Overview
Skills
Job Details
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