Job description

Job Title: Medicaid Enterprise Systems (MES) Business Analyst Location: Hybrid - Onsite in South Carolina (4 days/week, 1 day remote) Duration: 12 Months Residency Requirement: Candidate must currently reside in South Carolina - relocation is not permitted Rate: $75/hour (W2) About the Role: A state government initiative is seeking a highly skilled Senior Business Analyst to support a Medicaid Enterprise System (MES) Modernization effort. This long-term, modular transformation aims to replace legacy MMIS systems with scalable, interoperable, and federally compliant healthcare IT solutions. The analyst will serve as a critical link between technical teams and business stakeholders to ensure successful system integration and implementation. Key Responsibilities: • Serve as the primary liaison between business users and technical teams • Analyze and assess current operational workflows and identify process improvement opportunities • Translate business needs into clear, actionable requirements and supporting documentation • Assist in the planning and implementation of MES modules • Lead and support business process redesign initiatives • Coordinate across functional teams to ensure system alignment and effective integration • Provide subject matter expertise in Medicaid systems and MITA-based operations • Track deliverables, milestones, and performance metrics to support project timelines and success • Facilitate and participate in stakeholder meetings, workshops, and requirement-gathering sessions Required Skills: • 7+ years of experience as a Business Analyst in healthcare IT (government or commercial) • 3+ years of direct experience with State Medicaid systems, MMIS, or payer integration projects • Strong knowledge of MITA business architecture and federal Medicaid requirements • Experience with EDI transactions, Medicaid claims, and healthcare data standards • Excellent written and verbal communication skills, including stakeholder engagement and reporting • Proficiency with Microsoft Office Suite, SharePoint, and related collaboration tools • High attention to detail and comfort working in a cross-functional, fast-paced environment Preferred Skills: • Experience supporting Federal Certification of Medicaid systems • Involvement in large-scale system modernization or MES programs • Familiarity with project lifecycle methodologies (Agile or Waterfall) • Exposure to commercial healthcare integrations within public sector systems Education: • Bachelor's degree in Business, Information Systems, Healthcare Administration, or a related field • Equivalent experience may be considered in lieu of formal education

Requirements