Overview
Skills
Job Details
The Business/Data Analyst will perform business and data analysis tasks daily. Functions will include analysis, planning, assisting in managing project deliverables, updating the project plan using Microsoft Project, coordinating between the technical team and the business users. This role will support analysis of two different data structures to support conversion and new data model development of a large-scale data warehouse using complex SQL. This includes providing direction for the solution, ensuring data quality, and support of the design, development, and implementation (DDI) of the project.
Required Qualifications:
Bachelor's degree or higher degree in business intelligence, analytics, computer science, engineering, or related field.
5+ years of healthcare business and data analysis experience supporting business initiatives through data analysis, writing business requirements and supporting testing of various systems.
5+ years developing/writing complex queries using Structured Query Language (SQL).
3+ years of experience in working with State Medicaid/CHIP agencies or equivalent.
Good understanding of Fee for Service (FFS), Managed Care claim adjudication processes from eligibility and enrollment to claims processing to funding/finance.
Experience working on a Medicaid Enterprise System (MES)/MMIS, or EDW DDI or equivalent.
Proficient in MS Word, MS Excel, MS Project, SharePoint, Teams, and MS PowerPoint.
Be a self-starter and able to thrive in an environment with little guidance.
Excellent interpersonal, oral, and written communication skills.
o Ability to effectively communicate findings clearly and concisely in writing and verbally to both technical and non-technical audiences
Ability to work in a challenging environment with multiple teams and competing priorities
Experience with facilitating meetings.
Effective organizational, analytical, time management, problem-solving, and multi-tasking skills
Ability to complete assignments under tight deadlines with little/no direct supervision.
Preferred Qualifications:
Experience working with Data warehousing, Analytics, MMIS/MES, PERM, T-MSIS, CMS Federal Reporting or similar projects
Understanding of CMS reporting requirements for Medicaid.
Knowledge of health insurance, Health Management Organizations (HMO) and managed care principles including Medicaid and Medicare.
Experience with Teradata and SQL Assistant/Query Studio
Experience/knowledgeable in Extract Transform Load (ETL) processes
Experience/knowledgeable in Reporting processes
Experience/knowledgeable in Databases (such as Teradata, Snowflake, or other similar Database Management System)
Knowledge of quality measures (such as CMS Core Set, HEDIS)
Knowledge of data integration, software enhancements/development/planning
Knowledge/experience with agile methodologies and projects
Experience with using Azure DevOps, JIRA, and Visio