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IT Healthcare Consultant
Ref No.: 14-01342
Location: Clemson, South Carolina
Clemson University
Clemson, SC
6 months
Remote work availability: 100%


This position will provide business and requirement analysis for the South Carolina's State Level Repository (SLR see https://www.scmedicaidslr.com/) that is part of the Department of Health and Human Services Health Information Technology (HIT) initiatives and its EHR Incentive program.
The State's Department of Health and Human Services has already developed the first phase of the SLR (currently operational) and is working to expand the solution to meet the Meaningful Use data collection required for Stage 2 and 3 of the program.
The State expects the business Analyst team member to:
1. Participate in the business analysis and design strategy of the Meaning Use Stage II of the SLR develop including assessing the current solution and other state solutions;
2. Work with the State's HIT team to understand the requirements;
3. Work with other state SLR development teams to collaborate as possible and practical;
4. Develop the next phase requirements of South Carolina's SLR;
5. Work with Clemson's technical team to perform functional test;
6. Ensure the system is compliant with CMS standards and meets the ACA regulations and standards
7. Document the solution and train State staff for on-going maintenance.
Candidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive.

SCOPE OF THE PROJECT:
This project shall extend the functionality of the State's SLR to meet the requirements for Meaningful Use data collection for Stage 2 and 3. Clemson University's Medicaid Information Technology Services (MITS) team develops and operates systems on behalf of the State's Department of Health and Human Services (SCDHHS). Clemson's MITS team will be responsible for the project management and oversight of this project.

DAILY DUTIES / RESPONSIBILITIES:
The Business Analyst is responsible for assessing, designing, developing and implementing the State's SLR for Meaningful Use Stage 2 and 3, as well as statutory changes for Stage 1. The consultant will as part of a small development team under the direction of Clemson's technical project manager for new technology development.

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):

The Business Analyst is responsible for assessing, designing, developing, testing, and implementing the State's SLR in response to the Medicare and Medicaid Programs : Electronic Health Record Incentive Program Stage 2.
Demonstrated expertise to provide business requirements and on-going support of the SLR system for the year one Adopt/Implement/Upgrade (A/I/U) phase.
Demonstrated expertise to lead the business requirements and help with the design of all system and database changes related to Stage 1 & Stage 2 and Stage 3 Meaningful Use
Coordinate with SCDHHS business and leadership staff and Clemson University technical analyst and .NET developers for SLR Meaningful use Stage I and II implementations and is able to articulate the use of EHR technology to all stakeholders.
Provide detailed analytical tasks related to the project and provide direction to the other technical EHR Incentive Payment team members and document using the BRD (Business Requirement Document) and using Business process Model ideally using BizAgi.
Responsible for ensuring the system is functioning properly including all batch interfaces with the CMS National Level Repository (NLR).
Demonstrated expertise with XML transaction sets for SLR as defined by CMS (B6, B7, B16 & B18). Need to have basic understanding of .NET technology and entity data framework.
Demonstrated experience working on State Level Repositories (SLR) or National Level Repository (NLR)
Keen ability to recognize opportunities for process improvement that may be supported through application.
Ability to assess current solution, solutions available through other State's efforts and develop the most cost effective and efficient plan
Understanding of modern/agile IT development lifecycle processes including development and testing.
Superb written and oral communications skills, including the ability to effectively interact with both managers/senior leadership and software developers/system administrators.
Willingness and ability to effectively engage with people and organizations on a continuous basis.

PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):

Medicaid and Medicare experience with focus on SLR and related business rules and policies and processes.
Medicaid eligibility system/business operations experience.
Medicaid Management Information System (MMIS) experience
Medicaid operations experience.
Public sector and/or academic environment experience.

REQUIRED EDUCATION:
Bachelor's degree in a technical, business, or field. Master's degree preferred.

REQUIRED CERTIFICATIONS:
None required. Microsoft .NET/SQL Server and/or related Microsoft Technology Certification preferred.

This job is based out of our Kentucky location.