You will perform analytical and technical work to support Managed Care Transformation enhancements and operations.
Responsibilities
- Research and analyze complex healthcare data to design technical solutions meeting Federal and State Medicaid requirements.
- Design and develop interfaces across internal and external Medicaid systems.
- Create and deliver reports and metrics using SAS Business Intelligence tools and the NC Analytics Data warehouse.
- Validate input files and formats against data mapping artifacts and perform data quality assurance.
- Collaborate with vendors and stakeholders to translate business requirements into technical solutions.
Required Skills
- 5+ years of experience in project management.
- 5+ years of experience developing SQL queries.
- 5+ years of experience with DB2.
- Strong understanding of healthcare claims processing, including Claims, Provider, Eligibility, and Members.
- Proficiency with Oracle and MS SQL Server databases.
- Hands-on experience with file transfer methodologies and file types including CSV, TXT, and XML.
- Proven experience delivering Business Intelligence solutions.
- Experience managing and working with multiple vendors.
- Working knowledge of Agile methodology.
Preferred Skills
- Working knowledge of Medicaid and/or MMIS.
- SAS programming knowledge (Base SAS 9.4, SAS Macro, SAS BI Suite, Data Integration studio, Enterprise Guide).