/Hybrid/Local COBOL Developer (Medicaid/MMIS must) with claims/enrollment, provider operations, QA, EDI, SAS, UA experience

Hybrid/Local COBOL Developer (Medicaid/MMIS must) with claims/enrollment, provider operations, QA, EDI, SAS, UA experience

United Statesusvia direct
// Job Type
Full Time
// Salary
Not disclosed
// Posted
2 months ago

About the Role

Job ID: SC-10189 (910190318) Hybrid/Local COBOL Developer (Medicaid/MMIS must) with claims/enrollment, provider operations, QA, EDI, SAS, UA experience Location: Columbia, SC Duration: 12 Months Medicaid/MMIS (Must) Possibility for Extension: Yes Work Location: Hybrid (3 days in office, 2 days remote). Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense. REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): • 3 years Medicaid or healthcare experience. (Experience working with Medicaid claims and provider operations concepts.) • Proficient in COBOL programming language. • 3 years experience operating healthcare Mainframe systems for payers as a technical analyst or related duties. • At least 3 years experience with EDI transactions, including managing companion guides. • Experience working with a Medicaid eligibility and/or enrollment information system in an operations capacity. • Understanding of MMIS capabilities and intricacies. PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): • Subject Matter Expertise as it relates to MMIS Operations. • Proficient in data analysis tools and techniques, such as SAS, Excel, data visualization tools, and statistical analysis software. • Experience providing status reports and other technical or operational reports in a clear and concise manner. DDITIONAL SKILLS/DUTIES: • Self-motivated and able to learn on the job with little training/guidance. • Able to review job schedules and logs to troubleshoot issues. • Experience working in a cross- functional team environment. • Superb written and oral communications skills, including the ability to relay moderately complex technical instructions and requests. • Ability to effectively communicate with team members, technical team, key stakeholders, and vendors. REQUIRED EDUCATION: Bachelor’s degree in a technical, business, or healthcare field. 3+ years of equivalent experience in systems analysis and/or computer systems development/modification may be substituted. Specific duties include, but are not limited to: • Serves as a liaison between the business programs and the IT organization to provide technical solutions to meet user needs. • Develops, retrieves, and distributes reports and datasets to multiple internal and external stakeholders for purposes of monitoring, reconciliation, and operational processing. Performs operational support activities for the legacy MMIS and subsystems. Receives and responds to requests and inquiries from business stakeholders. Monitors vendor requests and coordinates between business and technical staff. Identifies trending issues and escalates to program management as needed. Translates business requests and needs into system requirements and technical requests. Serves as a subject matter expert associated with content, processes, and procedures. • Performs highly complex analysis, design, and testing as an analyst, to meet the needs of the users of MMIS and its subsystems. • Reviews and verifies QA and UA results as assigned. Documents issues and defects for triage and resolution. • 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 other stakeholders). SC_E-RTR updated.docx SCMSP_Candidate_Cover_Sheet_Updated.docx Share this: Facebook X Like this: Loading... Innosul 11 March 2026 Blog No Comments

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