Description

Lead architectural transitions and data integrity for large-scale health exchange systems in Menands, NY.

This role is on-site.

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

• 8+ years of experience with NYS health exchange, or other State-based or Federal health exchange systems.
• 8+ years of experience with MAGI-based eligibility systems and ACA rules.
• 8+ years of experience managing EDI 834 transactions for Medicaid, CHP, and Essential Plan recipients.
• 7+ years of experience resolving data discrepancies across eMedNY, WMS, KIDS, and OTDA.
• 8+ years of experience supporting 100-million-dollar plus infrastructure deployments.
• 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.

Preferred Skills

• Any Graduate degree.

Key Skills

Education

Any Graduate