Description

You will design and implement technical solutions for Managed Care Transformation, owning the full lifecycle of data interfaces, reporting, and analytics within the healthcare ecosystem.

This role is on-site.

Responsibilities

• Research and analyze complex healthcare data from multiple sources to design scalable technical solutions.
• Develop and maintain interfaces across Medicaid internal and external systems, ensuring seamless data exchange.
• Create and deliver reports and metrics using SAS Business Intelligence tools and the NC Analytics Data warehouse.
• Write and optimize SQL queries to analyze data, validate input files, and generate ad-hoc reports for business needs.
• Translate business requirements into technical specifications and manage vendor relationships.

Required Skills

• 5+ years of project management experience in complex technical environments.
• 5+ years of experience developing SQL queries across Oracle (11), MS SQL Server, and DB2 databases.
• 5+ years of SAS programming knowledge, specifically Base SAS 9.4, SAS Macro, SAS BI Suite, Data Integration Studio, and Enterprise Guide.
• Strong understanding of healthcare claims processing, including Claims, Provider, Eligibility, and Members data structures.
• Proficiency with file transfer methodologies and formats including CSV, TXT, and XML.
• Proven track record delivering Business Intelligence solutions and validating data quality assurance.
• Demonstrated ability to gather business requirements, develop business rules, and create process flows.
• Knowledge of Agile methodology for project delivery.

Preferred Skills

• Working knowledge of Medicaid and/or MMIS systems.
• Experience with Single Sign On applications and the State’s NCID system.

Key Skills

Education

Any Graduate