Medicaid Acquisition Analyst Job at NTT DATA (Chicago)

Senior Medicaid Data Architect

We are seeking an experienced Senior Medicaid Data Architect to lead the design,...

Location

United States , Austin

Salary:

Not provided

Dutech Systems

Expiration Date

Until further notice

Requirements

12+ years of experience in Data Architecture, Data Management, or Enterprise Information Management
Extensive knowledge of data architecture principles, frameworks, standards, and best practices
Strong experience with business processes, data flows, data relationships, data governance, and data quality management
10+ years of experience working with Medicaid data, including provider claims, encounters, member movements, and clinical assessment data
8+ years of experience designing, building, and maintaining Medicaid Data Warehouses
8+ years of experience with: Reference Data Management, Data Quality Management, Metadata Management, Enterprise Data Governance
Experience leading enterprise data transformation initiatives and promoting a data-driven culture
Excellent communication, presentation, analytical, and interpersonal skills

Job Responsibility

Develop and maintain enterprise data architecture strategies, standards, frameworks, and best practices
Design and oversee large-scale Medicaid data warehouse solutions supporting claims, encounters, provider, member, and clinical assessment data
Lead data architecture initiatives focused on data integration, data quality, metadata management, reference data management, and master data management (MDM)
Define and document enterprise data models, data flows, business rules, data relationships, and governance processes
Collaborate with business stakeholders, program leaders, analysts, and technical teams to align data solutions with organizational objectives
Establish and monitor data quality standards, controls, and metrics to ensure data accuracy, consistency, and reliability
Lead efforts to transform the organization into a data-driven culture by promoting data governance and data literacy practices
Design and implement data acquisition strategies supporting data warehouse, MDM, and performance management systems
Support reporting, analytics, business intelligence, and performance measurement initiatives
Evaluate emerging data technologies and recommend solutions that improve scalability, efficiency, and governance

MITA Technical Analyst

NTT DATA is seeking a Technical Analyst to play a key role in the successful mod...

Location

United States , Chicago

Salary:

79000.00 - 145000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor’s degree or higher from an accredited college or university in a related field, or four years of additional relevant experience in lieu of a degree
Minimum of 6 years’ experience as a technical analyst with, or consultant to, State Health Programs
Minimum of 2 years experience supporting MITA projects and assessments
Proficiency in MS Office (Word, Excel, PowerPoint, Outlook), with expertise in MS Excel
Strong customer service attitude and effective oral and written communication skills
Ability to work independently or as part of a team, with a high degree of professionalism in deliverables and client interactions
Ability to review deliverables and processes for quality and completeness

Job Responsibility

Write and coordinate information related to the MITA SS-A
Track and report on assigned MITA activities (or those assigned)
Collaborate with client project teams and stakeholders to understand project scope, requirements, and business needs
Support the development of procurement strategies, by researching of available products, services, suppliers, and evaluation of acquisition approaches
Collect, review, and analyze data to develop the MITA SS-A and other technical resources as requested by leadership
Prepare and present analytical reports, findings, and recommendations to support decision-making
Ensure all work products and deliverables meet technical, documentation, and quality standards
Participate in and/or facilitate engagement with CMS and other federal/state agencies to ensure collaborative working relationships
Manage client relationships and expectations, working regularly with key client SMEs
Provide recommendations for critical business and project decisions

What we offer

Medical insurance
Dental insurance
Vision insurance
Flexible spending or health savings account
Life and AD&D insurance
Short and long term disability coverage
Paid time off
Employee assistance
Participation in a 401k program with company match
Additional voluntary or legally-required benefits

Fulltime

APD Analyst

NTT DATA is seeking an APD Analyst to play a key role in the successful moderniz...

