4,282 Healthcare Consultant jobs in the United States
Healthcare Consultant II
Posted 2 days ago
Job Viewed
Job Description
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**Duties**
+ Determines medical necessity/ appropriateness
+ Facilitates optimal outcomes
+ Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action
+ Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy
+ Optimize total costs
+ Implementation and evaluation of policy based on usage and program directives
+ Educate/empower colleagues at all levels to enable decision making at most appropriate level
+ Minimum 2 years of relevant experience
**Education**
+ Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required
**Skills:**
+ Case management, Behavioral health, social services, Travel
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Healthcare Consultant I
Posted 2 days ago
Job Viewed
Job Description
+ Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
+ Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities .
+ May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**Duties:**
+ Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
+ Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
+ Conducts comprehensive evaluation of Members using care management tools and information/data review
+ Coordinates and implements assigned care plan activities and monitors care plan progress
+ Conducts multidisciplinary review to achieve optimal outcomes
+ Identifies and escalates quality of care issues through established channels
+ Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
+ Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
+ Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
+ Helps member actively and knowledgeably participate with their provider in healthcare decision-making
+ Monitoring, Evaluation and Documentation of Care:
+ Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
**Experience:**
+ Case management experience required
+ Long term care experience preferred
+ Microsoft Office including Excel competent
+ Position Summary
+ Location: Work from Home. Candidates must reside in Miami Dade County, FL.
+ Training will be conducted remotely via WebEx for approximately 1-2 weeks.
+ Candidate will travel approximately 75% of the time within the region seeing
+ Members at home, in assisted living facilities and nursing homes.
**Preferred Qualifications:**
**Bilingual Spanish/English**
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
**Education**
Bachelor's degree required - No Nurses. Social work degree or related field.
**Experience**
Minimum 1 year of relevant experience in case management.
**Skills:**
Social work, Case management, Spanish
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Healthcare Consultant II
Posted 4 days ago
Job Viewed
Job Description
Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities. May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**Duties:**
+ Nurse Case Manager is responsible for face to face and telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member's overall wellness.
+ Develops a proactive course of action to address issues presented to enhance the short and long- term outcomes as well as opportunities to enhance a member's overall wellness through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies.
+ Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
+ Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
+ Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.
+ Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures.
+ Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Productivity and quality expectations. Work requires the ability to perform close inspection of handwritten and computer generated documents. Work requires sitting for extended periods, talking on the telephone, travel to member's homes and typing on the computer.
**Experience**
+ RN with current unrestricted Virginia state licensure required.
+ 3 years clinical experience (for example med surg or behavioral health)
+ Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment
+ Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
+ Effective communication skills, both verbal and written.
**Education**
+ RN with VA current unrestricted Virginia state licensure required.
+ Associate's or Bachelor's in Nursing
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ( .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Behavioral Healthcare Consultant
Posted today
Job Viewed
Job Description
Job Description
Salary: $54,137 annually
Pivot, a not-for-profit agency dedicated to improving the health of youth and families across the lifespan in our community through prevention, education, counseling and advocacy, is seeking a full-time Behavioral Healthcare Consultant to assist Jefferson County Department of Social Services caseworkers working with families that may benefit from substance abuse screening. The Behavioral Healthcare Consultant will conduct screenings for adults and/or children for early identification of substance abuse treatment needs and provide referrals for identified children and/or adults who may need ongoing services.
Qualifications:
Licensed Master Social Worker (LMSW) or Credentialed Alcoholism and Substance Abuse Counselor (CASAC).
Skills:
- Minimum of three years' experience in substance abuse prevention, counseling, health, or related discipline preferred.
- Excellent verbal and written communication skills.
This is a 70-hour, bi-weekly position with competitive salary and benefits package.Interested individuals should please submit cover letter and resume prior to January 20, 2025 to Debi Hughes, Director of Administrative Services, 167 Polk Street, Suite 320, Watertown, New York 13601, via fax to or through the on-line submission form.EEO/AA.
