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Required:
IT Analyst experience
Data exchange interface experience (extracting/exporting data, SFTP, making adjustments to data)
Medicaid or payer experience (Blue Cross Blue Shield, United Health Care, Aetna, etc.)
The IT Analyst provides advanced technical support such as analyzing, designing, and implementing system solutions to optimize the Medicaid business processes within this company. This role is responsible for ensuring the accuracy and efficiency of system development in line with state and federal guidelines, including CMS standards and MITA processes. Additionally, the position engages with users to identify system needs, proposes strategic solutions, and ensures compliance through thorough testing and analysis. The IT Analyst also plays a key role in mentoring junior analysts, managing stakeholder relationships, and aligning system functionality with the broader goals of the Medicaid enterprise.
Responsibilities
- Demonstrating the ability to analyze program logic, screen layouts, reports, and testing criteria for system development.
- Engaging with system users to identify needs, analyze workflow diagrams, and propose solutions to streamline Medicaid business processes.
- Ensuring accuracy and compliance by preparing meticulous test data and procedures to evaluate system solutions against Medicaid specifications.
- Analyzing agency policy to ensure adherence to MITA processes, CMS standards and other state and federal guidelines in system development and implementation.
- Working closely with stakeholders to understand user requirements, assess system changes, and ensure alignment with Agency and CMS policies.
- Effectively communicating system issues and delivering presentations.
- Being prepared to step into a backup team lead role as needed.
- Providing oversight, mentorship, and initial training to entry-level IT Analysts.
- Recognizing opportunities for system transferability, joint development efforts, and aligning system capacities with Medicaid enterprise goals.
- Assisting in cost/benefit analyses and developing methodologies for effective data processing life cycle management.
- Maintain a high level of familiarity with application and operating system advancements.
- Analyzing system needs, proposing solutions, and designing system enhancements.
- Other duties as assigned.
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