Business Integration Consultant - Medicaid Enterprise Systems

Excelraise, LLC

Columbia, SC

JOB DETAILS
SALARY
$70–$80 Per Hour
JOB TYPE
Contractor
SKILLS
Business Operations, Business Services, Consulting, Cost Control, Healthcare, Medicaid, Project/Program Management, Time Management
QUALIFICATIONS
  • Bachelor’s degree in a technical, business, or healthcare field or 7+ years of equivalent experience.
  • Skill 7+ years of experience in commercial healthcare
  • Skill 3+ years’ experience in State Medicaid payer system integration and delivery
  • Skill 3+ years familiarity with Medicaid Information Technology Architecture (MITA) business architecture principles
  • Skill 6+ years familiarity with standard data structures, electronic data interchange, processes and related file formats
  • Skill 6+ years of knowledge of business processes, methods/procedures, and technology
  • Skill 6 + years’ experience with inner workings of cross functional projects
  • Skill 6+ years of large business and technology integration
  • Skill 6+ years of knowledge of Federal Certification requirements and processes
  • Skill 6+ year of Project management experience
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
LOCATION
Columbia, SC
POSTED
1 day ago

SCDHHS is undertaking a multi-year Medicaid Enterprise System (MES) Modernization effort to replace the State’s aging MMIS and related applications with more modern capabilities along with corresponding business operations services. The MES Modernization effort will be incremental and modular in nature with a focus on configurable and scalable integrations, which allow for more flexibility and reduces time and cost necessary to respond to federal and state enhancements. The Delivery of Automated Systems for Healthcare (DASH) Program is the project management program that will be managing the MES Modernization.

This is Hybrid Position (4 days in office, 1 days remote)

About the Company

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Excelraise, LLC

Excelraise is a leader in consulting and technology. We help enterprises transform and thrive in a changing world through strategic consulting and operational leadership. At Excelraise, we outperform the competition and stay ahead of the innovation curve. 

HEADQUARTERS
Englewood, CO, US
INDUSTRY
Computer/IT Services