JOB DESCRIPTION
Division/Department
Department of Social Services Grant
Job Title
Behavioral Healthcare Consultant
Reports To
Director of Community Prevention
Type
Full-time
Part-time
Intern
Volunteer
Compensation
Exempt
Non-exempt
Hours: 35 hrs/week
Salary: $54,137 annually
Education/Credential Requirements
Licensed Master Social Worker (LMSW) or Credentialed Alcoholism and Substance Abuse Counselor (CASAC).
Work Experience Requirements
Minimum of three years' experience in substance abuse prevention, counseling, health, or related discipline preferred.
Job Duties
- Assist JCDSS caseworkers in the field with identified families using a screening tool and/or provide direct consultation with JCDSS caseworkers regarding families who might benefit from substance abuse screening.
- Conduct screenings for adults and/or children for early identification of substance abuse treatment needs.
- Assist in the development, implementation, and monitoring of the plan of safe care for any infant born and identified as being affected by substance abuse or withdrawal symptoms or Fetal Alcohol Spectrum Disorder.
- Identify, recommend, and provide educational training to JCDSS caseworkers when needed and appropriate.
- Provide clinical assessment and documentation to support the Child Protective Services process.
- Provide referrals for identified children and/or adults who may need ongoing services.
- Complete assessments and documentation to JCDSS caseworkers in a timely manner.
- Provide legal testimony as request by JCDSS.
- Act as a liaison between JCDSS and community services.
- Complete progress reports as required.
- Attend meetings and trainings as required.
- Additional duties as assigned as areas of need are identified.
Project Manager - Healthcare Consultant
Posted today
Job Viewed
Job Description
Position Overview:
The State of South Carolina is seeking a highly skilled IT Healthcare Consultant - Project Manager to lead healthcare-related IT initiatives with a strong focus on the IBM Curam framework. The ideal candidate will have technical expertise in Curam, experience managing complex projects, and a solid understanding of healthcare insurance and Medicaid systems.
Position Details:
- Reason for Opening: Rebid for incumbent candidate
- Submission Deadline: July 24 at 5:00 PM EST
- Interview Format: Single virtual round
- Contract Duration: 12 months
- Extension Possible: Yes
- Work Location: Hybrid (3 days onsite, 2 days remote)
- Residency Requirement: Must be a current South Carolina resident (No relocation permitted)
- Vendor Submission Limit: 1 candidate per vendor Skills & Qualifications:
Preferred Skills:
Skill Type Description Vendor Management Proven ability to manage and coordinate third-party vendors Healthcare Knowledge Understanding of healthcare insurance principles and processes Medicaid Operations Experience working with Medicaid systems and workflows Sector Experience Background in public sector or academic environments is a plus MMIS Familiarity with Medicaid Management Information Systems (MMIS)
dditional Information:
detailed job description is attached. Please review all materials thoroughly before submitting your candidate.
***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. The contractor must have their own equipment. Access to a virtual desktop set up (software) will be provided by Lumen's client, allowing the user access to the required systems and technology.***
Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.
Healthcare Consultant II - Kansas
Posted today
Job Viewed
Job Description
This will be a full-time telework role in Kansas, however, will require 50-75% travel for face-to-face visits in assigned area once COVID restrictions are lifted. Schedule is Monday-Friday, standard business hours. Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and policies. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
**Job Duties:**
+ Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
+ Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
+ Reviews prior claims to address potential impact on current case management and eligibility. Assessments include the member's level of work capacity and related restrictions/limitations. Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.
+ Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. Utilizes case management processes in compliance with regulatory and company policies and procedures.
+ Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
**Experience:**
1+ year(s) behavioral health, social services, or human services field.
**Education:**
Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services preferred (psychology, rehabilitation, social work, marriage and family therapy, counseling).