Location

United States , Chicago

Salary:

100144.00 - 155000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor’s degree or higher from an accredited college or university in a related field, or four years of additional relevant experience in lieu of a degree.
Minimum of 6 years’ experience in developing and applying analytic methodologies, including Medicaid Management Information System (MMIS) APD development and maintenance, federal grant or funding requests, or status reporting with a state or federal agency.
Minimum of 3 years’ experience as a business analyst with, or consultant to, State Health Programs.
Minimum of 3 years’ experience with elicitation and verification of business requirements.
Proficiency in MS Office (Word, Excel, PowerPoint, Outlook), with expertise in MS Excel.
Strong customer service attitude and effective oral and written communication skills.
Ability to work independently or as part of a team, with a high degree of professionalism in deliverables and client interactions.
Experience with cost benefit analysis and financial tracking/reporting.
Ability to review deliverables and processes for quality and completeness.

Job Responsibility

Write and coordinate information gathering for APDs, including Planning, Implementation, Operational, As Needed, and Annual APDs.
Track and report on assigned APD activities and financials, including federal funding requests and contract amendments.
Collaborate with client project teams and stakeholders to understand project scope, APD requirements, and business needs.
Support the development of procurement strategies, including research of available products, services, suppliers, and evaluation of acquisition approaches.
Collect, review, and analyze data to develop Independent Government Cost Estimates (IGCEs) and perform cost benefit, costing, and price analysis.
Conduct market research to evaluate suppliers, compare services and costs, and provide recommendations for procurement plans and strategies.
Prepare and present analytical reports, findings, and recommendations to support decision-making throughout the procurement and APD lifecycle.
Ensure all work products and deliverables meet technical, documentation, and quality standards.
Participate in and/or facilitate engagement with CMS and other federal/state agencies to ensure collaborative working relationships and compliance with APD submission requirements.
Manage client relationships and expectations, working regularly with key client leadership.

What we offer

Medical insurance
Dental insurance
Vision insurance
Flexible spending or health savings account
Life and AD&D insurance
Short and long term disability coverage
Paid time off
Employee assistance
Participation in a 401k program with company match
Additional voluntary or legally-required benefits.

Fulltime

APD Fiscal Analyst

We are currently seeking an APD Fiscal Analyst to play a key role in the success...

Location

United States , Springfield

Salary:

79920.00 - 120000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor’s degree or higher from an accredited college or university in a related field, or four years of additional relevant experience in lieu of a degree
Minimum of 6 years’ experience in developing and applying analytic methodologies, including Medicaid Management Information System (MMIS) APD development and maintenance, federal grant or funding requests, or status reporting with a state or federal agency
Minimum of 6 years’ experience as a business analyst with, or consultant to, State Health Programs (e.g., Medicaid)
Minimum of 3 years’ experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations
Minimum of 3 years’ experience with elicitation and verification of business requirements
Proficiency in MS Office (Word, Excel, PowerPoint, Outlook), with expertise in MS Excel
Strong customer service attitude and effective oral and written communication skills
Ability to work independently or as part of a team, with a high degree of professionalism in deliverables and client interactions
Experience with cost benefit analysis and financial tracking/reporting
Ability to review deliverables and processes for quality and completeness

Job Responsibility

Manage, coordinate, and write APDs, including Planning, Implementation, Operational, As Needed, and Annual APDs
Develop, maintain, track, and report on APD activities and financials, including federal funding requests and contract amendments
Collaborate with client project teams and stakeholders to understand project scope, APD requirements, and business needs
Support the development of procurement strategies, including research of available products, services, suppliers, and evaluation of acquisition approaches
Collect, review, and analyze data to develop Independent Government Cost Estimates (IGCEs) and perform cost benefit, costing, and price analysis
Conduct market research to evaluate suppliers, compare services and costs, and provide recommendations for procurement plans and strategies
Prepare and present analytical reports, findings, and recommendations to support decision-making throughout the procurement and APD lifecycle
Ensure all work products and deliverables meet technical, documentation, and quality standards
Participate in and/or facilitate engagement with CMS and other federal/state agencies to ensure collaborative working relationships and compliance with APD submission requirements
Manage client relationships and expectations, working regularly with key client leadership and serving as a primary point of contact for APD-related activities

