{"id":2890289,"url":"https://alion.io/job/novalink-solutions-llc-business-analyst","title":"Business Analyst","company":{"id":4449854,"name":"NOVALINK SOLUTIONS LLC","domain":"novalink-solutions.com","url":"https://alion.io/company/novalink-solutions-llc","size_band":null,"is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"Zoho Recruit","truth_index":null},"role":"Analytics","role_family":"Analytics","seniority":"middle","employment_type":"contractor","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Columbia, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":69000,"max_usd":128000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1085},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Office","optional":true}],"status":"live","first_seen_at":"2026-10-20T01:56:37Z","employer_posted_date":"2026-10-20","last_verified_at":"2026-11-01T08:50:37Z","board_verified":true,"closed_at":null,"days_open":12,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":12},"description":"The South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid\nAgency for South Carolina. The Business Analyst will support the medical code change\nrequests by researching and making recommendations to policy and process owners and\nstakeholders for review and approval. The position will also participate as a project team\nmember, as assigned, for related process improvements, Medicaid Management Information\nSystem (MMIS) enhancements and provide subject matter expertise for a future MMIS\nreplacement. The position we are seeking to fill is for a candidate with a background in\nhealthcare and is a Certified Medical Coder.\nCandidates who enjoy working on complex, change-oriented projects with motivated team\nmembers will find this position attractive.\nWHY IS THIS POSITION OPEN (new role, increased workload, new dept., resignation, promotion)?\nThe workload and complexities of the reference administration responsibilities require\nadditional support to maintain efficiency and to achieve defined deliverable dates. The\nadditional position will allow us to finalize succession planning for the Reference\nAdministration team.\nWHAT TYPES OF STAFFING CHALLENGES OR HEADACHES HAVE YOU EXPERIENCED IN THE PAST?\nThis position requires an individual with strong analytical skills and experience in:\nManaging multiple work efforts simultaneously\nMedical Coding\nClinical background - not required but could be beneficial\nTime management skills\nCPT/HCPCS and ICD-10 translation knowledge and ability to\nlearn how medical codes link to claims processing\nAbility to understand business and functional requirements\nPlease ensure that your candidates have strength in these areas. Candidates with\nhospital, office, or clinic settings experience will be beneficial.\nThe candidate must have strong collaboration and relationship building skills.\nExperience in healthcare or degree to align with healthcare environment\nSCOPE OF THE PROJECT:\nThis project is a multi-year-old effort which primarily focuses on providing consulting services\nto operations and policy staff for the current Medicaid Management Information System\n(MMIS).\nThe current position’s focus and priority is the continued support of serving as a subject\nmatter expert (SME), building knowledge that allows policy and process owners to make the\nbest recommendations for Medicaid members and providers. It is necessary to build and\nsustain a strong staff who understands coding, aids staff in understanding CPT/HCPCS and\nICD-10 coding and apply the codes correctly within the Reference Administration sub-system.\nPOSITION:\nIT Healthcare Consultant - Business Analyst -\nAdvanced\nPRE-EMPLOYMENT CHECKS?\nState mandatory - Criminal, Credit and E-Verify background checks\nOBJECTIVES TO BE FULFILLED BY CANDIDATE:\nThe principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code\nmaintenance. As the IT Healthcare Consultant - Business Analyst - Advanced (Clinical Analyst\nand Coding Specialist):\nSpecific duties include, but are not limited to:\nInitiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding\nchanges.\nPerforms initial review of codes to determine scope of changes.\nPrepares listings of codes changes to Reference Administration staff and Medicaid\nProgram staff for review and analysis.\nConducts meetings with Agency personnel, stakeholders, and process owners.\n(Future) Participates in DASH (Replacement MMIS) project meetings, as needed,\nwhere reference administration expertise is required.\nServes as an agency subject matter expert (SME) for medical coding methodologies,\nMedicaid policy, and related topics.\nResearch business rules, requirements, and models to complete initial analysis and\nrecommendations.\nMaintains business rules, requirements, and models in a repository.\nCollaborates with team to ensure process documentation is complete, owner and\nstakeholder, as needed, training content is complete and routinely updated.\nMay serve as a back-up to other roles within the bureau to support claim escalations\nresearch, once the person has demonstrated full proficiency in the job functions\nrequired for their new role\nOther project-related duties, as assigned or required\nREQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):\n3+ years’ experience in healthcare\nStrong knowledge of ICD/CPT/HCPCS\ntranslation and coding methodologies\n3+ years extensive knowledge of\nanatomy, physiology, pharmacology,\nand medical terminology\nPREFERRED SKILLS (RANK IN ORDER OF\nIMPORTANCE):\n3+ years’ experience healthcare\nhospital, office and clinic setting\nKnowledge of Microsoft Office\n(Word, Excel, PowerPoint, Optum\nEncoder and other medical coding\n3+ years of strong knowledge of\nformal business process\ndocumentation\nsoftware programs)\nOther: preference for resources that\nare local to SC, NC, or GA. Resources\ncan reside anywhere in the US - but\nmust be willing to travel onsite to\nColumbia, SC within notice from\nmanagement at the resources\nexpense.\nREQUIRED EDUCATION:\nBachelor’s degree in healthcare related field.\nAn equivalent combination of experience and\neducation may be considered with prior\nSCDHHS hiring team review and approval.