Job ID: NC-651808 (93690603)
Healthcare BA with MMIS, NCTracks/payment system, rules, claims, regulatory and MS Office experience
Location: Raleigh, NC (NCDHHS)
Duration: 12months
Interview: Either Webcam Interview or In Person
Positions:1(1/1)
Skills :’
Demonstrated experience with Medicaid Management Information Systems (MMIS) or other healthcare payment systemsRequired3Years
Demonstrated knowledge of NCTracksRequired3Years
Experience with gathering requirements and interpreting business rulesRequired3Years
Strong understanding of accreditation and regulatory requirements for Medicaid participationRequired3Years
Highly proficient with Microsoft Outlook, Word and ExcelRequired
Strong organizational, time management, communication, and detail-oriented skillsRequired
This position will serve as a member of the Business Technology Relationship Management team. The unit is responsible for managing relationship between the DHB program/functional areas and the Technology that supports the business and supports all of the division.
Job Specific Responsibilities
-Research claim editing issues
-Work with various stakeholders to interpret business rules and to collect requirements for system enhancements
-Identify Defects and track through to resolution
Preferred Knowledge, Skills, and Abilities:
-Experience with gathering requirements and interpreting business rules
-Experience with Medicaid Management Information Systems (MMIS), NCTracks, or other healthcare payment systems
-Strong knowledge of claims editing, national code sets and the interaction between procedure codes and other data
-Strong understanding of health care strategy, operations, technology, and regulatory requirements
-Demonstrated ability to work independently in a fast-paced environment with concurrent deadlines-
-Excellent communication, negotiation, conflict resolution and persuasion abilities
-Strong organizational, time management, communication, and detail-oriented skills
-Highly proficient with Microsoft Outlook, Word and Excel