MMIS Business Subject Matter Expert

Location: Simpsonville
Posted on: June 23, 2025

Job Description:

JOB TITLE: MMIS Business Subject Matter Expert JOB LOCATION: Montpelier Vermont WAGE RANGE*: 80-100K JOB NUMBER: 25-02956 REQUIRED EXPERIENCE: . Provide deep expertise in business processes, program policies, and procedures to ensure project alignment with operational goals. ? b. Advise on business requirements, workflows, procedures, and policies to support effective implementation of modernization initiatives. ? c. Collaborate with State business teams, leadership, and other subject matter experts to guide informed decision-making and ensure project outcomes align with business goals and program policies. ? d. Offer guidance on policy and procedures to maintain compliance with federal and state regulations while supporting business objectives. ? e. Assess the impact of new processes, systems, or changes on business operations and recommend actionable steps for seamless integration. ? f. Support the development of business artifacts, including business rules, process documentation, and operational procedures, to enhance project outcomes. ? g. Act as a bridge between business and technology teams, ensuring modernization efforts align with operational needs and user requirements. ? h. Identify potential risks and roadblocks, working proactively with teams to develop mitigation strategies and ensure smooth execution. ? i. Advise on operationalizing and aligning business processes with project goals, ensuring solutions are scalable, sustainable, and meet long-term program needs. ? j. Mentor and transfer knowledge to State teams, ensuring they have the capacity to navigate and implement modernization efforts successfully. ? k. Facilitate validation of business requirements, ensuring solutions meet end-user needs and policy objectives. ? l. Support efforts to measure success, track key milestones, and ensure accountability for modernization initiatives. ? m. Provide strategic insights into future-state business development, advising on long-term program sustainability and continuous improvement. JOB DESCRIPTION The Business Subject Matter Expert (SME) provides deep, hands-on expertise to ensure modernization initiatives align with real-world business operations, policies, and compliance requirements. SME's work directly with State business teams in MMIS, IE&E, and HIE, advising on business workflows, program policies, and operational impacts. This role focuses on tactical execution, helping business teams define requirements, develop business rules, validate system changes, and ensure that modernization efforts integrate smoothly into daily operations. SME's play a critical role in bridging business needs with technology solutions, ensuring that transformation efforts are practical, scalable, and user centered. SME's will be engaged across relevant business domains, including but not limited to: ? • MMIS: Claims processing, provider enrollment, prior authorization, pharmacy benefit management, care management, appeals, and third-party liability. IE&E: Economic Services Division (ESD), Health Access Eligibility & Enrollment Unit (HAEEU), program integrity, and benefit coordination . . ? • HIE: Health data interoperability, provider and payer data exchange, and public health reporting Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities * While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions.

Keywords: , Olney , MMIS Business Subject Matter Expert, IT / Software / Systems , Simpsonville, Maryland