Information Technology Jobs in Cayce, SC

Job Description:

Client is seeking a Systems Analyst Consultant to support operational activities for the legacy Medicaid Management Information System (MMIS) within the Bureau of Medicaid Systems.

The role will support key Medicaid platforms including:

• MMIS Online Application
• Provider Web Tool
• Provider Enrollment Application
• EDI / Translator Systems

This position will work closely with business teams, technical teams, vendors, and government stakeholders to ensure smooth operations of MMIS systems.

Key Responsibilities

• Serve as a liaison between business teams and IT to deliver technical solutions that meet user needs.
• Support MMIS operational activities, including reporting, analytics, system support, and testing.
• Develop, retrieve, and distribute reports and datasets for internal and external stakeholders.
• Provide operational support for legacy MMIS and related subsystems.
• Monitor and coordinate vendor requests and issue resolution.
• Translate business requirements into system requirements and technical requests.
• Perform analysis, design, and testing to support MMIS functionality.
• Review and validate QA and UAT testing results.
• Document system issues, defects, and coordinate resolution efforts.
• Identify risks, issues, and operational trends and escalate when required.

Required Skills

• 3+ years of Medicaid or Healthcare industry experience (especially Medicaid claims or provider operations).
• COBOL programming experience.
• 3+ years working with healthcare payer mainframe systems as a technical analyst or similar role.
• Experience with EDI transactions and companion guide management.
• Experience supporting Medicaid eligibility or enrollment systems.
• Understanding of MMIS systems and operations.

Preferred Skills

• Subject Matter Expertise in MMIS Operations.
• Experience with data analysis tools such as:
• SAS
• Excel
• Data visualization tools
• Statistical analysis tools
• Ability to prepare clear status reports and technical documentation.

Education

• Bachelor’s degree in Technical, Business, or Healthcare field
• OR
• Equivalent experience in systems analysis or system development (3+ years).

Additional Requirements

• Strong analytical and troubleshooting skills.
• Ability to review job schedules and system logs to diagnose issues.
• Experience working in cross-functional teams.
• Excellent written and verbal communication skills.
• Ability to communicate effectively with technical teams, business stakeholders, and vendors.

About this Position:

Job Title: Systems Analyst

Key Responsibilities and Work Activities

• 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 client 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 client's systems 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).

Required Skills:

• 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 medical/healthcare capabilities and intricacies.

Preferred Skills:

• Subject Matter Expertise as it relates to healthcare/medical 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.

Required Education and Additional Skills

• 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.
• 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.

"No phone calls please."

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Requirements of the Tech Scholar:

• Be enrolled as a full-time student in a Mechatronics or EET program at a partnered Technical College with Michelin
• Be a full time student (12 credit hour per semester)
• Have and maintain a minimum 2.5 GPACumulative
• Be able to work at least 20 hours per week at Michelin during the program

Job Achievements:
* Methods and practices applied (job performed in safety, quality, respect of instruction,...)
* Sustain equipment compliance (standard, cleanliness, cycle time, influent parameters,...)
* Interventions are encoded, documented, and analyzed
* Effectiveness of all interventions (prevent breakdowns, cure the default within an optimized time,collaboration with Production, Quality, ...)
* Efficiency of all interventions (resources used, consumption of spare parts, sustained energy efficiency of equipment)
* Support MDP processes (participating in analyzes, requirements from 5' briefing treated or upgraded...)
* Machine performance assured for perimeter of responsibility

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The care placed in its products and deep customer knowledge inspire Michelin to offer the finest experiences. This spans from providing data- and AI-based connected solutions for professional fleets to recommending outstanding restaurants and hotels curated by the MICHELIN Guide.

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• Innovation-Driven: Work on projects that matter-from sustainable materials to digital transformation.
• Community Impact: Be part of a company that does what's right. We use sustainable business practices while balancing the needs of our customers and communities.

Michelin provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors. Consistent with these obligations, Michelin also provides reasonable accommodations to employees and applicants with disabilities and for sincerely held religious beliefs. If you need accommodation for any part of the employment process because of a disability, please contact us at .

This position is not available for immigration sponsorship.

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In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy.

Assists the pharmacist in the performance of other Pharmacy Department duties in accordance with Company policies and procedures.Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions.