What we offer

medical, dental, and vision insurance with an employer contribution
flexible spending or health savings account
life and AD&D insurance
short and long term disability coverage
paid time off
employee assistance
participation in a 401k program with company match
additional voluntary or legally-required benefits

Fulltime

Compliance Analyst II

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

63815.00 - 95723.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor or Associate’s degree in a related field preferred
Equivalent combination of education, professional certification(s), and substantial relevant experience will also be considered
Minimum of 3 years of healthcare coding experience required to include APG, APC, and/or DRG coding methodologies or professional coding and billing in specialty areas
Experience in a direct or supporting role within healthcare compliance preferably within an integrated health system or Academic Medical Center or other comparable setting
Strong communication, interpersonal, and public speaking skills required
Ability to efficiently produce clear, concise, and complete written audit reports required
Excellent analytical, organizational, and problem-solving skills required
Demonstrated objectivity and critical thinking in analyzing situations
must be able to evaluate facts without bias and avoid unsupported assumptions required
Ability to manage projects and effectively advise staff in a motivational and positive manner required

Job Responsibility

Provides compliance oversight and support for assigned clinical specialties across URMC and Affiliates in accordance with the OIG and OMIG compliance program guidance
Evaluates adherence to coding and billing regulations and guidelines through review, research, and analysis
Serves as a compliance resource, developing and delivering comprehensive education and training
Conducts investigations, risk assessments, and regulatory monitoring to prevent and detect fraud, waste, and abuse, specifically addressing the DRA, NY SSL § 363-d, and 18 NYCRR SubPart 521
Analyzes billing data to identify potential risk areas related to professional and/or facility payment systems
Performs audits of medical record documentation to ensure compliance with coding and billing requirements as defined by AMA, AHA, HCPCS, CMS and Medicaid guidelines
Creates and provides reports on findings to relevant stakeholders
Responds to reported compliance concerns by conducting formal investigative activities
Performs root cause analysis when deficiencies are identified
Collaborates with relevant stakeholders to determine improvement opportunities to mitigate future risk

Fulltime

APD Fiscal Analyst

The APD Fiscal Analyst role involves supporting the modernization of the Illinoi...

Location

United States , Springfield

Salary:

79920.00 - 120000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor’s degree or higher from an accredited college or university in a related field, or four years of additional relevant experience in lieu of a degree
Minimum of 6 years’ experience in developing and applying analytic methodologies, including Medicaid Management Information System (MMIS) APD development and maintenance, federal grant or funding requests, or status reporting with a state or federal agency
Minimum of 6 years’ experience as a business analyst with, or consultant to, State Health Programs (e.g., Medicaid)
Minimum of 3 years’ experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations
Minimum of 3 years’ experience with elicitation and verification of business requirements
Proficiency in MS Office (Word, Excel, PowerPoint, Outlook), with expertise in MS Excel
Strong customer service attitude and effective oral and written communication skills
Ability to work independently or as part of a team, with a high degree of professionalism in deliverables and client interactions
Experience with cost benefit analysis and financial tracking/reporting
Ability to review deliverables and processes for quality and completeness

Job Responsibility

Manage, coordinate, and write APDs, including Planning, Implementation, Operational, As Needed, and Annual APDs
Develop, maintain, track, and report on APD activities and financials, including federal funding requests and contract amendments
Collaborate with client project teams and stakeholders to understand project scope, APD requirements, and business needs
Support the development of procurement strategies, including research of available products, services, suppliers, and evaluation of acquisition approaches
Collect, review, and analyze data to develop Independent Government Cost Estimates (IGCEs) and perform cost benefit, costing, and price analysis
Conduct market research to evaluate suppliers, compare services and costs, and provide recommendations for procurement plans and strategies
Prepare and present analytical reports, findings, and recommendations to support decision-making throughout the procurement and APD lifecycle
Ensure all work products and deliverables meet technical, documentation, and quality standards
Participate in and/or facilitate engagement with CMS and other federal/state agencies to ensure collaborative working relationships and compliance with APD submission requirements
Manage client relationships and expectations, working regularly with key client leadership and serving as a primary point of contact for APD-related activities

