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Sunshine Enterprise USA

Business Analyst – MITA

Sunshine Enterprise USA

Business Analyst focusing on Medicaid modernization initiatives for a major healthcare transformation program. Liaising between business stakeholders and IT teams to ensure successful delivery and alignment with MITA standards.

Posted 5/17/2026contractColumbia • South Carolina • 🇺🇸 United StatesSeniorLeadWebsite

About the role

Key responsibilities & impact
  • Serve as a liaison between business stakeholders and IT teams
  • Ensure successful translation of business needs into functional system solutions
  • Possess expertise in the business unit(s) supported and understand IT systems and capabilities
  • Analyze business operations to identify strengths, weaknesses, and automation opportunities
  • Assist in business process redesign and documentation for system enhancements and modernization initiatives
  • Translate high-level business requirements into detailed functional specifications for IT teams
  • Manage requirement changes throughout the project lifecycle and ensure proper communication of updates
  • Educate IT teams on business direction, priorities, and operational needs
  • Facilitate communication between business units and IT teams from requirement gathering through implementation
  • Apply knowledge of technological trends to recommend solutions that improve enterprise efficiency
  • Perform business process analysis, modeling, and performance assessments for assigned projects
  • Lead or participate in business design sessions across multiple workstreams and modules
  • Advocate for business integration and alignment within MES modernization efforts
  • Facilitate cross-functional discussions to resolve business and system-related issues
  • Maintain and track key performance indicators (KPIs) to measure project and business alignment progress
  • Coordinate priorities and resources across multiple projects and stakeholders
  • Provide regular status updates on deliverables, risks, and issues
  • Participate in operational and project team meetings and discussions
  • Recommend resource adjustments or process improvements to meet deadlines and objectives
  • Build and maintain strong relationships with business stakeholders and technical teams
  • Ensure project deliverables align with enterprise goals, regulatory requirements, and MITA framework principles

Requirements

What you’ll need
  • 7+ years of experience in commercial healthcare
  • 3+ years of experience in Medicaid payer system integration or MES/MMIS environments
  • Strong understanding of Medicaid Information Technology Architecture (MITA)
  • 6+ years of experience with data structures, EDI, and healthcare file formats
  • 6+ years of experience in business process analysis and enterprise integration projects
  • Strong experience working on cross-functional large-scale IT initiatives
  • Bachelor's degree in Business, Healthcare, IT, or related field OR equivalent work experience

Benefits

Comp & perks
  • Contract role
  • Hybrid working with 4 days in-office and 1 day remote

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
business process analysisfunctional specificationsdata structuresEDIhealthcare file formatsenterprise integrationproject managementrequirement gatheringperformance assessmentsbusiness process redesign
Soft Skills
communicationstakeholder managementcross-functional collaborationproblem-solvingrelationship buildingfacilitationanalytical thinkingadaptabilityleadershiporganizational skills