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Primary Responsibilities:
• Planning, writing, and maintaining detailed technical, operational, and process documentation.
• Gathering and analyzing technical information from various sources to be included in the documentation.
• Leading, developing, and maintaining a library of technical and business documentation source code and reports.
• Analyze Medicaid program including claims, eligibility, and provider data supporting data warehouse downstream reporting and analytics.
• Developing and supporting technical training materials.
• Modifying existing technical documentation for business needs.
• Participating in and leading technical and business requirements sessions.
• Meeting with the project team regularly to consolidate project status and reporting.
• Engaging with the customer as needed to provide updates on technical documentation and project work.
• Working with the development and QA team to assure each document has been thoroughly reviewed and support process improvements and operational efficiency.
• Mentoring/Coaching other project team members on effective writing skills and strategies for consistency.
• Performing additional duties that are typically associated with this position, as assigned.
• 5+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems.
• 5+ years of experience serving as a technical analyst in healthcare (payor).
• 3+ years of experience working specifically with Medicaid programs, MMIS/MES or related systems.
• 3+ years of experience in knowledge management creating, organizing, sharing, and optimizing knowledge within an enterprise organization using tools such as Microsoft 365, AI-enabled search, MS SharePoint/Teams, and JIRA.
• 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.
• Ability to interpret federal and state Medicaid policy and translate it into business and technical requirements.
• Effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no directsupervision.
• Bachelor’s degree in business, information systems, Public Health, or a related field
• Master’s Degree in related field is preferred.
• 5+ years of experience as a technical analyst in payor healthcare.
• 3+ years of experience writing SQL using large-scale database management tools.
• 3+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS, PERM).
• Knowledge of data integration, software enhancements/planning and agile methodologies
• Experience with using Azure DevOps, SharePoint, MS Project, Visio
The travel is for a 2-day quarterly meeting in Springfield, IL. Travel expenses are NOT reimbursable.
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
• 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
• 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
The travel is for a 2-day quarterly meeting in Springfield, IL. Travel expenses are NOT reimbursable
Years | Required/ Preferred | Experience |
8 | Required | PeopleSoft FSCM 9.2 |
8 | Required | PeopleCode and Application Packages |
8 | Required | Application Engine, COBOL, and SQR |
8 | Required | Integration Broker (REST, SOAP, JSON, XML) |
8 | Required | Advanced SQL and PL/SQL |
8 | Required | RHEL OS Scripting |
8 | Required | Oracle Database 19g |
8 | Required | (at least 2 years) BI Publisher Reports and PS Queries |
8 | Required | (at least 2 years) AWE |
8 | Required | (at least 2 years) Analyzing functional design requirements |
8 | Required | (at least 2 years) Creating technical design documents |
8 | Required | (at least 2 years) Experience with Microsoft 0365 applications (Word, Excel, PowerPoint, Teams, Visio) |
8 | Required | (at least 2 years) Experience working with SharePoint Lists |
2 | Preferred | Experience with Comptroller of Public Accounts (CPA) CAPPS Financials State of Texas Baseline on PeopleSoft FSCM 9.2 |
2 | Preferred | Experience in development with PeopleSoft GL, AP, PO, ePro, SCM, & SS modules |
1 | Preferred | Experience working with Scrum framework |
1 | Preferred | Experience working with Jira |
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