Senior MMIS Systems Analyst – Medicaid Mainframe & COBOL
Location:Columbia, SC hybrid (3 days in office, 2 days remote).
Interview Process: 1 round, Virtual/Online
Duration: 12 Months
Employment Type: Contract
Experience Required: 06+ Years
Candidate location:Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.
Project Scope:
We are seeking an experienced Systems Analyst to support the Medicaid Management Information System (MMIS) team. The consultant will support MMIS operational activities, including reporting and analytics, system support, requirements analysis, and testing.
The role will serve as a liaison between business programs and IT teams, translating business needs into technical requirements and coordinating with vendors and technical stakeholders. The consultant will also support legacy MMIS systems and subsystems, including mainframe applications and related COBOL and JCL programs.
The successful candidate should have strong Medicaid or healthcare domain knowledge, hands-on COBOL experience, and familiarity with healthcare payer mainframe systems and EDI transactions.
Key Responsibilities:
Systems Analysis and Business Coordination
- Serve as a liaison between business programs and IT teams to identify user needs and provide technical solutions.
- Translate business requests and operational requirements into system requirements and technical requests.
- Perform complex analysis, system design, and testing to meet MMIS user requirements.
- Serve as a subject matter expert for assigned system content, processes, and procedures.
- Coordinate with internal and external stakeholders, including vendors, state and federal government agencies, healthcare providers, and other organizations.
Reporting and Data Analysis
- Develop, retrieve, and distribute reports and datasets to internal and external stakeholders.
- Support monitoring, reconciliation, and operational processing through reporting and analytics.
- Provide technical and operational reports to support business activities.
- Use data analysis tools and techniques to investigate issues and support operational decisions.
MMIS Operations and Technical Support
- Provide operational support for legacy MMIS systems and associated subsystems.
- Receive and respond to requests and inquiries from business stakeholders.
- Monitor vendor requests and coordinate activities between business and technical teams.
- Identify recurring issues and trends and escalate them to program management when necessary.
- Review job schedules and system logs to troubleshoot operational issues.
- Support MMIS mainframe capabilities and related operational processes.
Quality Assurance and Testing
- Perform system analysis, design, and testing activities.
- Review and verify Quality Assurance (QA) and User Acceptance (UA) results as assigned.
- Document issues and defects for triage, tracking, and resolution.
- Proactively identify risks, issues, and action items and recommend possible solutions.
Mainframe Development and SDLC Support
- Collaborate with MMIS vendor teams to support Software Development Life Cycle (SDLC) processes.
- Support agency-specific code library changes to COBOL and JCL programs.
- Work with relevant mainframe technologies and tools.
- Follow established SDLC processes and contribute to continuous process improvement.
Required Skills & Experience:
- 5 years of Medicaid or healthcare experience, including knowledge of Medicaid claims and provider operations concepts.
- Proficiency in COBOL programming.
- 5 years of experience operating healthcare mainframe systems for payers in a technical analyst or related role.
- At least 3 years of experience with EDI transactions, including management of companion guides.
- Experience working with Medicaid eligibility and/or enrollment information systems in an operational capacity.
- Understanding of MMIS mainframe capabilities and technical complexities.
- Experience with relevant mainframe technologies, including:
- MVS COBOL
- JCL
- IDMS/NETWORK
- CA-ADS
- CHANGEMAN
- SAS
Preferred Skills:
Subject matter expertise in MMIS operations.
- Proficiency with data analysis tools and techniques, including:
- SAS
- Microsoft Excel
- Data visualization tools
- Statistical analysis software
- Experience preparing clear and concise status reports and technical or operational reports.
Education:
Bachelor's degree in a technical, business, or healthcare-related field.