Job Summary:
The System Analyst will serve as part of the Medicaid Management Information System (MMIS) team under the general supervision of the Bureau Chief of Business Systems Management. The role supports MMIS operational activities, including reporting and analytics, systems support, and testing. The analyst acts as a liaison between business programs and IT teams, providing technical solutions, supporting system operations, analyzing requirements, and ensuring the effective functioning of MMIS and its subsystems.
Key Responsibilities:
• Serve as a liaison between business programs and the IT organization to provide technical solutions that meet user needs.
• Develop, retrieve, and distribute reports and datasets to internal and external stakeholders for monitoring, reconciliation, and operational processing.
• Perform operational support activities for the legacy MMIS and its 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, monitor trends, and escalate concerns to program management as needed.
• Translate business requests and needs into system requirements and technical requests.
• Serve as a subject matter expert on system content, processes, and procedures.
• Perform highly complex analysis, design, and testing to meet the needs of MMIS and subsystem users.
• Review and verify QA and UA results as assigned, documenting issues and defects for triage and resolution.
• Proactively identify risks, issues, and action items and recommend potential solutions.
• Interact with internal and external organizations, including vendors, State and Federal government agencies, State providers, and other stakeholders.
• Collaborate with MMIS vendor teams to support SDLC processes and SCDHHS-specific code library changes to COBOL and JCL programs.
• Follow established SDLC processes and contribute to continuous process improvement.
• Participate in special projects as assigned and mentor less experienced analysts.
• Keep management informed of industry trends, regulatory changes, and emerging technology capabilities.
• Communicate effectively through written and verbal channels.
Required Qualifications:
• Bachelor's degree in a technical, business, or healthcare-related field.
• 5 years of Medicaid or healthcare experience, including working with Medicaid claims and provider operations concepts.
• Proficiency in COBOL programming.
• 5 years of experience operating healthcare mainframe systems for payers as a technical analyst or in a related capacity.
• At least 3 years of experience with EDI transactions, including managing companion guides.
• Experience working with a Medicaid eligibility and/or enrollment information system in an operational capacity.
• Understanding of MMIS mainframe capabilities and intricacies.
• Experience with MVS COBOL, JCL, IDMS/NETWORK, CA-ADS, CHANGEMAN, and SAS.
• Ability to review job schedules and logs to troubleshoot system issues.
• Experience working in a cross-functional team environment.
• Strong written and verbal communication skills, including the ability to communicate moderately complex technical instructions and requests.
• Ability to communicate effectively with team members, technical teams, key stakeholders, and vendors.
• Self-motivated, with the ability to learn independently with minimal training or guidance.
• Alternatively, 7+ years of equivalent experience in systems analysis and/or computer systems development or modification may be substituted for the bachelor's degree.
Preferred Qualifications:
• Subject matter expertise in MMIS operations.
• Proficiency in data analysis tools and techniques, including SAS, Excel, data visualization tools, and statistical analysis software.
• Experience preparing clear and concise status reports and other technical or operational reports.
