See all roles

Senior Healthcare Business/Data Analyst (Medicaid) - $53 CTC - REMOTE (WI residents only)

Work from home Full-time role Hiring

Dice is the leading career destination for tech experts at every stage of their careers. Our client, Chandra Technologies, Inc., is seeking the following. Apply via Dice today! Job Description:

  • Crop to Crop resumes are accepted Location Requirement: Remote or on-site? This position is remote, but work must be performed within the State of Wisconsin

WI residency IS REQUIRED. No relocation allowed. Selected candidate will be required to be onsite in Madison, Wisconsin once a month. Under the general supervision of the Section Manager, Program Participation Oversight (PPO) in the Bureau of Quality &

  • Oversight (BQO), this position is primarily responsible for the operational administration of the adult long-term care (LTC) provider enrollment system.
  • System Project Management &
  • Oversight
  • Serve as the primary point of contact for assigned systems projects.
  • Provide operational administration over the adult long-term care (LTC) provider enrollment system.
  • Lead the end-to-end project lifecycle including the development of business requirements, review of design documentation, flowcharts, file and report layouts, coordinate User Acceptance Testing, and conduct Production Verification to ensure the system changes meets BQO and DMS needs.
  • Identify and document data inconsistencies or system bugs and work with vendors to resolve operational issues.
  • Provide direction and technical assistance to internal and external teams to update, manage, analyze the system.
  • Data Analysis &
  • Policy Support
  • Utilize SAS and OnBase case and project tracking systems to execute regular and ad hoc queries from the EDW/DAR for data extraction in support of advancing adult provider enrollment, assess network adequacy, and conduct other policy research as assigned.
  • Analyze department policies, state and federal regulations, statutes, administrative codes and guidelines to inform necessary maintenance and enhancements to assigned systems areas.
  • Learn and understand data, interfaces, and extracts and make conclusions to be presented to leadership for decision making purposes.
  • Conduct review of trends and utilization patterns of adult LTC provider enrollment related data, interfaces, and extracts systems and make recommendations to management.
  • Update, input and maintain the adult LTC provider enrollment system integrity and user reliability.
  • If applicable, conduct research and provide ongoing information and consultation to BQO leadership and vendor(s) to maintain and improve adult LTC provider enrollment system operations.
  • Coordination &
  • Collaboration
  • Independently resolve problems by working with appropriate staff or vendor staff to identify and resolve any conflicts in the adult LTC provider enrollment system and its operation(s).
  • Meet with BQO staff, contracted agencies, and long-term care providers to determine systems problems, prepare analysis of identified problems, develop systems specifications and tests to correct problems and monitor their implementation.
  • Present data in a usable format for BQO staff and leadership in the appropriate form of charts, graphs, reports and tables.
  • When requested, present data orally with appropriate presentation materials.
  • Independently work with appropriate staff or vendor staff to identify, research, and resolve data, interfaces, and extracts validity and integrity issues.

Position Skills, Abilities, and Knowledge:

  • Proficient knowledge of the Medicaid MMIS including the systems operated by the fiscal agent (interChange and OnBase), the EDW/DAR (SAS), and the eligibility/enrollment system (CARES) including the basic operation of these systems and their capabilities.
  • Experience with the system development life cycle, with skills in the areas of business requirements development and ensuring consistent quality.
  • Extensive knowledge of Microsoft Excel, SAS Systems, Tableau, and/or other data analysis software.
  • Knowledge of research design methods, management reporting techniques, and statistics.
  • Advanced oral and written communication and presentation skills.
  • Knowledge of the State of Wisconsin adult long-term care programs.
  • Extensive knowledge of Medicaid and other health care program reporting and data.
  • Knowledge and ability to analyze large datasets and interpret results from statistical tools.
  • Extensive knowledge of Federal Health Insurance Porta

Apply tot his job Apply To this Job

You might like

Healthcare Analyst - Zero Balance

Work from home Full-time role

Associate Analyst, Data-Remote in California

Work from home Full-time role

Analyst - Healthcare

Work from home Full-time role

Revenue Integrity Analyst: Finger Lakes Health

Work from home Full-time role

Healthcare Recruiter Baltimore, MD

Work from home Full-time role

Remote LVN/LPN

Work from home Full-time role

Warehouse Manager (EMS / Medical Logistics – LVN, RN or Paramedic Required)

Work from home Full-time role

Remote Bilingual Telephonic LVN Case Manager - Outpatient (Must have California License)

Work from home Full-time role

CNA, Hospice, Home Based(Call-in Mon-Fri)

Work from home Full-time role

CNA Certified Nursing Assistant Float Pool FT DAYS

Work from home Full-time role

Data Center CoE Sr. Field Service Technician

Work from home Full-time role

Regional Sales Director - Pittsburgh

Work from home Full-time role

Experienced Customer Support Representative – Join arenaflex's Fast-Paced and Innovative Customer Support Team

Work from home Full-time role

Experienced Remote Data Entry Associate – Healthcare and Insurance Domain Expert

Work from home Full-time role

Financial Advisor Associate - Remote -Fast Track Leadership Path - Phoenix

Work from home Full-time role

Database Administrator/Oracle Engineer- LGY Remote / Telecommute Jobs

Work from home Full-time role

Experienced Data Entry Associate – Remote Work Opportunity with arenaflex

Work from home Full-time role

Virtual Customer Care Professional – Delivering Exceptional Experiences at arenaflex

Work from home Full-time role

AI Engineer - ICAM

Work from home Full-time role

Experienced Customer Service Representative – Remote Opportunity at arenaflex

Work from home Full-time role