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Senior Financial Analyst - Healthcare Consultant
Posted 12 days ago
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Job Description
Senior Project Analyst / Healthcare Consultant
Location: Tinton Falls NJ area
Salary: Commensurate with experience
Industry: Healthcare
Join this specialized team of consulting professionals focused on the healthcare industry including hospitals, medical centers and other providers of healthcare services. Perform research, create pricing models and benchmark analyses as you assist senior projects managers to achieve project deliverables.
What will you do?
As a Senior Consulting Analyst you will work as part of a team, specializing in maximizing client ROI through data analytics, custom revenue modeling, strategic pricing and industry benchmarking initiatives. Utilizing technology including proprietary software, Microsoft Excel, SQL, review and analyze industry data, client data, contracts and organization information to build models that assist in developing meaningful reporting and pricing strategies.
- Communicate with clients, consisting of regional and national integrated health care systems, academic medical centers, community hospitals and large physician groups.
- Conduct market-based strategic pricing involving a comprehensive review of prices and charge methodologies.
- Analyze each clients entire line of business to determine how they can best attain a level of maximum efficiency.
- Manage data, contracts and all pricing information for clients.
- Create unique custom pricing models for each client, analyzing their prices compared to specific benchmark hospitals utilizing Excel, Access, SQL, etc.
- Design strategic pricing models for each client utilizing current insurance contract rates to obtain improved financial performance.
- Compare actual revenue and usage data to the project values.
- Develop optimal charge methodology that will improve the overall net revenue realized from gross charges.
- Perform post-implementation monitoring of gross and net revenue.
- Compare actual revenue and usage at each client to the projected values.
- Some travel may be required (~10%).
Bachelors Degree in Accounting, Finance, Business Administration, Economics or Math
Proficient in Microsoft Excel, Access, Outlook and PowerPoint
Strong analytical, financial and critical thinking skills
Ability to work in a fast-paced environment under pressure with tight deadlines
Ability to work independently and as part of a team
Highly organized and ability to multi-task
Excellent interpersonal and communication skills Preferred Experience:
Experience in hospital revenue cycle, charge capture, managed care contracting or third-party billing and reimbursement
Interest in financial related matters within the healthcare/hospital industry
A minor, concentration, or second major in Computer Science
Some overnight travel may be required (10%)
At WatsonBarron, we share a philosophy when it comes to recruiting - focus on people. Great companies, no matter the product or service, are run by people. We have made a commitment to the careers and businesses of those who lead. We seek out the best and the brightest in the accounting & finance industries and introduce them to clients with the highest expectations. We do this with a tireless commitment to detail. This commitment has made WatsonBarron the selected recruiter for many of the region's top professionals and ground-breaking companies. These range from incubator companies focused on technology and cutting-edge diagnostics, to Fortune 500 entertainment, pharmaceutical, consumer products, publishing, consulting, manufacturing, and financial services firms. See more jobs posted at
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Healthcare Consultant I - Miami/Dade
Posted 2 days ago
Job Viewed
Job Description
+ Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues
+ Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include identification of aberrance's and initiation of corrective action Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives Educate/empower colleagues at all levels to enable decision making at most appropriate level
**Responsibilities:**
+ Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
+ Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
+ Conducts comprehensive evaluation of Members using care management tools and information/data review
+ Coordinates and implements assigned care plan activities and monitors care plan progress
+ Conducts multidisciplinary review to achieve optimal outcomes
+ Identifies and escalates quality of care issues through established channels
+ Helps member actively and knowledgeably participate with their provider in healthcare decision-making
+ Monitoring, Evaluation and Documentation of Care:
+ Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
**Experience:**
+ Case management experience required
+ Long term care experience preferred
+ Microsoft Office including Excel competent
**Education:**
+ Location: Work from Home. Candidates must reside in Miami-Dade County, FL.
+ Training will be conducted remotely via Microsoft Teams for approximately 1-2 weeks.
+ Candidate will travel approximately 75% of the time within the region seeing
+ Members at home, in assisted living facilities and nursing homes.
