You will lead architectural transitions and data integrity efforts for large-scale health exchange systems.
Responsibilities
- Manage the transition of consumers from Welfare Management Systems (WMS) to NYS health exchange or similar MAGI-based eligibility systems.
- Resolve complex data discrepancies between NYS health exchange and state-based systems including eMedNY, WMS, KIDS, and OTDA.
- Oversee eligibility determination rules and Affordable Care Act (ACA) compliance within state or federal health exchanges.
- Support IT operations for infrastructure deployments and environments exceeding 100 million dollars.
Required Skills
- 84 months of experience with NYS health exchange, or other State-based or Federal health exchange systems.
- 84 months of experience with MAGI-based eligibility systems and ACA rules.
- 84 months of experience managing EDI 834 transactions for Medicaid, CHP, and Essential Plan recipients.
- 72 months of experience resolving data discrepancies across eMedNY, WMS, KIDS, and OTDA.
- 84 months of experience supporting 100-million-dollar plus infrastructure deployments.
- 24 months of experience using Splunk.
- Splunk Fundamental Part-1 and Splunk User Behavior Analytics e-Learning Course Completion Certifications.
- Proficiency with Microsoft Project, Microsoft Office, SharePoint, and IBM Rational Suite.
- Any Graduate degree.