This position is remote and work must be performed within the State of Wisconsin. Selected candidate will be required to be onsite in Madison, Wisconsin once a month.
This position is primarily responsible for the operational administration of an adult long-term care (LTC) provider enrollment system.
location: Madison, Wisconsin
job type: Contract
salary: $37.34 - 41.33 per hour
work hours: 8am to 5pm
education: High School
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.
- 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.
- 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.
qualifications:
- 3+ years of experience performing a business analyst role supporting State Medicaid and MMIS, or similar healthcare business and system in one or more of the following functional areas:
- Provider management
- Member (recipient) eligibility and enrollment
- Claims and encounters
- Benefit plan
- 3+ years of 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
Preferred Skills
- Certified Business Analysis Professional (CABP) preferred
- Extensive knowledge of Microsoft Excel, SAS Systems, Tableau, and/or other data analysis software.
- Excellent interpersonal communication skills
- Excellent organization and time management skills
- 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.
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 HRsupport@randstadusa.com.
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.
