Medicaid Certification & Compliance Data Analyst (REMOTE)
Medicaid Certification & Compliance Data Analyst (REMOTE)
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Job Description
Job Title: Certification Data Analyst (REMOTE)
Location: Raleigh NC
Duration: 12 Months
Job Description:
The Certification Data Analyst role reports to the Certification and Compliance Manager and participates in project team activities. The Certification Data Analyst (CDA) leads the development of outcome statements and operational reporting for Medicaid Enterprise System (MES) projects. This role collaborates with Business Leads Project Teams functional/matrix managers vendors and other stakeholders to ensure that Medicaid and CMS criteria are met and project tasks are delivered on schedule within budget and positioned for a successful MMIS/CMS Certification consistent with Program Management guidelines/processes and CMS expectations.
The CDA will be responsible and play a key role in supporting the Leadership and Managers to maintain the relationship in planning and executing CMS certification activities in conjunction with project team implementing complex systems in support of the Client programs.
Key Responsibilities:
- Gather data from various sources clean and transform it for analysis and ensure data accuracy and quality.
- Apply statistical methods techniques and tools to analyze data identify patterns trends and relationships and draw conclusions.
- Administer and maintain outcome statements database.
- Create clear and compelling visualizations (charts graphs dashboards) to present data findings and insights in an easily understandable format.
- Draft MES outcome statements and metrics for the program and project teams.
- Identify problems develop solutions and implement data-driven strategies to improve business processes and outcomes.
- Maintain Operational Workbook Report (OWR) timelines.
- Collaborate with the Business Leads and Project Teams to create and update state- specific outcome statements.
- Contribute outcome statements to Advanced Planning Documents (APDs).
- Attend and facilitate meetings to present findings.
- Support designated project leads and Subject Matter Experts (SMEs)with certification questions.
- Attend CMS certification presentations and reviews.
Skills:
Skill
Required/Desired
Amount
of Experience
CMS Medicaid Enterprise Systems or federal regulations.
Required
3
Years
MMIS / CMS certification experience.
Required
3
Years
Experience with spreadsheet tools like Microsoft Excel or Google Sheets.
Required
5
Years
Experience using data to improve organizations.
Required
5
Years
Experience implementing information systems in client facing role.
Required
5
Years
CMS Medicaid Enterprise Certification Life Cycle process experience.
Required
3
Years
Experience in healthcare related knowledge ideally in analytics reporting or related.
Highly desired
5
Years
Implementation/SDLC methodologies e.g. Agile waterfall hybrid and/or iterative
Required
3
Years
Experience with data visualization software experience.
Required
5
Years
Medicaid MMIS claims process or related experience.
Highly desired
3
Years
Demonstrated experience using project tracking tools (Microsoft Project (e.g. Jira MITAPulse)
Required
3
Years
Employment Type
Full Time
