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Lead Medicaid Business Analyst​/PM

Job in Columbia, Lexington County, South Carolina, 29228, USA
Listing for: SOFTWARE PEOPLE INC
Full Time position
Listed on 2026-06-24
Job specializations:
  • IT/Tech
    Systems Analyst, IT Consultant, Business Systems/ Tech Analyst, IT Business Analyst
Salary/Wage Range or Industry Benchmark: 100000 - 125000 USD Yearly USD 100000.00 125000.00 YEAR
Job Description & How to Apply Below
Position: Lead Medicaid Business Analyst / PM
Location: Columbia

Phone/Skype Hire. Onsite from day 1 / Hybrid

Location:

Columbia, SC Duration: 12+ months

Rate:
Open The Business Analyst – Consultant will serve as a liaison between the business community and the IT organization to provide technical solutions to meet user needs. They will work with the Program Manager and the Lead Project Managers and will support the Project Management team to ensure the principles, business goals and values of the program are met. The Business Analyst – Consultant will:

Possess expertise in the business unit(s) they support, as well as an understanding of the IT organization's systems and capabilities

Analyze business partner's operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions

Assist in the business process redesign and documentation as needed for new technology

Translate high level business requirements into functional specifications for the IT organization and manage changes to such specifications

Educate the IT organization on the direction of the business

Negotiate agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation

Possess an understanding of technological trends and use this knowledge to bring solutions to business units supported to enhance the enterprise's competitive edge

May make recommendations for buy versus build decision

Responsibilities

Perform business process analysis and performance assessments for the assigned projects

Train and mentor team members in delivering high quality business solutions that meet the overall strategy and vision

Build positive relationships with clients and proactively address specific needs

Lead business design sessions within assigned modules and work streams

Advocate and lead business integration in support of the MES Modernization Drive, though dynamic discussion, efficient configuration of data within the core modules of MES Modernization Provide liaison role between business and IT verticals

Ensure project deliverables for each project connect to the operational principles

Coordinate priorities and resources between multiple projects.

Provide updates on status and issues for all assignments

Participate in scheduled operational meetings and routine team leads meetings

Lead cross-functional meetings and produce business designs that integrate functionality across modules

Facilitate sessions to effectively resolve issues if any Provide recommendations of appropriate resources if necessary to ensure assignments are completed within given time and budget

Create and maintain key performance indicators to indicate project progress toward business integration goals

Skills Needed At least ten years of experience in commercial healthcare

At least five years’ experience in State Medicaid payer system integration and delivery

At least three years’ experience with South Carolina Medicaid systems

Experience with inner workings of cross functional projects

Familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles

Familiarity with standard data structures, electronic data interchange, processes and related file formats

Knowledge of Federal Certification requirements and processes is preferable

Interest, skill and ability to innovate including business processes, methods/procedures, and technology

Ability to effectively work and communicate, in both oral and written, with all levels of the Agency from frontline workers to Executive Staff as well as the Contractor(s)
Ability to work in a professional office environment with a diverse group of teammates

Must have exceptional attention to detail

Large business and technology integration

Commercial integrations with Medicaid or other Government operations

Project management

Required Education/

Certifications:

Bachelor’s degree in a technical, business, or healthcare field or equivalent experience.

Thanks Sandeep Sandeep  Jain Software People Inc.sandeep.jain@softwarepeopleinc.comsandeep.jainandeepspinc

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Software People @spincjobs
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