Description

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).

Key Skills
Education

Any Graduate