Medicaid Business Analyst
InterSources Inc
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.
- ...IT Business Analyst IIThe Agency's mission is to be boldly innovative in improving the health and quality of life for South Carolinians. This position is located in Bureau of Medicaid Systems, Richland County. This is an in-office role and not a telecommute or remote...SuggestedTemporary workWork at officeFlexible hoursWeekend work
- ...Business Analyst – Technical WriterThe Office of Cybersecurity (OCS) at the South Carolina Department of Health and Human Services (SCDHHS... ...position attractive.SCOPE OF THE PROJECT: SCDHHS, as the state Medicaid Agency, is required to develop and maintain Information...SuggestedWork experience placementWork at officeFlexible hoursShift work
- ...Job TitleRequired SkillsEducationBachelor's degree in a technical, business, or healthcare field.Skills7+ years of experience in commercial healthcare3+ years of experience in State Medicaid payer system integration and deliveryFamiliarity with Medicaid Information Technology...SuggestedFor contractorsWork at office
- ...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
- ...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...SuggestedHourly 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...
- ...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
- 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
$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- ...South Carolina Department of Education seeks a Work Management Business Analyst to join the Office of Implementation and Support. This role focuses on governance of Asana, designing workflows, and enabling efficient project delivery across the agency. The position requires...Work 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
- ...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
- Robert 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 that guide...
- ...IT Healthcare Consultant - Business Analyst - Advanced (Clinical Analyst and Coding Specialist) Location: Columbia SC 29201 On-site/Remote... ...team member, as assigned, for related process improvements, Medicaid Management Information System (MMIS) enhancements and provide...Work at officeRemote workRelocation
- ...Business Analyst - ConsultantThe State of South Carolina is looking for a Business Analyst - Consultant focused on Technical Writing. This is a new position needed to provide business and technical writing expertise and support for the MMIS Modernization efforts. Max...Contract workRemote workRelocation1 day 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
- ...IT Healthcare Consultant - Business Analyst - AdvancedThe State of South Carolina is looking for an IT Healthcare Consultant - Business Analyst - Advanced. This position is a reposting of position 8121 due to a bill rate increase. This position is also a rebid. Max Bill...Contract workWork at officeRemote workRelocation
$87.2k - $142.7k
...Operations Solutions Analyst Zurich North America is seeking an Operations Solutions Analyst to join our Zurich Resilience Solutions... ...accessible and fit for purpose. Key Accountabilities: Work with the business leaders to establish Enterprise-wide accountability for data,...Full timeContract workTemporary workWork at officeLocal areaRemote workVisa sponsorship- ...to use a sub vendor, only 1 level deep, please submit the Sub Vendor usage form. The State of South Carolina is looking for a Business Analyst - Advanced. Why is this position open: Rebid. Incumbent is highly likely to apply. Max $$$: $$$/hour Will close to submissions...Contract workFor contractorsWork at officeRelocation
- ...Quality Assurance Analyst – AdvancedLocation: 1801 Main Street, Columbia, SC 29202 (Hybrid... ...& Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. The QA... ...established governance standards.Translate business requirements and policy documentation into...Work at officeRemote work
- ...and execute test plans, test cases, and test scenarios based on business requirements and policy documentation • Translate functional... ...business systems • Prior healthcare operations knowledge, preferably Medicaid (eligibility, claims, enrollment, etc.) • Proficiency with...Contract workRemote workRelocation
- ...innovation, integrity, and excellence—powering people, driving business, and making a difference. Daily duties / responsibilities You will... ...MANAGER OR OTHER CHANGE CONTROL TOOLS USE OF TESTING TOOLS MEDICAID (MMIS) OR CLAIMS PROCESSING EXPERIENCE Required Education Bachelor...Immediate start
$48 - $55 per hour
...and Software Development teams. Maintain SDLC traceability from business requirements through test cases and software components. Design... ...of in-depth knowledge of healthcare operations, preferably Medicaid, including related business processes. 3+ years of hands‑on experience...Full time- ...Quality Assurance Analyst Location: Columbia, SC Duration: 12 months Position type: W2... ...test cases, and test scenarios based on business and technical requirements. Execute manual... ...knowledge of healthcare operations, preferably Medicaid. Experience with the Atlassian tool...Contract work
- ...Quality Assurance Analyst - AdvancedLocation: Columbia SC 29201On-site/Remote/Hybrid: OnsiteDuration... ...Health and Human Services (SCDHHS), the Medicaid Agency for SC. Candidates who enjoy... ...is required.-5 years translating business requirements or policy documentation into...Remote work
- ...Business Analyst/Project Coordinator Position Details: Job Title Business Analyst/Project Coordinator Location Columbia SC... ...Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. The Medicaid Management Information...
- ...Quality Assurance Analyst - AdvancedLocation: Columbia, SCDuration: 12 monthsDaily Duties... ...of Importance):The ability to translate business requirements or policy documentation... ...knowledge of healthcare operations (preferably Medicaid), business processes.Proficient in...
- ...Business Analyst – Project Lead (Cerner EHR)Location: Remote (Occasional travel to Cayce, SC) Primary Location: 400 Otarre Parkway, Cayce, SC 29033 Interview Process: 1 Round (Virtual – Camera On)Job Summary:Seeking an experienced Business Analyst / Project Lead to support...Remote work
- ...Business Analyst – Project Lead (Cerner EHR)Location: Cayse, SC (Remote with occasional onsite visits)Work Mode: Remote (Quarterly onsite visits + Day 1 equipment pickup)Duration: 12 Months (High possibility of extension)Interview Process: 1 Round – Virtual (Camera ON...Casual workRemote work
- ...has an opening for a Quality Assurance Analyst 10980-1. ~ This position is up to 12... ...THE ABILITY TO: ~5 years translating business requirements or policy documentation into... ...Knowledge of healthcare operations (preferably Medicaid), business processes ~ Proficient in...Contract workLive inRemote work
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