job summary:
Under the general supervision of the Section Manager, Program Participation Oversight (PPO) in the Bureau of Quality & Oversight (BQO), this position is primarily responsible for the operational administration of the adult long-term care (LTC) provider enrollment system
location: Madison, Wisconsin
job type: Contract
salary: $31.33 - 41.33 per hour
work hours: 8am to 5pm
education: Bachelors
responsibilities:
- System Project Management & Oversight
- Serve as the primary point of contact for assigned systems projects.
- Provide operational administration over the adult long-term care (LTC) provider enrollment system.
- Lead the end-to-end project lifecycle including the development of business requirements, review of design documentation, flowcharts, file and report layouts, coordinate User Acceptance Testing, and conduct Production Verification to ensure the system changes meets BQO and DMS needs.
- Identify and document data inconsistencies or system bugs and work with vendors to resolve operational issues.
- Provide direction and technical assistance to internal and external teams to update, manage, analyze the system.
- Data Analysis & Policy Support
- Utilize SAS and OnBase case and project tracking systems to execute regular and ad hoc queries from the EDW/DAR for data extraction in support of advancing adult provider enrollment, assess network adequacy, and conduct other policy research as assigned.
- Analyze department policies, state and federal regulations, statutes, administrative codes and guidelines to inform necessary maintenance and enhancements to assigned systems areas.
- Learn and understand data, interfaces, and extracts and make conclusions to be presented to leadership for decision making purposes.
- Conduct review of trends and utilization patterns of adult LTC provider enrollment related data, interfaces, and extracts systems and make recommendations to management.
- Update, input and maintain the adult LTC provider enrollment system integrity and user reliability.
- If applicable, conduct research and provide ongoing information and consultation to BQO leadership and vendor(s) to maintain and improve adult LTC provider enrollment system operations.
qualifications:
Proficient knowledge of the Medicaid MMIS including the systems operated by the fiscal agent (interChange and OnBase), the EDW/DAR (SAS), and the eligibility/enrollment system (CARES) including the basic operation of these systems and their capabilities.
Experience with the system development life cycle, with skills in the areas of business requirements development and ensuring consistent quality.
Extensive knowledge of Microsoft Excel, SAS Systems, Tableau, and/or other data analysis software.
Knowledge of research design methods, management reporting techniques, and statistics.
Advanced oral and written communication and presentation skills.
Knowledge of the State of Wisconsin adult long-term care programs.
Extensive knowledge of Medicaid and other health care program reporting and data.
Knowledge and ability to analyze large datasets and interpret results from statistical tools.
Extensive knowledge of Federal Health Insurance Portability and Accountability Act (HIPAA) regulations and transaction and data standards.
Ability to work independently and as part of a team.
Skill in conducting meetings and working effectively with people.
Skill in the use of problem-solving techniques involving complex situations and multiple viewpoints.
Demonstrated ability to collaborate with public and private agencies and service delivery systems.
Experience working in a complex, matrix work environment
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
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