicaid Eligibility or other healthcare insurance experience. ~ Superb...
- Overview Our client is seeking a Business Analyst to support a large-scale healthcare systems modernization initiative. This role will bridge... ..., and documenting business rules/processes. Experience with Medicaid payer system integration/delivery. Familiarity with MITA...Contract work
- ...IT Healthcare Consultant-Business Analyst Location: Columbia, SC Work Arrangement: Hybrid - 3 Days Onsite / 2 Days Remote Division: Medicaid Systems Rate: $57.46/hr W2 Duration: 12 Months + Possible Extension Job Summary client is seeking an experienced...Remote work
- ...Business Analyst/Project CoordinatorPosition Details:Job TitleBusiness Analyst/Project CoordinatorLocationColumbia SC 29201Duration12+ months... ...Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. The Medicaid Management...
- ...Business Systems Analyst ISYSTEMTEC is seeking a Business Systems Analyst I for a hybrid opportunity for candidates in Columbia, SC. Candidate will serve as the primary liaison between business stakeholders and technical teams, translating business needs into clear, actionable...Full timeWork at office
$40 - $50 per hour
...Technology team\'s knowledge of and concern for the customer\'s business needs. Demonstrated organization and planning skills that... ...interviewing at Integrated Resources, Inc ( IRI ) by 2x Get notified about new Business System Analyst jobs in Cayce, SC . #J-18808-Ljbffr...Contract workLocal areaVisa sponsorshipWork visa- ...Business Systems AnalystDPP is seeking a Business Systems Analyst for an opportunity with our client in the healthcare insurance market. Work location: Partial onsite in Columbia, SC. (Onsite Tues., Wed., Thurs. and as needed) Duration: 11 months Terms: W2 contract to...Contract workWork experience placementWork at office
- ...Title - IBM Curam Business Analyst - Advanced ID - 13079 Client - State of South Carolina Location -Hybrid, Columbia, SC... ...mining, and documenting business rules, processes ~2 years Medicaid Eligibility or other healthcare insurance experience Preferred...Work at office
- ...IT Business AnalystThe Department of Administration's Office of Technology & Information Services (OTIS) is seeking an IT Business Analyst to join the team. OTIS oversees the state's federated model for implementing, enhancing, and protecting information technology (IT...Full timeWork at office
- ...A leading financial technology company is seeking a Technical Business Analyst to support complex financial technology initiatives. This role emphasizes Agile delivery and requires strong Wealth Management experience. Responsibilities include facilitating Agile ceremonies...Full time
- ...Business Analyst - Project LeadThe selected resource will need to successfully complete the following screenings: 7 Year Standard Background Check & Credit History Check E-VerifyPosition Description: Please ensure you attach the SC Cover Sheet (attached), a valid Right...Contract workRemote workRelocation1 day per week
- DescriptionRobert Half is hiring! We are looking for a Business Analyst to support cross-functional initiatives in Columbia, South Carolina. This role will partner with operational, clinical, financial, and technical teams to turn business needs into well-defined plans...Work at office
- ...weeks ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Job Title: Technical Business Analyst Location: Columbia, SC (need only local candidates) Experience: 12+ years Domain: Commercial Lending / Banking (ACBS expertise...Hourly payFull timeLocal areaRelocation
- ...Required SkillsBachelor's degree in Information Systems, Business Administration, or Computer Science5+ years of experience as a Business Analyst supporting IT projects or enterprise systems5+ years of experience analyzing system integrations and data flows between applications...For contractorsWork at office
- ...Business Analyst – Project Lead (Testing Focus)Location: Columbia, SC 29201 Hybrid (3 days onsite per week) Duration: 12 months Interview Process: 1 round, virtual Candidate Location Requirement: Must be a current South Carolina resident (no relocation)Position OverviewThe...Relocation3 days per week
- ...Business Analyst – Project LeadLocation: Cayce, SC 29033 Work Type: Hybrid (4 days onsite, 1 day remote; fully onsite during training) Duration: 12 Months Extension Possible: YesCandidate MUST be a resident in the Eastern Time Zone AND be willing to relocate to SC prior...Remote workRelocation
- » » Business Analyst – EntryLocationColumbia, South Carolina### DescriptionServes as a liaison between the business community and the IT organization in order to provide technical solutions to meet user needs. Possesses expertise in the business unit(s) they support, as...
- ...Business AnalystShortList is looking for a Business Analyst to join the Business Intelligence team of an established organization in Columbia, SC. The Business Analyst will act as the bridge between stakeholders and the BI team, owning requirements, scope, and project...
- ...ABILITY TO CONCEPTUALIZE NEEDED CHANGE AND INITIATE APPROPRIATE ACTIVITIES TO MOVE FROM CONCEPTS TO IMPLEMENTATION. ABILITY TO ANALYZE BUSINESS OPERATIONS TO DETERMINE OPPORTUNITIES FOR BUSINESS PROCESS REDESIGN AND AUTOMATION, AND TRANSLATE HIGH LEVEL BUSINESS REQUIREMENTS...Work experience placementWork at office
- ...Job Description Job Description Senior Business Systems Analyst Job at a Glance Title: Senior Business Systems Analyst Location: Onsite, Columbia SC Contract: W2 only Overview This role supports large, high-visibility cloud IT project and support...Contract workWork experience placementSecond job
- ...Business Analyst - ConsultantUnder limited supervision reporting to DOR's General Counsel, serves as a Business Analyst responsible for analyzing business needs of our collection team as their duties relate to the enforcement of South Carolina tax laws. This individual...
- ...Quality Assurance Analyst - ConsultantLocation: Columbia SC 29201On-site/Remote/Hybrid:... ...& Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. The Quality Assurance... ...):THE ABILITY TO: • 3 years translating business requirements or policy documentation...Remote workRelocation
- ...an opening for an MMIS Quality Assurance Analyst - 12923. This position is up to 12... ...Columbia, SC Bachelor's degree in a technical, business, healthcare or related field. Years of... ...knowledge of healthcare operations (preferably Medicaid), business processes Preferred Skills...Work at officeRemote workRelocation
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