+ Preferred Qualifications:
+ Bilingual Spanish/English
+ Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
+ Effective communication skills, both verbal and written
**About US Tech Solutions:**
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ( .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
IT Healthcare Consultant - Project Manager - Advanced
Posted today
Job Viewed
Job Description
IT Healthcare Consultant - Project Manager - Advanced Join to apply for the IT Healthcare Consultant - Project Manager - Advanced role at Jobs via Dice IT Healthcare Consultant - Project Manager - Advanced 1 day ago Be among the first 25 applicants Join to apply for the IT Healthcare Consultant - Project Manager - Advanced role at Jobs via Dice Get AI-powered advice on this job and more exclusive features. Dice is the leading career destination for tech experts at every stage of their careers. Our client, Lumen Solutions Group Inc., is seeking the following. Apply via Dice today! Job Title: IT Healthcare Consultant Project Manager (Advanced) Location: Columbia, SC (Hybrid 3 days onsite, 2 days remote) Duration: 12 months (with possible extension) Interview Process: 1 Round, Virtual/Online Residency Requirement: Candidate must be a South Carolina resident. (No relocation allowed) Position Summary We are seeking an experienced IT Healthcare Consultant Project Manager with a strong background in Medicaid and healthcare-related IT projects. This individual will lead requirements gathering, business process analysis, and project documentation to support healthcare initiatives. The role involves collaborating with cross-functional teams and government stakeholders to ensure successful project outcomes. Responsibilities Manage and coordinate IT healthcare projects, ensuring alignment with organizational goals and compliance standards. Elicit, analyze, and document business rules, workflows, and requirements. Develop Use Cases, requirement specifications, and process documentation. Act as a liaison between business stakeholders and technical teams. Support Medicaid-related initiatives, including MMIS projects and operations. Provide subject matter expertise on healthcare insurance processes and regulations. Utilize project management tools (Microsoft Project/Project Server) for planning, tracking, and reporting. Required Qualifications Bachelor s degree in technical, business, or healthcare field (or 5+ years equivalent experience). 5+ years of experience in government IT projects as a Business Analyst, Consultant, or Project Manager. 5+ years of experience eliciting, analyzing, and documenting business processes and rules. 5+ years of Medicaid experience. 1+ years of experience writing requirements and Use Cases. Preferred Qualifications Subject Matter Expertise in Medicaid or other healthcare insurance domains. Experience with MMIS projects (implementation or operations). Proficiency in Microsoft Project / Project Server. ***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. The contractor must have their own equipment. Access to a virtual desktop set up (software) will be provided by Lumen s client, allowing the user access to the required systems and technology.*** Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Health Care Provider Industries Software Development Referrals increase your chances of interviewing at Jobs via Dice by 2x Sign in to set job alerts for “Healthcare Consultant” roles. Quality Improvement Specialist (Entry Level) Quality Improvement Specialist, Population Health Analyst South Carolina, United States $75,000.00-$5,000.00 1 week ago South Carolina, United States 78,400.00- 107,800.00 4 days ago South Carolina, United States 85,000.00- 110,000.00 1 week ago South Carolina, United States 1 month ago Epic Analyst, Revenue Cycle, FT, Days, - Remote IT Healthcare Consultant - Project Manager (W2 Only) Manager Trainee - Operations (Travel Program; Relocation Required) South Carolina, United States 54,400.00- 74,800.00 1 day ago South Carolina, United States 80,600.00- 115,200.00 1 week ago Locum Physician (MD/DO) - Pediatrics in Rockville, MD South Carolina, United States 2 weeks ago South Carolina, United States 100,000.00- 175,000.00 1 day ago Discover CRNA Locums Jobs in South Carolina South Carolina, United States 4 months ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
IT Healthcare Consultant - Project Manager - Advanced
Posted today
