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Sunshine Enterprise USAPosted 1 month ago

Business Analyst Medicaid Enterprise System (MES) - Contract - Columbia, SC

On-siteColumbia, South Carolina, United States

ContractBachelors DegreeSmall

Job Summary

Gather, analyze, and document business and functional requirements while acting as the liaison between business stakeholders and IT teams. Lead business design workshops, coordinate priorities across multiple workstreams, and track project progress, risks, and key performance indicators. Translate business needs into functional specifications, assist with business process redesign, and prepare status reports and deliverables to ensure alignment with operational objectives. Mentor junior team members and support system modernization initiatives within the Medicaid Enterprise System (MES) framework. Requires 8+ years of experience with MITA, state Medicaid payer systems, and cross-functional technology projects. Candidate must be a South Carolina resident for this 12-month contract role.

Required Qualifications

  • 08+ Years experience
  • SC resident
  • 7+ years of Commercial Healthcare experience
  • 3+ years of State Medicaid Payer System Integration experience
  • 3+ years of experience with MITA (Medicaid Information Technology Architecture)
  • 6+ years of experience with business processes, EDI, data structures, and file formats
  • 6+ years of experience working on cross-functional technology projects
  • Strong experience in business process analysis, requirements gathering, documentation, and stakeholder management
  • Excellent communication, analytical, and problem-solving skills
  • Bachelor's Degree in Technical, Business, Healthcare, or a related field, or equivalent experience

Desired Qualifications

  • Experience with large-scale Business & Technology Integration projects
  • Knowledge of Federal Certification requirements and processes
  • Project Management experience
  • Experience supporting Medicaid or Healthcare modernization programs
  • Strong leadership, facilitation, and documentation skills

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