Business Subject Matter Expert (SME) - MMIS

Immediate long-term contract opportunity for Business Subject Matter Expert (SME) with direct client in Waterbury, VT. Trigyn's direct government client, based out of Vermont, has a long-term contract assignment (24 Months) for Business Subject Matter Expert. The particulars of the position are as follows. 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 business teams in MMIS, 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. Responsibilities include, but are not limited to :
• Provide deep expertise in business processes, program policies, and procedures to ensure project alignment with operational goals.
• Advise on business requirements, workflows, procedures, and policies to support effective implementation of modernization initiatives.
• Collaborate with business teams, leadership, and other subject matter experts to guide informed decision-making and ensure project outcomes align with business goals and program policies.
• Offer guidance on policy and procedures to maintain compliance with federal and state regulations while supporting business objectives.
• Assess the impact of new processes, systems, or changes on business operations and recommend actionable steps for seamless integration.
• Support the development of business artifacts, including business rules, process documentation, and operational procedures, to enhance project outcomes.
• Act as a bridge between business and technology teams, ensuring modernization efforts align with operational needs and user requirements.
• Identify potential risks and roadblocks, working proactively with teams to develop mitigation strategies and ensure smooth execution.
• Advise on operationalizing and aligning business processes with project goals, ensuring solutions are scalable, sustainable, and meet long-term program needs.
• Mentor and transfer knowledge to State teams, ensuring they have the capacity to navigate and implement modernization efforts successfully.
• Facilitate validation of business requirements, ensuring solutions meet end-user needs and policy objectives.
• Support efforts to measure success, track key milestones, and ensure accountability for modernization initiatives.
• Provide strategic insights into future-state business development, advising on long-term program sustainability and continuous improvement. TRIGYN IS AN EQUAL OPPORTUNITY EMPLOYER About Trigyn : Trigyn is an IT Services Company that has been in business for 30 years with more than 1,500 resources deployed today. Trigyn is ISO 9001 : 2015, ISO 27001 : 2013 (ISMS) and CMMI Level 5 Certified. Trigyn is an E-Verify® Employer.