MMIS Business Subject Matter Expert Position Available In Greenville, South Carolina

Job Description:

JOB TITLE

MMIS Business Subject Matter Expert

JOB LOCATION

Montpelier Vermont

WAGE RANGE

•: 80-100K

JOB NUMBER

25-02956REQUIRED

EXPERIENCE

. Provide deep expertise in businessprocesses, program policies, and procedures to ensure projectalignment with operational goals. ? b. Advise on businessrequirements, workflows, procedures, and policies to supporteffective implementation of modernization initiatives. ? c.

Collaborate with State business teams, leadership, and othersubject matter experts to guide informed decision-making and ensureproject outcomes align with business goals and program policies. ?d. Offer guidance on policy and procedures to maintain compliancewith federal and state regulations while supporting businessobjectives. ? e. Assess the impact of new processes, systems, orchanges on business operations and recommend actionable steps forseamless integration. ? f. Support the development of businessartifacts, including business rules, process documentation, andoperational procedures, to enhance project outcomes. ? g. Act as abridge between business and technology teams, ensuringmodernization efforts align with operational needs and userrequirements. ? h. Identify potential risks and roadblocks, workingproactively with teams to develop mitigation strategies and ensuresmooth execution. ? i. Advise on operationalizing and aligningbusiness processes with project goals, ensuring solutions arescalable, sustainable, and meet long-term program needs. ? j.

Mentor and transfer knowledge to State teams, ensuring they havethe capacity to navigate and implement modernization effortssuccessfully. ? k. Facilitate validation of business requirements,ensuring solutions meet end-user needs and policy objectives. ? l.

Support efforts to measure success, track key milestones, andensure accountability for modernization initiatives. ? m. Providestrategic insights into future-state business development, advisingon long-term program sustainability and continuous improvement.

JOBDESCRIPTION

The Business Subject Matter Expert (SME) provides deep,hands-on expertise to ensure modernization initiatives align withreal-world business operations, policies, and compliancerequirements. SME’s work directly with State business teams inMMIS, IE&E, and HIE, advising on business workflows, programpolicies, and operational impacts. This role focuses on tacticalexecution, helping business teams define requirements, developbusiness rules, validate system changes, and ensure thatmodernization efforts integrate smoothly into daily operations.

SME’s play a critical role in bridging business needs withtechnology solutions, ensuring that transformation efforts arepractical, scalable, and user centered. SME’s will be engagedacross relevant business domains, including but not limited to: ? •

MMIS:

Claims processing, provider enrollment, prior authorization,pharmacy benefit management, care management, appeals, andthird-party liability.

IE&E:

Economic Services Division (ESD),Health Access Eligibility & Enrollment Unit (HAEEU), programintegrity, and benefit coordination . . ? •

HIE:

Health datainteroperability, provider and payer data exchange, and publichealth reporting Equal opportunity employer as to all protectedgroups, including protected veterans and individuals withdisabilities • While an hourly range is posted for this position,an eventual hourly rate is determined by a comprehensive salaryanalysis which considers multiple factors including but not limitedto: job-related knowledge, skills and qualifications, education andexperience as compared to others in the organization doingsubstantially similar work, if applicable, and market and businessconsiderations. Benefits offered include medical, dental and visionbenefits; dependent care flexible spending account; 401(k) plan;voluntary life/short term disability/whole life/term life/accidentand critical illness coverage; employee assistance program; sickleave in accordance with regulation. Benefits may be subject togenerally applicable eligibility, waiting period, contribution, andother requirements and conditions.