What we offer

medical, dental, and vision insurance with an employer contribution
flexible spending or health savings account
life and AD&D insurance
short and long term disability coverage
paid time off
employee assistance
participation in a 401k program with company match
additional voluntary or legally-required benefits

Fulltime

Billing Analyst

We’re looking for a highly organised, self-motivated Billing Analyst to become a...

Location

United Kingdom , Chorley

Salary:

28000.00 GBP / Year

Elite Group

Expiration Date

Until further notice

Requirements

Proficient in Microsoft Excel
Understanding of telecoms billing, tariffs, and data reconciliation
Able to proactively take ownership of key tasks, roles and responsibilities, seeing them through to completion
Ability to work under pressure, prioritising tasks to meet deadlines
Analytical, organised, and solution focused
Customer focused with strong relationship building abilities
Experience using billing platforms such as Ability and service tools
Basic accounting knowledge related to invoicing and revenue assurance

Job Responsibility

Manage end to end billing processes, ensuring data accuracy, investigating discrepancies, and meeting monthly billing deadlines
Maintain and input data into the Ability billing system, performing system checks and generating reports prior to invoice finalisation
Monitor, resolve, and document discrepancies, escalating complex issues to the Billing Manager when required
Provide comprehensive billing support to internal stakeholders and external customers, resolving queries efficiently and maintaining high standards of accuracy and service
Load, reconcile, and validate supplier CDRs, disputing inaccuracies and supporting supplier onboarding to ensure full reconciliation capability
Work with Billing system provider on loader creation/amendments, system maintenance, and resolving billing system issues efficiently
Maintain and update tariffs, destination tables, and other billing platform configurations in line with internal or compliance changes
Produce and manage bespoke customer reports
Support revenue assurance initiatives, ad hoc projects, system testing, and external audit information requests

What we offer

25 days holiday + bank holidays + 1 volunteering day
Your Birthday off
Hybrid working
Enhanced Maternity & Paternity Leave
Employee loyalty rewards
Accredited Investors in People organisation
Regular company events
Plenty of scope for progression and opportunities for training – technical and management
Achievement celebrations & rewards
Medical schemes and cycle-to-work initiatives

Fulltime

Accounting Clerk

We are looking for an Accounting Clerk to support a non-profit organization in ...

Location

United States , Hercules

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Demonstrated administrative experience with strong organizational and recordkeeping abilities
Advanced proficiency in Microsoft Excel, including formulas, calculations, VLOOKUPs, and Pivot Tables
Ability to track payments and maintain precise financial data in a high-accuracy environment
Working knowledge of loan servicing processes and amortization schedule maintenance
Experience with mail merge and preparation of business documents is preferred
Accounts payable experience, or the ability to quickly learn AP support tasks
Strong attention to detail and the ability to follow defined processes consistently
Detail-oriented, dependable, and team-oriented approach with good adaptability and communication skills

Job Responsibility

Monitor loan repayment activity and record transactions accurately to keep account information current
Revise and build amortization schedules in Excel when loan terms are updated or modified
Prepare borrower statements, notices, and related correspondence using mail merge and other document tools
Maintain organized loan files and supporting documentation so materials are ready for internal review and external audit requests
Coordinate administrative loan servicing tasks and act as a reliable support resource for consultants and stakeholders
Assist with accounts payable duties, invoice handling, and related data entry as needed
Review financial records for completeness and resolve discrepancies by following established procedures
Protect confidential borrower and financial information while handling documentation with discretion

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

Select Country

Medicaid Acquisition Analyst

Job Responsibility

Requirements

Nice to have

What we offer

Looking for more opportunities?