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IT Healthcare Consultant - Project Manager - Advanced Hybrid : (3 days in office, 2 days remote). Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Work Hours : 8am- 5pm, Monday - Friday About the Job Duration: 12-month contract with possibility of extension Location: Columbia SC 29201 Job ID: 7899 About the Client : Our client is the State Medicaid Agency for South Carolina. The Medicaid Management Information System (MMIS) Replacement and Member Management Replacement Systems projects are the largest Information Technology projects. The IT Healthcare Consultant - Project Manager - Advanced will be assigned to projects for our client, the Medicaid Agency for SC. Candidates who enjoy working on complex, change-oriented projects will find this position attractive. Scope of the project: Our client is seeking an IT Healthcare Consultant - Project Manager - Advanced to assist with implementation of changes as well as small-to-large projects for the MMIS and related subsystems. Objectives to Be Fulfilled by Candidate: The principal duties of this position are to evaluate agency needs, as-is and to-be business processes, and technical designs to provide analysis and advice on strategies for information technology solutions and non-technical solutions. The IT Healthcare Consultant - Project Manager - Advanced will serve in the lead role to coordinate a team of business analysts responsible for providing detailed analysis and documenting business processes and requirements. Specific duties include, but are not limited to: Coordinate standard operating procedures for system change efforts with a team of business analysts. Ensure change classification, evaluation, and prioritization occurs according to procedures associated with relevant systems. Provide support and guidance to business analyst team members to facilitate the requirements development and management processes. Serves as a liaison between the business programs community and the IT organization to provide technical solutions to meet user needs. Possesses expertise in the business unit(s) they support, as well as, an understanding of the IT organization's systems and capabilities. Analyzes business partner's operations to understand their strengths and weaknesses to determine opportunities to automate processes and functions. Assists in business process redesign and documentation as needed for new technology. Translates high level business requirements into functional specifications for the IT organization and manages changes to such specifications. Educates the IT organization on the direction of the business. Negotiates agreements and commitments by facilitating communication between business unit(s) and IT from initial requirements to final implementation. Possesses an understanding of technological trends and uses this knowledge to bring solutions to business units supported to enhance the enterprise's competitive edge. Requirements development execution, including the elicitation, analysis, specification and validation. Documenting and analyzing agency business processes and recommending improvements. Documenting nd nalyzing dat requirements nd relationships. Participating in the requirements management processes, including change control, version control, tracking and status reporting, and traceability. Providing requirements interpretation nd guidance to technical and test teams. Proactively identifying risks, issues, and action items leading to possible solutions. Interacting with internal and external organizations (i.e. vendors, State and Federal government agencies, State providers and beneficiaries, and other stakeholders). May make recommendations for buy versus build decision. Research business rules, requirements, and models. Maintain business rules, requirements, and models in a repository. Other project-related duties. Required Skills (rank in order of Importance): 5 years' experience in government IT projects as a business analyst or related duties 5 years' experience eliciting, mining, and documenting business rules, processes 5 years of Medicaid experience Superb written and oral communications skills, including the ability to write requirements and 1 plus years experience into Use Cases. Experience and ability to obtain business processes and requirements information by interviewing business personnel and by mining laws, regulations, and policy documents. Knowledge of formal business process documentation. Understanding of business modeling techniques, including the use of graphical process flow software Ability to effectively communicate to executive management, line management, project management, and team members. Required Education: Bachelor's degree in a technical, business, or healthcare field. Experience in lieu of a degree year by year is acceptable Preferred Skills (rank in order of Importance): General Subject Matter Expertise as it relates to Medicaid or other healthcare insurance experience (project or operations) MMIS experience (project or operations) Microsoft Office Project/Project Server About our Company DataSoft Technologies is a highly recognized provider of professional IT Consulting services in the US. Founded in 1994, DataSoft Technologies, Inc. provides staff augmentation services for Information Technology and Automotive Services. Our team member benefits include: Paid Holidays/Paid Time Off (PTO) Medical/Dental Insurance Vision Insurance Short Term/Long Term Disability Life Insurance 401 (K)