Job ID: NC-645833 (96590312)
Healthcare DBA/PM with BI, Oracle, SQL Server, DB2, Scrum/Agile, MMIS/Medicaid experience
Location: Raleigh NC (NCDHHS)
Duration: 12 months
Interview: Either Webcam Interview or In Person
Positions: 1 (1/1)
Skills:
Should have the capability to translate business requirements into technical solutions Required 5 Years
Demonstrated proficiency working with databases – Oracle (11) ,MS Sql server etc. DB2 Required 5 Years
Experience with Agile methodology and Scrum Required 5 Years
Strong understanding of healthcare claims processing – Claims, Provider, Eligibility Highly desired
Project Management Experience Required 5 Years
Working knowledge of Medicaid and/or MMIS Highly desired
Excellent verbal and written communication skills with the ability present to both technical and business audiences. Highly desired
Proven experience delivering Business Intelligence solutions Desired
NC Dept of Health and Human Services (DHHS) is seeking a Operations Lead / Developer Specialist to perform work related to the enhancements and daily operations of Electronic Visit Verifications for the NC Medicaid Claims Systems.
This position is responsible for providing all round development and operational support for the architecture, design, develop, modification, testing, and implementation of the required changes to the Electronic Visit Verification (EVV) system, creating and validating input files and formats as per the data mapping artifacts, architecting output datasets and validating data based on the requirements; quality assurance of data and interaction with division/federal staff, vendors and stakeholders to resolve data quality issues and manage all data extracts based on the policies and standards.
This position involves the ability to research and analyze complex healthcare data from variety of sources in order to evaluate, define, design, develop, test and implement technical solutions to produce accurate data extracts in the required file layout based on the Federal requirements.
This position is also responsible for analyzing and data mapping utilizing data and information from data warehouse, Medicaid claims processing system (MMIS – Claims, Eligibility, provider etc, Encounter Processing system(PHP-Encounters), PBM (RX Claims) and other division data sources using various SAS Business Intelligence tools.
This position will need to work with Division staff and other stakeholders to understand the requirements and providing technical support/guidance. Knowledge and ability for utilizing secured file transfer protocols/process compliant with the defined Federal standards.
This position will require the following Skills
-Experience with Agile development methodology and Scrum -> Required
-Demonstrated proficiency working with one or more databases – Oracle, DB2, MS SQL server etc.-> Required
-Hands-on experience in different file transfer methodologies and different file types and layouts such as csv, txt, XML, etc.
-Experience working with complex interfaces and integrations -> Required
-Proven experience delivering Business Intelligence solutions