\nREQUIRED CERTIFICATIONS:\nCurrently credentialed as CPC (Certified\nProfessional Coder) or as CCS (Certified\nCoding Specialist).\nINTERVIEW PROCESS (who will conduct i/v,\nphone or in-person, how many rounds of i/v)?\nThe interviews will be conducted by a team\neither in-person or via video conferencing.\nSCHEDULE INTERVIEW: How soon can you\nschedule an interview (date / times)?\nOnce qualified resumes and candidates have\nbeen received.\nADDITIONAL SKILLS / Notes:\nWritten and oral communications skills, strong proficiency in English\nAbility to effectively communicate with executive management, line management,\nproject management, and team members\nRequirements\nCOMPANY / DEPARTMENT CULTURE: \nThe South Carolina Department of Health & Human Services (SCDHHS) is the State Medicaid Agency for South Carolina. The Business Analyst will support the medical code change requests by researching and making recommendations to policy and process owners and stakeholders for review and approval. The position will also participate as a project team member, as assigned, for related process improvements, Medicaid Management Information System (MMIS) enhancements and provide subject matter expertise for a future MMIS replacement. The position we are seeking to fill is for a candidate with a background in healthcare and is a Certified Medical Coder.\nCandidates who enjoy working on complex, change-oriented projects with motivated team members will find this position attractive.\nWHY IS THIS POSITION OPEN (new role, increased workload, new dept., resignation, promotion)?\nThe workload and complexities of the reference administration responsibilities require additional support to maintain efficiency and to achieve defined deliverable dates. The additional position will allow us to finalize succession planning for the Reference Administration team.\nWHAT TYPES OF STAFFING CHALLENGES OR HEADACHES HAVE YOU EXPERIENCED IN THE PAST?\nRecruiters submitting multiple, clearly unqualified candidates.\nThis position requires an individual with strong analytical skills and experience in:\n? Managing multiple work efforts simultaneously\n? Medical Coding\n? Clinical background - not required but could be beneficial\n? Time management skills\n? CPT/HCPCS and ICD-10 translation knowledge and ability to learn how medical codes link to claims processing\n? Ability to understand business and functional requirements\nPlease ensure that your candidates have strength in these areas. Candidates with hospital, office, or clinic settings experience will be beneficial.\nThe candidate must have strong collaboration and relationship building skills.\nExperience in healthcare or degree to align with healthcare environment\nSCOPE OF THE PROJECT:\nThis project is a multi-year-old effort which primarily focuses on providing consulting services to operations and policy staff for the current Medicaid Management Information System (MMIS).\nThe current position’s focus and priority is the continued support of serving as a subject matter expert (SME), building knowledge that allows policy and process owners to make the best recommendations for Medicaid members and providers. It is necessary to build and sustain a strong staff who understands coding, aids staff in understanding CPT/HCPCS and ICD-10 coding and apply the codes correctly within the Reference Administration sub-system.\nOBJECTIVES TO BE FULFILLED BY CANDIDATE:\nThe principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance. As the IT Healthcare Consultant - Business Analyst - Advanced (Clinical Analyst and Coding Specialist):\nSpecific duties include, but are not limited to:\nInitiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.\nPerforms initial review of codes to determine scope of changes.\nPrepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis.\nConducts meetings with Agency personnel, stakeholders, and process owners.\n(Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required.\nServes as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics.\nResearch business rules, requirements, and models to complete initial analysis and recommendations.\nMaintains business rules, requirements, and models in a repository.\nCollaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.\nMay serve as a back-up to other roles within the bureau to support claim escalations research, once the person has demonstrated full proficiency in the job functions required for their new role\nOther project-related duties, as assigned or required\nREQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE):\n3+ years’ experience in healthcare\nStrong knowledge of ICD/CPT/HCPCS translation and coding methodologies\n3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology\n3+ years of strong knowledge of formal business process documentation\nPREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE):\n3+ years’ experience healthcare hospital, office and clinic setting\nKnowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)\nREQUIRED EDUCATION:\nBachelor’s degree in healthcare related field. An equivalent combination of experience and education may be considered with prior SCDHHS hiring team review and approval. REQUIRED CERTIFICATIONS:\nCurrently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).\nRequired Skills\nSkill Type\nSkill Name\n\nBachelor’s degree in healthcare related field.\n\nCurrently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist).\n\n3+ years’ experience in healthcare\n\nStrong knowledge of ICD/CPT/HCPCS translation and coding methodologies\n\n3+ years extensive knowledge of anatomy, physiology, pharmacology, and medical terminology\n\n3+ years of strong knowledge of formal business process documentation\nPreferred Skills\nSkill Type\nSkill Name\n\n3+ years’ experience healthcare hospital, office and clinic setting\n\nKnowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and other medical coding software programs)\n\nResource is local to South Carolina, North Carolina, or 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