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The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization. This position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment.
Job Responsibility
Meet timeliness and accuracy goals
Use sound project management methodology and demonstrate solid time management skills
Effectively communicate status of work assignments to stakeholders and management via department defined communication channels and policy
Design, develop, or maintain reporting and/or analysis of data to measure financial or clinical outcomes, network performance, care management, claims processing, operations and/or other areas of the business
Design, develop, or maintain reporting and/or analysis of data for medical cost reporting, categories of service, unit cost and financial utilization metrics
Design, develop, or maintain reporting and/or analysis of data for clinical utilization, authorization, care management, risk adjustment, and claims data to support departmental functions
Receives, interprets, and completes data requests from Finance and other departments as necessary
Responsible for technical and production support documentation in accordance with department standards and industry best practices
Adhere to established source control versioning policies and procedures
Participate in all aspects of the Systems Development Life Cycle (SDLC)
Participate in corporate quality and data governance programs
Implement and maintain operational and disaster-recovery procedures
Maintain current knowledge on new developments in technology-related industries
The position requires a full-time work schedule
Perform all other duties as assigned
Learn area’s workflow, procedures, and processes (Level 1)
Participate in small projects of basic complexity (Level 1)
Designs, develops, and enhances basic-level Business Intelligence reporting (Level 1)
Designs and codes basic-level queries and data sets (Level 1)
With mentor, learns to develop work-plans, write & execute unit test plans, and track & resolve any processing issues (Level 1)
Shadows mentor in requirement gathering with business partners and SME’s (Level 1)
Shadows mentor in the design, development, and maintenance of dashboard visualizations using BI applications (Level 1)
Shadows mentor in ensuring dashboards and other Business Intelligence reporting and analysis are creatively designed and tell a story behind the data (Level 1)
Shadows mentor in the review of code and/or reporting/analysis for proper design standards, content, accuracy, functionality, and overall compliance (Level 1)
With mentor, learns the process and participates in the development and creation of documentation used to support associated reporting and analysis (Level 1)
Monitors, maintains, refreshes, and distributes regularly scheduled standard reporting and data extracts (Level 1)
Reports to lead, supervisor, or manager who provides general supervisory instructions, manages workload and reviews overall results (Level 1)
Requirements
2 years of experience working with data, report development, and analysis in a workplace setting
1 year of experience in query design and effective reporting design structure
High-School Diploma or GED in general field of study
Intermediate proficiency in T-SQL, SSMS, SSRS, SSIS, Visual Studio, SSDT, and Redgate
Intermediate knowledge of Microsoft SQL Server, SQL data bases, table/view/stored procedure development, query tuning, enterprise data modeling, normalizing data, and schema management
Knowledge of decision support systems, business intelligence, programming, and data analysis software
Knowledge of business Intelligence visualization platforms (Qlik Sense, Qlik View, Tableau, Power BI)
Intermediate proficiency in Microsoft Excel, Power Pivot, External connections, DAX/MDX, and Visual Basic
Intermediate proficiency in Microsoft Office Suite (Outlook, Teams, Excel, Word, Access, PowerPoint)
Functional proficiency in requirement analysis and gathering, scoping, and managing projects
Basic proficiency in data mining, preferably within a healthcare environment
Basic proficiency in general data analysis
Functional proficiency with Systems Development Life Cycle (SDLC)
Functional proficiency in documentation of project requirements, development, and status tracking in an IS environment
Nice to have
1 year of experience in a healthcare, health insurance, or managed care environment
1 year of experience working with Medicaid and/or Medicare D-SNP programs
1 year of experience managing projects
Bachelor’s degree (B.S.), or equivalent, in Computer Information Systems, Computer Science, Information Technology, Business Administration, or Healthcare Administration
MS SQL Certification or other certification in current programming languages
Other programming languages (Python, R, etc.) are a plus
Knowledge of software systems, preferably in a healthcare insurance environment
Advanced proficiency in T-SQL, SSMS, SSRS, SSIS, Visual Studio, SSDT, and Redgate
Advanced knowledge of Microsoft SQL Server, SQL data bases, table/view/stored procedure development, query tuning, enterprise data modeling, normalizing data, and schema management
Advanced knowledge of decision support systems, business intelligence, programming, and data analysis software
Advanced knowledge of business Intelligence visualization platforms (Qlik Sense, Qlik View, Tableau, Power BI)
Advanced proficiency in Microsoft Excel, Power Pivot, External connections, DAX/MDX, and Visual Basic
Experience in statistical analysis
Advanced analytical skills to support independent and effective decisions
Knowledge of general business and finance principles and practices
Familiarity with clinical utilization methodology and measures