Salary: $50,000.00 – $55,000.00 Annually
Location : Richland County, SC
Job Type: FTE – Full-Time
Job Number: 153791
Agency: Department of Health and Human Services
Division: IT Infrastructure and Operations
Opening Date: 08/15/2023
Closing Date: 8/29/2023 11:59 PM Eastern
Class Code:: AM03
Position Number:: 61047507
Normal Work Schedule:: Monday – Friday (8:30 – 5:00)
Pay Band: Band 6
Hiring Range – Min.: $50,000.00
Hiring Range – Max.: $55,000.00
Opening Date: 08/15/2023
EEO Statement: Equal Opportunity Employer
Agency Specific Application Procedures:: Failure to provide detailed and complete information may result in your application not being referred.
Veteran Preference Statement: South Carolina is making our Veterans a priority for employment in state agencies and institutions.
Job Responsibilities
The Agency’s mission is to be boldly innovative in improving the health and quality of life for South Carolinians.
This position is located in Bureau of Provider & Support Services, Richland County.
Are you the One? We are looking for an IT Business Analyst II who, under the supervision of the Reference Administration Program Manager and in collaboration with the division and bureau teams, performs the critical process of reviewing, assessing and implementing system updates including medical codes, pricing, policy, and procedure changes and serves as a Subject Matter Expert (SME) to ensure Medicaid members and providers reference data is accurate for support required. The position serves as a point of contact for internal partners to ensure processes are clear, ownership defined and errors are minimized or eliminated, reducing turnaround times and improving efficiencies. Proactive feedback and recommendations should be a priority when performing all duties.
- Code update requests are received with predictable frequency, i.e., CMS quarterly updates as well as change requests due to policy or procedure needs with varying frequency and volume. All code and pricing requests received will be part of the overarching system update led by the Reference Administration team and in partnership with other inter-agency process owners.
- With Reference Administration Team and internal stakeholders’ collaboration, documents all related processes, identifies areas for improvement, gaps, potential issues, based on observations or escalations, and updates documentation for team and other process owners. Proposes long-term recommendations for future improvements based on issues encountered, input received, insight from meeting / project participation or from management guidance.
- In coordination with Reference Administration team, utilizes documentation to provide guidance to internal process owners and other stakeholders to ensure a clear understanding of the overall change request process including criticality of timely request submissions and inquiry responses for all open requests. Under the guidance of management, will deliver training, as needed. Maintains list of owners and stakeholders to track training delivered and scheduled including new content, refresher, expanded or targeted due to changing responsibilities. Train-the-trainer development is part of the curriculum development.
- Participate as a project team member, as needed or assigned, to support reference administration interests and bureau priorities aligned with strategic goals and agency mission and objectives. Other duties, as assigned, i.e., mentor to new hires, lead role for improvement efforts (not a formal project) and to assist other teams within and outside of our bureau.
- Complete required training, on time. In collaboration with immediate supervisor, meet to review training interests to include knowledge development, for existing or new duties, performance and for future career path.
The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes:
- Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
- 15 days annual (vacation) leave per year.
- 15 days sick leave per year.
- 13 paid holidays.
- State Retirement Plan and Deferred Compensation Programs.
Minimum and Additional Requirements
A bachelor’s degree in an IT related field.
Relevant experience may be substituted for a bachelor’s degree.
PREFERRED QUALIFICATIONS: At least three (3) years of experience in information technology related business analysis, including process development, compliance monitoring, and quality improvement efforts. Experience conducting data analysis, developing reports, building dashboards, and communicating results.
Additional Requirements:
- Overtime and/or weekend work with Deputy approval.
- Sitting or standing for long periods of time.
Preferred Qualifications
- Knowledge of SCDHHS’s mission and an understanding of the critical nature of the agency’s work to support Medicaid members, providers and partners.
- Basic knowledge of the capabilities and intricacies of information systems.
- Ability to effectively receive, plan and complete time-bound requests that require research, collaborating with internal and external partners, periodically with tighter timelines than others.
- Ability to interpret business needs and document requirements.
- Ability to analyze complex technical data and reduce to logical order to complete requests.
- Ability to communicate in a thorough, clear and concise manner to improve efficiencies and educate collaborators to achieve a common goal.
- Provide reporting, data analysis and improvement recommendations for processes, communication and other areas to ensure alignment with strategic goals and improve overarching goals.
- Proactive escalations and communication with management is critical.
- Prior experience working with Medicaid policy, process and/or systems.
- Knowledge of Medicaid Management Information System (MMIS) including troubleshooting and business processes.
- Experience with root cause analysis (business analysis practices).
Additional Comments
Please complete the State application to include all current and previous work history and education. A resume will not be accepted nor reviewed to determine if an applicant has met the qualifications for the position. Supplemental questions are considered part of your official application for qualification purposes. All applicants must apply online. All correspondence from the Office of Human Resources will be through electronic mail.
The South Carolina Department of Health and Human Services is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
Benefits for State Employees
The state of South Carolina offers eligible employees generous benefits, including health and dental insurance; retirement and savings plan options; and paid vacation and sick leave. Plus, work-life balance programs such as telecommuting and flexible work schedules are available to employees of some state agencies.
Insurance Benefits
Eligible employees may enroll in health insurance, which includes prescription coverage and wellness benefits. Other available insurance benefits include dental, vision, term life insurance, long term disability and flexible spending accounts for health and child care expenses.
Retirement Benefits
State employees are also offered retirement plan options, including defined benefit and defined contribution plans. Additionally, eligible employees may elect to participate in the South Carolina Deferred Compensation Program, which is a voluntary, supplemental retirement savings plan offering 401(k) and 457 plan options.
Workplace Benefits
State employees may also be eligible for other benefits, including tuition assistance; holiday, annual and sick leave; and discounts on purchases, travel and more.
Note: The benefits above are available to most state employees, with the exception of those in temporary positions. Employees in temporary grant and time-limited positions may be eligible for all, some or none of these benefits as benefits are associated with each position type. For these positions, contact the hiring agency to determine what benefits may be available.
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The responses you provide to these Supplemental Questions will be used in combination with your application to determine whether you meet the minimum qualification requirements. Please, thoroughly complete the Education and Work Experience sections of your application and the Supplemental Questions. Failure to provide detailed and complete information will result in your application being rejected. Any misrepresentation or omissions will result in your disqualification from employment and/or termination. You may not submit resumes in lieu of filling out the application or answering the Supplemental Questions. I acknowledge that I have read, understand, and agree with the above.
- Yes
- No
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Do you have a bachelor’s degree in an IT related field?
- Yes
- No
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Do you at least three (3) years of experience in information technology related business analysis?
- Yes
- No
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Do you wish to claim Veteran Preference? If yes, you must submit a copy of your DD214 Form with your job application in order to qualify and claim this preference.
- Yes
- No
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How did you hear about this career opportunity?
Required Question