If PTCB certified, assists with and coaches pharmacy technicians in the operation of pharmacy systems and cashiers in the operation of the pharmacy cash registers.Models and delivers a distinctive and delightful customer experience.

Job Responsibilities/TasksCustomer Experience Engages customers and patients by greeting them and offering assistance with products and services.

Resolves customer issues and answers questions to ensure a positive customer experience.

Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).Develops strong relationships with most valuable customers.

Operations Under the supervision by the pharmacist, assist in the practice of pharmacy, in accordance with state, federal, and company policy.

Reviews and complies with the Walgreen Co.

Pharmacy Code of Conduct.

Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions.

Assists pharmacists in scheduling and maintaining work flow.Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program.Strictly adheres to the Walgreen Co.

policy regarding Good Faith Dispensing during all applicable prescription dispensing activities.Responsible and accountable for registering all related sales on assigned cash register, collects and handles cash as required.

Takes customer to OTC aisle when possible to assist in locating products.Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians.Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals.

Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs.May assist pharmacist in administering clinical services including the collection and proper labeling of blood/urine samples from patients and other clinical services as required; assists pharmacy staff in coordination of clinical services, Walgreens healthcare clinics and external providers.Assists Pharmacy Manager and Staff Pharmacist in developing and maintaining good relationships with the local medical community, including physicians, nurses, and other health care providers, by medical provider detailing and outreach to health groups, retirement homes, nursing homes, and other forums for enhancing growth opportunities.Assists with exterior and interior maintenance by ensuring the Pharmacy Department is stocked with adequate supplies, clean, neat and orderly in condition and appearance.Complies with all company policies and procedures; maintains respectful relationships with coworkers.Completes special assignments and other tasks as assigned.

Training & Personal Development Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration.

Otherwise, earns PTCB certification as condition of promotion to senior technician.

Attends training and completes PPLs requested by Manager and acquires continuing education credits.

Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments.

Basic Qualifications PTCB or Ex CPT certification (except in Puerto Rico) One year of work experience as a pharmacy technician in a retail or hospital setting.Must be fluent in reading, writing, and speaking English.

(Except in Puerto Rico)Requires willingness to work flexible schedule, including evening and weekend hours.Willingness to obtain active immunization certification within 90 days of hire (except in Community Specialty Pharmacy, Health System Pharmacy locations, or in locations where this role is covered under a collective bargaining agreement) Preferred Qualifications An Equal Opportunity Employer, including disability/veterans.Salary Range: $18.75
- $24.5 / Hourly

Position Title Board Certified Radiologists

Location: Wm. Jennings Bryan Dorn VA Medical Center 6439 Garners Ferry Road, , Columbia SC 29209-1638.

Board Certified Radiologists - Abdominal/GU, Breast Imaging, Cardiovascular, General, Interventional, Musculoskeletal, Neuroradiology, and Authorized User (AU) Radiology Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA)

QUALIFICATIONS: Staff/Facility

Board Certification: All contractor's physician(s) shall be Board Certified per the American Board of Radiology ( ). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

Technical Proficiency:

• Contractor's physician(s) shall be technically proficient in the skills necessary to fulfill the government's requirements, including the ability to speak, understand, read and write English fluently.
• Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.
• Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contractor's physician(s) and contractor's physician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

Standards of Care : The contract physician(s)' care shall cover the range of Interventional Radiology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

Direct Patient Care: estimated 95% of the time involved in direct patient care. Contractor shall be responsible for:

Scope of Care: Contractor's physician(s) shall be responsible for providing general and interventional Radiology procedures, including, but not limited:

• Diagnostic Radiology
• Ultrasound
• Computed Tomography (CT)
• Magnetic Resonance Imaging (MRI)
• Nuclear Medicine (Nuc Med)
• Interventional Radiography (IR)

Clinic: Contractor's physician(s) shall be present on time for any scheduled clinics as documented by physical presence in the clinic at the scheduled start time.

Communication of Test Results: Mechanisms must be in-place to provide notification of test results for patients receiving care in accordance, Communicating Test Results to Providers and Patients.

Consultation Responsibilities: Contractor physician(s) shall provide consultation with and instruction to referring physicians regarding appropriate indications for general, ultrasound, CT, MRI, nuc med, and IR radiologic procedures so that the most expeditious and clinically appropriate work-up can be done.

