Job ID: NC-694221 (98591004)
Remote Healthcare EDI BA with data/process modeling, CPT LOINC, ICD-10, MS Project/Visio, EHR, ADT monitoring, statistical analysis/SAS Visual/Enterprise Guide, HL7, C-CDA, FHIR, ETL, and Medicaid experience
Location: Raleigh, NC (NCDIT)
Duration: 12 months
***This is a remote position for the duration of the engagement. If the candidate is local they’d like him or her to come onsite to collect equipment. If not, they will ship the candidate the equipment.
Skills :
Strong business analysis skills and research capabilities;Required5Years
Ability to lead business requirements development including data and process modelsRequired5Years
Experience with the exchange of healthcare data to support care management and value-based models of careRequired5Years
Knowledge of clinical coding systems such as CPT, LOINC, and ICD-10Required5Years
Ability to work independently with minimal supervisionRequired5Years
Strong communication skills with ability to communicate with cross functional teams and all levels of the organizationRequired5Years
Experience with systems/software development lifecycle including planning, development, testing, and deploymentRequired5Years
Knowledge of Microsoft Office Tools, specifically Microsoft Project, Visio, Excel and PowerPoint.Required5Years
Experience working with electronic health record dataRequired3Years
A strong understanding of population health monitoring; experience with Admission, Discharge and Transfer (ADT) monitoringHighly desired5Years
Experience with statistical and analytical software in the development of advanced reporting and analytics for health care.Highly desired5Years
Experience with web-based applications and database management systems;Highly desired10Years
Experience with SAS development tools such as SAS Visual Studio and SAS Enterprise GuideHighly desired10Years
Knowledge of healthcare interoperability technical standards such as HL7, C-CDA and FHIR.Highly desired10Years
Experience with data ETL techniques, data verification, quality data management, validation, and business analytics;Highly desired10Years
Experience working with healthcare claims/encounters data; Medicaid-specific experienceHighly desired2Years.
NC HIEA Population Health Analyst
The Population Health Analyst will work in partnership with stakeholders to ensure the NC HealthConnex delivers quality outbound services, including pandemic response efforts with the NC DHHS Division of Public Health and quality reporting with NC Medicaid. The Population Health Analyst will leverage their expertise to:
a.Engage key stakeholders including NC Medicaid and other DHHS agencies to align deliverables;
b.Collaborate in the development and implementation of population health systems, dashboards, and data exchanges;
c.Support the NC HIEA’s work to become NCQA DAV (Data Aggregator Validation) certified in partnership with NC Medicaid.
d.Work with potential external partners on use-case reviews and drive successful delivery on approved use-cases that align with the NC HIEA’s mission,
e.Provide subject matter expertise (SME) in clinical data and electronic healthcare data such as ADTs and CCDS.
f.Support Medicaid patient linking/patient matching projects.
g.Understand and take initiative on emerging standards and requirements at both state and federal levels of Medicaid.
h.Understand major health plan quality and performance measurements including HEDIS domains of care.
Knowledge, Skills and Abilities
•Strong business analysis skills and research capabilities;
•Ability to lead business requirements development including data and process models, ability to translate business requirements into clear and concise language and system specifications; strong working knowledge of relational databases in a client server environment,
•Experience with the exchange of healthcare data to support care management and value-based models of care
•Knowledge of clinical coding systems such as CPT, LOINC, and ICD-10
•Ability to work independently with minimal supervision;
•Strong communication skills with ability to communicate with cross functional teams and all levels of the organization including IT executives, business managers and other technical staff; strong experience with analytical tools and techniques,
•Experience with systems/software development lifecycle including planning, development, testing, and deployment;
•Knowledge of Microsoft Office Tools, specifically Microsoft Project, Visio, Excel and PowerPoint.
•At least 3 years of experience working with electronic health record data
Preferred
•A strong understanding of population health monitoring; experience with Admission, Discharge and Transfer (ADT) monitoring
•Experience with statistical and analytical software in the development of advanced reporting and analytics for health care.
•Experience with web-based applications and database management systems;
•Experience with SAS development tools such as SAS Visual Studio and SAS Enterprise Guide.
•Knowledge of healthcare interoperability technical standards such as HL7, C-CDA and FHIR.
•Experience with data ETL techniques, data verification, quality data management, validation, and business analytics; Query and report development experience
•Experience presenting data and data concepts to diverse stakeholders
•At least 2 years of experience working with healthcare claims/encounters data; Medicaid-specific experience