• Job Description

  Req#: 3359740
  Description
  
  We are seeking a highly skilled Senior Healthcare Technical Analyst to lead the development and maintenance of technical, operational, and process documentation that supports our Medicaid data analytics and reporting initiatives. In this role, you will collaborate with cross-functional teams to analyze claims, eligibility, and provider data, support downstream data warehouse reporting, and ensure the accuracy and consistency of technical materials.
  
  **This role is fully remote but does require occasional travel to Springfield, IL.**
  
  Key Responsibilities:
  
  • Planning, writing, and maintaining detailed technical, operational, and process documentation.
  • Gathering and analyzing technical information from various sources to be included in the documentation.
  • Leading, developing, and maintaining a library of technical and business documentation source code and reports.
  • Analyze Medicaid program including claims, eligibility, and provider data supporting data warehouse downstream reporting and analytics.
  • Developing and supporting technical training materials.
  • Modifying existing technical documentation for business needs.
  • Participating in and leading technical and business requirements sessions.
  • Meeting with the project team regularly to consolidate project status and reporting.
  • Engaging with the customer as needed to provide updates on technical documentation and project work.
  • Working with the development and QA team to assure each document has been thoroughly reviewed and support process improvements and operational efficiency.
  • Mentoring/Coaching other project team members on effective writing skills and strategies for consistency.
  • Performing additional duties that are typically associated with this position, as assigned.
  
  
  Requirements
  
  
  • 5+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems.
  • 5+ years of experience serving as a technical analyst in healthcare (payor).
  • 3+ years of experience working specifically with Medicaid programs, MMIS/MES or related systems.
  • 3+ years of experience in knowledge management creating, organizing, sharing, and optimizing knowledge within an enterprise organization using tools such as Microsoft 365, Al-enabled search, MS SharePoint/Teams, and JIRA.
  • Proven ability to lead communication (written and verbal) at the customer leadership level. Knowledge of health insurance, HMO, and managed care principles including Medicaid and Medicare regulation.
  • Ability to interpret federal and state Medicaid policy and translate it into business and technical requirements.
  • Effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision.
  • Bachelor's degree in business, information systems, Public Health, or a related field
  
  
  Preferred Qualifications:
  
  • Master's Degree in related field is preferred.
  • 5+ years of experience as a technical analyst in payor heaIthcare.
  • 3+ years of experience writing SQL using large-scale database management tools.
  • 3+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS, PERM).
  • Knowledge of data integration, software enhancements/planning and agile methodologies
  • Experience with using Azure DevOps, SharePoint, MS Project, Visio
  
  
  Physical Requirements & Environmental Conditions:
  
  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee is regularly required to sit and use hands to handle, or feel objects, a keyboard and other office equipment. The employee frequently is required to sit in meetings for long periods of time. The employee will utilize technology tools such as a laptop computer for extended periods of time. The employee must be able to reach with hands and arms and talk or hear. Specific vision abilities required by this position include close vision, color vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.
  
  Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.

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