Contractor physician(s) shall determine the appropriate course of treatment and communicate in person or by phone with the referring clinicians.

• Contractor physician(s) shall provide review of consults/orders and next- day patient cases for minimum of two hours daily.
• Contractor physician(s) shall provide post-procedure evaluation and follow-up and clinical consultation regarding complications of interventional radiologic procedures.

Medications: Contractor physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients.

Discharge education: Provide discharge education and follow up instructions that are coordinated with the next care setting for all emergency department patients.

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• Responsible for daily workflow activities to include the following membership/enrollment activities: processing of applications for new enrollments, terminations/cancellations, changes, renewals, database updates, and/or monthly billings.
  

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• 50% Receives and logs subscriber and member enrollment applications to the system. Processes/keys complex applications including new enrollments, terminations/cancellations, changes, and renewals. Updates all electronic enrollment files. Works edit/error reports generated from membership transactions.
  
• 15% Works with multiple operational areas to ensure relevant/appropriate group structure, status, benefits, and/or billing. May prepare and issue contracts, benefit books, and standard and custom id cards.
  
• 15% Responds to and resolves customer inquiries. Contacts plan administrators and internal and external customers to resolve issues/problems.
  
• 10% Trains new staff and updates/maintains accurate desk procedures. Assists with problem resolution.
  
• 10% Coordinates monthly billing and preparations of monthly invoices. May print, register, and mail monthly bills.
  

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• Ability to acquire knowledge of the membership system.
  
• Good judgment. Effective customer service and organizational skills.
  
• Demonstrated proficiency in spelling, punctuation, and grammar skills.
  
• Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills.
  
• Ability to handle confidential or sensitive information with discretion.
  

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• Computer systems support knowledge.
  
• Knowledge of booklet id card preparation, underwriting enrollment regulations, contract formats.
  
• Knowledge of state and federal laws related to private business types of insurance.
  
• Knowledge of standard benefit structures.
  

Job Title: Statistical Programming Analyst

Location: Columbia, SC

Contract duration: 6 Month contract with potential for extension or conversion

Job Summary

We are seeking a Statistical Programming Analyst III to join our Research & Analysis team in a partially onsite role, responsible for developing and delivering data-driven reports using large healthcare datasets. This role focuses on ensuring data integrity, executing routine monthly reporting processes, and creating ad hoc analyses to meet customer needs through statistical programming and data interpretation using tools such as SAS, SQL, and/or Python, with a transition toward Python and expanded data visualization capabilities.

Key Job Responsibilities:

• Ensure data integrity by validating and supporting monthly data warehouse table loads
• Execute standard and routine reporting processes using updated datasets
• Develop and deliver recurring and ad hoc reports based on customer requirements
• Use statistical programming (SAS, SQL, and/or Python) to extract, manipulate, and analyze large healthcare datasets
• Perform mathematical computations and data interpretation to generate meaningful insights
• Collaborate with internal teams, external vendors, and CMS stakeholders to understand reporting needs
• Translate technical findings into clear, concise reports and documentation for both technical and non-technical audiences
• Create and maintain detailed documentation for reporting processes and outputs
• Support the transition of existing processes to Python and contribute to enhancements in data visualization, dashboarding, and modeling
• Adapt to evolving tools, systems, and requirements within a dynamic contract environment

Job Qualifications:

• Bachelor’s or Master’s degree in Statistics, Biostatistics, Mathematics, Computer Science, or a related field
• Minimum of 4 years of experience in statistical programming or statistical data interpretation
• Strong experience with statistical programming and reporting (SAS, SQL, and/or Python preferred)
• Proficiency with Microsoft Office applications
• Experience working with relational databases and large datasets
• Ability to perform mathematical computations and analyze complex data
• Strong written and verbal communication skills, including the ability to explain technical concepts to non-technical audiences
• Experience creating clear, detailed documentation for reports and processes
• Ability to work with multiple stakeholders, including external vendors and CMS
• Adaptability to changing tools, technologies, and processes (including transition to Python and new visualization tools)
• Self-motivated, able to work independently, and comfortable solving complex problems with limited direction
• Must meet CMS security clearance and U.S. residency requirements (3 of the last 5 years in the U.S.)

