Business Analyst

  •  

Columbia, SC

Industry: Professional, Scientific & Technical Services

  •  

8 - 10 years

Posted 18 days ago

  by    Gagan Kapoor

Position Title: Business Analyst

Position Number: 299508

Location: Columbia, SC

Desired Skill Set:

Payment Processing, Healthcare, Business Analyst, Accounting

Position Description:

**C2C and STEM-OPT are not available**

**Only U.S. Citizens and those authorized to work in the U.S. can be considered as W2 candidates.**

Title: Business Analyst

Start Date: 11/29/2018 

Duration: 12 Months

Short Description:

OBJECTIVES TO BE FULFILLED BY CANDIDATE:

• The principal duties of this position are to develop and maintain business requirements with associated artifacts such as requirements plans, process flows, and other models as needed.

• Daily work will concentrate on these work streams:

• Member

• Provider

• Claims

• Prior Authorization

• Finance

• These work streams will support the following modules for RMMIS:

• Business Intelligence System

• Administrative Services Organization (ASO) for Fee for Service (FFS) claims

• Pharmacy Benefits Administrator (PBA)

• Dental Administrative Services Organization (DASO)

• Accounting and Finance

• Third Party Liability (TPL)

• System Integration and Operations (SIOPS)

• Technology Framework (Integration Hub, Portal and Enterprise )

• RMMIS Program Management

• Specific duties include, but are not limited to:

• Plan, elicit, capture, analyze and validate business, functional and technical requirements.

• Facilitate requirements elicitation sessions and walkthroughs with business and IT resources.

• Collaborate with departments to identify, document and communicate business needs and provide solutions.

• Develop business rules via interviews, translation of governing documents and other means.

• Conduct JAD Sessions with Product Owners

• Partner with business owners on requirements development and project collaboration

• Assist other team members in performing business rules, requirements, and modeling duties.

• Research business rules, requirements, and models.

• Use case development

• Requirements traceability

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

• 8+ years' experience in government IT projects as a business analyst or related duties

• 6+ years' experience eliciting, mining, and documenting business rules

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

• Firm understanding of health care payer business process

• Strong understanding of business modeling techniques

• Integrated healthcare delivery from member enrollment though to claims payment

• Business operations experience in member enrollment though to claims payment

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

• Experience and ability to obtain business rules and requirements information by interviewing business 

• personnel and by mining laws, regulations, and policy documents.

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

Required/Desired Skills

• Verbal Communication Skills year 1 Expert Currently Using 6 + Years 

• Written Communication Skills Yes 1 Expert Currently Using 6 + Years 

• Education Bachelor''s degree in a technical or business field 1 business modeling techniques 

• Expert Currently Using 6 + Years experience in government IT projects as a business analyst or related duties 

• Expert Currently Using 6 + Years 

• Program Management - RUP methodology Eliciting, mining, and documenting business rules, processes Yes 1 Expert Currently Using 6 + Years 

•Specialties Medicaid or healthcare experience Yes 1 Expert Currently Using 6 + Years 

Additional Skills: 

• Firm understanding of health care payer business process

• Integrated healthcare delivery from member enrollment though to claims payment

• Business operations experience in member enrollment though to claims payment

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

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

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.)

$100K - $110K