Job Description

Primary Responsibilities:

• Analyze and develop complex SQL supporting data warehouse downstream reporting and analytics
• Analysis of current business processes and systems, and documenting requirements for new processes and systems
• Work with internal team and customer on business documentation and updates
• Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria
• Help with developing presentations for internal team or for the customer. Solicit input from others and pull information together to create a professional presentation.
• Work with team to document updates needed for Operations Guide
• Assist with analysis of Medicaid enrollment, provider and claims data, and document requirements, use cases
• Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution
• Share use cases to data analysts for profiling, review results and infer compliance to Medicaid / CMS processes and guidelines
• Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts
• Positive attitude and willingness to jump in and help where needed

Required Qualifications:

• 7+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems
• 4+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS, PERM)
• 5+ years of experience in writing SQL
• Proven ability to lead communication (written and verbal) at the customer leadership level
• Knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation
• Effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision
• Bachelor’s degree in related field

Preferred Qualifications:

• 5+ Years of experience in Informatica PowerCenter creating extracts
• Knowledge of data integration, software enhancements/planning and agile methodologies
• Experience with using Azure DevOps, SharePoint, MS Project, Visio

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