Location
Columbia, SC (Hybrid - 4 days onsite, 1 day remote. Candidates must reside in South Carolina; no relocation is permitted.)
Experience Level
Senior Level (7 or more years of experience)
Role Overview
The Business Analyst Consultant supports a multi-year enterprise systems modernization program to replace a state healthcare agency's legacy Medicaid Management Information System (MMIS) and related core applications. Operating within a modular, incremental modernization framework, this role serves as a key liaison between the business community and the IT organization. The consultant collaborates closely with Program Managers, Lead Project Managers, and cross-functional teams to design technical solutions, evaluate business processes, and align implementations with both state and federal requirements. This is a 12-month hybrid contract opportunity with a possibility of extension, requiring mandatory state-level criminal, credit, and E-Verify background screenings.
Key Responsibilities
Business Process Analysis & System Integration
- Perform detailed business process analysis, operational reviews, and system performance assessments across assigned work streams.
- Lead structured business design sessions to evaluate operations, identify process bottlenecks, and determine opportunities to automate functional workflows.
- Translate high-level business goals and requirements into detailed functional specifications, managing technical changes to those specifications.
- Support complex data configuration within core platform modules to ensure scalability, flexibility, and alignment with enterprise modernization goals.
Cross-Functional Collaboration & Liaison Operations
- Act as the primary liaison between business verticals and the IT organization to successfully align user needs with technical capabilities.
- Lead cross-functional meetings to produce integrated business designs that harmonize system functionality across various application modules.
- Coordinate priority queues, resource allocations, and operational dependencies across multiple concurrently running technical projects.
- Facilitate structured conflict resolution and collaborative sessions to resolve project bottlenecks, risks, and issue blocks.
Training, Mentorship, & Strategic Advisory
- Train, mentor, and guide project team members in delivering high-quality business solutions that meet the overall organizational strategy.
- Educate IT stakeholders, systems developers, and engineering partners on the strategic direction and operational needs of the business.
- Research and analyze emerging technology trends, leveraging this knowledge to suggest innovative solutions that enhance the agency's operational capabilities.
- Create, monitor, and maintain key performance indicators (KPIs) to track and report on project progress toward integration milestones.
Required Qualifications
- 7 or more years of experience working in the commercial healthcare industry.
- 3 or more years of experience supporting state Medicaid payer system integration, delivery, and modernization programs.
- 3 or more years of familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles.
- 6 or more years of familiarity with standard data structures, Electronic Data Interchange (EDI), healthcare file formats, and processing methodologies.
- 6 or more years of comprehensive knowledge of business processes, operational methods, administrative procedures, and modern technologies.
- 6 or more years of experience managing the inner workings and dependencies of complex, cross-functional projects.
- Bachelor's degree in a technical, business, or healthcare-related field (or 7 or more years of equivalent professional experience in systems analysis or system delivery).
- Ability to successfully pass mandatory state-level background screenings, including criminal, credit, and E-Verify checks, and sign an agency confidentiality agreement.
Preferred Qualifications
- 6 or more years of experience driving large-scale business and technology integration initiatives.
- 6 or more years of experience working with Federal Certification requirements and public sector systems validation processes.
- 6 or more years of professional project management experience in a highly structured, enterprise IT environment.
Core Skills & Attributes
- Exceptional written and verbal communication skills, with the ability to lead dynamic discussions and deliver technical presentations.
- High precision and exceptional attention to detail in document generation and system design.
- Strong interpersonal skills with a proven track record of building positive stakeholder relationships and proactively addressing specific client needs.
- Ability to work productively within a professional, diverse office environment alongside a large team of distributed stakeholders.
Flexible work from home options available.