Screening questions:

Do you now or in the future require sponsorship (e.g. H-1B)? Y/N

EEO and ADA Statement:

Consulting Solutions and its family of companies is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

If you are a person with a disability needing assistance with the application or at any point in the hiring process, please contact us at:

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• 75% Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
  
• 15% Manages records retrieval, release, HIPAA compliance, and all aspects of document management.
  
• 10% Serves as expert resource on methodology and procedures for medical records and coding issues.
  

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• Responsible for providing assistance in the acquisition, negotiation and renewal functions related to IT vendor contracts. Register vendors for IT contracts and manages databases for IT vendor contracts.
  
• 35% Assists in the acquisition, negotiation, and renewal functions related to IT vendor contracts. Reviews, analyzes and creates hierarchy for IT vendor agreements. Maintains and updates various IT vendor databases in support of area workflow and department projects.
  
• 35% Perform quality reviews of databases to ensure agreements are entered correctly. Works with staff to correct and advise of proper protocols.
  
• 10% Trains and assists new employees with processes and procedures of the databases. Creates work instructions, procedures and standards for databases.
  
• 10% Request vendor registrations from new and established vendors and assists IT Payables with finalizing the required documentation.
  
• 10% Creates, reviews, maintains, and completes various reports for management.
  

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• This position manages key vendor and contract activities, including requesting vendor registrations and assisting IT Payables with required documentation.
  
• Responsibilities include supporting renewal functions for critical IT vendor contracts, reviewing and analyzing reports for senior leadership, and collaborating closely with the Chief Negotiator, IS Negotiation team, and key vendors.
  
• The position also involves maintaining and updating IT vendor databases to ensure accurate workflow and support department projects.
  

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• Fast paced, multi-platformed environment which may require action and response 24X7 to support the technical business needs of the customer.
  

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• This department operates in a fast-paced environment, supporting a wide range of customers across BCBSSC and most of various lines of business. Our work often involves tight deadlines, with busy end of quarters, a very busy end of year for renewals, and at times it may require overtime to meet critical deliverables.
  
• We're a close-knit team that values collaboration and support. While we work in a high-functioning environment and pride ourselves on being hardworking, we also make space for fun and positivity.
  
• We partner closely with other teams across the AIMS organization. Our culture is a safe, inclusive space where everyone feels accepted and respected, and we welcome diverse perspectives.
  

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• 4 years project coordination or other related work experience.
  

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• Bachelor's Degree
  
• Degree Equivalency: 4 years job related work experience or Associate's and 2 years job related work experience
  

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• Excellent organizational skills and quality research skills.
  
• Excellent verbal and written communication skills.
  
• Demonstrated skills to work with and assist others.
  
• Ability to acquire in-depth knowledge of department functions, procedures and workflow.
  
• Analytical or critical thinking skills.
  
• Good judgment skills.
  
• Ability to handle confidential or sensitive information with discretion.
  
• Ability to work in a team environment and prioritize work effectively.
  
• Ability to assist in the preparation, documentation, and presentation of recommendations to management.
  

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• Microsoft Office.
  
• Vendor Management experience
  
• Experience communicating with executive level management
  
• Service Now Experience
  

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• Smart Cloud Control Desktop
  

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• Provides prompt, accurate, thorough and courteous responses to all customer inquiries.
  
• Inquiries may be non-routine and require deviation from standard screens, scripts, and procedures.
  
• Performs research as needed to resolve inquiries.
  
• 60% Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk-in inquiries.
  
• Handles situations which may require adaptation of response or extensive research.
  
• Accurately documents inquiries.
  
• 15% Initiates or processes adjustments or performs other research as needed to resolve inquiries.
  
• Coordinates with other departments to resolve problems.
  
• Responds to, researches and/or assists with priority inquiries and special projects as required by management.
  
• 10% Provides feedback to management regarding customer problems, questions and needs.
  
• Maintains accurate records on complaints and/or other customer comments, and makes recommendations for changes to management.
  
• Follows through on complaints until resolved or reports to management as needed.
  
• 10% Maintains basic knowledge of quality work instructions and company policies.
  
• Assists with process improvements through the recommendation of changes in procedures and techniques discovered during daily operations.
  
• Maintains all departmental productivity, quality, and timeliness standards.
  
• 5% Assist with the training of new employees and cross training of coworkers.