IO Datasphere, Inc. has been providing project management, software development and IT staff augmentation services to our clients in the Midwest and throughout the U.S. since 1996. We are an approved vendor on contract to provide software development and IT staff augmentation services for the States of Illinois, Michigan, Minnesota, Iowa, and Wisconsin. We also provide these services to businesses, as well as local and county governments, in the Midwest and nationwide.

Our client is looking for an IS Business Automation Specialist. 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.

Tasks

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.

Coordination & Collaboration

• Independently resolve problems by working with appropriate staff or vendor staff to identify and resolve any conflicts in the adult LTC provider enrollment system and its operation(s).
• Meet with BQO staff, contracted agencies, and long-term care providers to determine systems problems, prepare analysis of identified problems, develop systems specifications and tests to correct problems and monitor their implementation.
• Present data in a usable format for BQO staff and leadership in the appropriate form of charts, graphs, reports and tables.
• When requested, present data orally with appropriate presentation materials.
• Independently work with appropriate staff or vendor staff to identify, research, and resolve data, interfaces, and extracts validity and integrity issues.

Knowledge, Skills and Abilities Required:

• Excellent interpersonal communication skills
• Excellent organization and time management skills
• Advanced oral and written communication and presentation skills.
• 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.

NOTE: This position is remote, but work must be performed within the State of Wisconsin - WI residency IS REQUIRED. No relocation allowed. Selected candidate will be required to be onsite in Madison, Wisconsin once a month.

Location: Madison, WI (Remote form within the State of WI)

Contract: 1+ years

Skills Required:

• 3-5 years experience performing a business analyst role supporting State Medicaid and MMIS, or similar health care business

System Project Management and Oversight

Data Analysis and Policy Support

Coordination and Collaboration

• 3-5 years experience performing a business analyst role supporting State Medicaid and MMIS, or similar health care business and system in one or more of the following functional areas:

Provider management

Member (recipient) eligibility and enrollment

Claims and encounters

Benefit plan

• 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.
• 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.
• Experience working in a complex, matrix work environment.
• Knowledge of the State of Wisconsin adult long-term care programs.

Skills Desired A plus to have:

• Certified Business Analysis Professional (CABP)

*** Rate depends on experience

*** Candidates authorized to work in the US are encouraged to apply. We can accept H1b, , TN, and other valid work visas for IT. However, we cannot accept OPT or CPT visas at this time.

*** Companies submitting candidates should only submit direct W2 employees for this position.

Please submit your resume by using the "URL" below