Medicaid Mmis Systems Analyst

Position Title: Medicaid MMIS Systems Analyst

Location: Columbia, SC (Must be a SC resident or relocate prior to start)

Work Arrangement: Fully Onsite (First 30 90 days), then Hybrid (3 days in-office, 2 days remote)

Interview Process: 1-Round Virtual/Online Interview

Seeking a Systems Analyst - Consultant to support operations, reporting, analytics, and testing for a legacy Medicaid Management Information System (MMIS) and its subsystems (Provider Web Tool, Provider Enrollment, EDI/Translator). This role acts as a bridge between business programs and technical teams to deliver operational support and maintain system code libraries.

• Systems Support & Operations: Serve as a subject matter expert for legacy MMIS, responding to stakeholder inquiries, troubleshooting job schedules/logs, and translating business needs into technical specifications.

• Data Analysis & Reporting: Retrieve, develop, and distribute key datasets and operational reports using tools like SAS and Excel for monitoring and reconciliation.

• Testing & Quality Assurance: Perform detailed analysis, review QA/UA test results, and log defects for resolution across MMIS subsystems.

• Vendor & SDLC Collaboration: Partner with MMIS vendors on SDLC processes and support state-specific COBOL and JCL code library updates.

• Domain Experience: 5+ years of Medicaid or healthcare payer experience, focusing on claims, provider operations, and eligibility/enrollment systems.

• Mainframe & Programming: 5+ years operating healthcare Mainframe systems with proficiency in COBOL, JCL, MVS, IDMS/Network, CA-ADS, and ChangeMan.

• EDI Standards: 3+ years handling EDI transactions and managing companion guides.

• Education: Bachelor's degree in a technical, business, or healthcare field (or 7+ years of equivalent systems analysis experience).

• Strong subject matter expertise in MMIS operational workflows.

• Advanced proficiency in data analysis using SAS, Excel, and data visualization tools.

• Proven experience generating technical status reports and executive dashboards.