Job Title
Duration
Location:
Description
Primary candidates will have worked with enrollment and eligibility platforms in an analytical capacity (i.e. must be an intermediate to advanced user of PLSQL). Secondary candidates will have Medicare / Medicaid / Exchange Enrollment experience in an analytical role or IT role within the software configuration / development space. Tertiary candidates will have analytical experience within either a business or IT related role. Prior experience with the implementation of a Medicare / Medicaid / Exchange Enrollment application would be a strong plus! Keywords: Market Prominence, Medicare Enrollment, Medicaid Enrollment, Exchange Enrollment, Software Development, Software Configuration, SQL
This is a Scrum Team role that will be a member of the Medicare / Medicaid / Exchange Enrollment Configuration team tasked with developing purpose built capabilities for our NextGen platform. This role is responsible for delivering analysis, requirements of oversight for various [INSERT FUNCTION FROM AOVE GRID] Stories within an Agile framework.
Performs analysis and translates business needs to create high-quality Business Requirements and Functional Specifications documentation within specified time frames to solve moderately complex problems (multiple interfaces with other systems within a business unit) considering all impacted components from an end-to-end perspective.
Performs data analytics using SQL / PLSQL at an intermediate level
Ensures end-to-end traceability of requirements is complete.
Applies specific functional and/or business expertise to perform assigned tasks and develop specific project deliverables.
Conducts impact analysis of configuration changes on business processes and existing technology.
Competent to work with minimal supervision in a technical capacity on most phases of the business systems analysis.
Contributes to the review of Test Planning and Test Execution strategies.
Develops business workflow diagrams.
Assists in the development of data models and interface design specifications.
Documents, tracks, and resolves issues related to data quality.
Contributes to the design and mapping of data conversion strategies.
Participates in collaborative system and data design sessions with the user community, technical architecture resources, and development resources.
Completes project activities on time and within budget, and proactively identifies and communicates issues that may jeopardize milestones or project budget to the Project Manager / Product Owner.
Adheres to SDLC or AGILE project management methodology by utilizing internal procedures and tools and identifying areas for methodology improvement.
Develops Product Overviews, FAQs, Tool Glossaries, system training material, and system user documentation to support implementation activities.
Creates appropriate communication materials are documented and distributed appropriately.
Conducts interviews, fact-finding, and independent research to design creative, progressive solutions for business problems.
Supports the Product Owner with other Scrum Team tasks (hosts / facilitates meetings, taking detailed notes, completes analysis / research) as needed
Required
Experience with PLSQL, SQL Server and / or Oracle, SQL Server databases (2-4 years)
Experience with software development lifecycles, having owned: detailed analysis (data / process analytics, process improvements, process flow creation, requirements gathering, requirements traceability through the software delivery lifecycle, including post-production checkout / reviews. (4-6 years)
Experience with extensive analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation / Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis) (4-6 years)
Preferred
Experience with [INSERT FUNCTION FROM AOVE GRID]
Experience with software development lifecycles, having contributed to: estimation (resource planning), capacity planning, requirement gathering, testing framework and strategy, and post implementation review. (4-6 years)
Experience with member materials / correspondence implementation experience (2-4 years)
Experience with Medicare, Medicaid or Exchange Enrollment, Billing and Correspondence Operations (2-4 years)
Leadership / Creating Accountability (Intermediate)
Leadership / Developing and Executing Strategy (Intermediate)
Leadership / Driving a Culture of Compliance (Foundational)
General Business Consulting for Solutions (Advanced)
Leadership / Anticipating and Innovating (Advanced)
Technology / Justifying the Business Case (Advanced)
Experience with enterprise-wide and / or cross-functional large scale initiatives with high degree of complexity.
Demonstrated experience successfully implementing change in complex organizations
Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
Bachelor's degree or equivalent experience
What does the interview process look like? Multiple managers and team members will participate in the interviews to determine if candidate is qualified for the position.
Additional Details
Is this request for Peak Season? Select applicable value : _N/A - Not RAMP Related
Duties : See Description
Experience : See Description
Position Summary : See Description
Education : See Description
What days & hours will the person work in this position? List training hours, if different. : Normal work hours are starting at 8 or 9 am EST.
Type of Start : Individual starts
Program Office - Point Of Contact : Jennifer Sortor
Is this an in-person, patient-facing role? : No
Onsite Requirements : Fully remote (never coming onsite)
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