Lead development, maintenance, and enhancement activities for the adult LTC provider enrollment system based on policy, regulatory, and contractual changes.
Review, analyze, and interpret statutes, regulations, and policies to develop system requirements and technical specifications.
Coordinate system design, testing, implementation, and validation with internal teams and contractors.
Serve as the technical subject-matter expert on adult provider enrollment, MCO Provider Network data, Medicaid Provider Extracts, and related interfaces.
Investigate and resolve system, interface, and data integrity issues.
Develop SAS, MMIS, CARES, and related data queries; validate and interpret results; prepare data in formats usable for leadership and program staff.
Produce standard and ad‑hoc reports, charts, tables, analyses, and presentations.
Conduct data trend analysis and recommend improvements for system performance and data quality.
Provide technical guidance and consultation to internal staff, leadership, vendors, and external stakeholders.
Ensure data handling and releases comply with HIPAA requirements.
Support special projects, vendor demonstrations, research activities, and adoption of new data tools.

Requirements

Nine or more years of Business Analyst experience working in the Healthcare Industry
3 or more years of Medicaid and Medicare experience preferred
Extensive knowledge of Medicaid and other healthcare data reporting
Knowledge of the State of Wisconsin adult long-term care programs
Strong understanding of Medicaid MMIS, CARES, and related healthcare IT systems
Extensive knowledge of HIPAA regulations and healthcare data/transaction standards or commensurate experience in healthcare information technology
Extensive experience with Microsoft Excel, SAS Systems, Tableau, and other data analysis tools
Strong knowledge of management information systems, systems design, and data quality best practices
Understanding of computerized data processing, system analysis, and report generation techniques
Ability to analyze large datasets and interpret results using statistical tools
Knowledge of research design methods, management reporting techniques, and statistical concepts
Understanding of relational databases and ability to work within them
Advanced oral and written communication skills, including the ability to create and deliver clear presentations
Strong facilitation skills, including conducting meetings and working with diverse stakeholders
Ability to work independently and collaboratively in a team environment
Skill in solving complex problems involving multiple perspectives
Demonstrated ability to collaborate with public and private agencies and service delivery systems
Experience working in a complex, matrixed work environment.

Benefits

Generous, flexible vacation policy
Educational assistance
Comprehensive health benefits
401(k) employer match
Leadership and technical development academies

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

SASMMISCARESdata analysisdata trend analysisdata qualitystatistical toolsreport generationdata queriesdata handling

Soft Skills

oral communicationwritten communicationfacilitationproblem solvingcollaborationindependent workteamworkstakeholder engagementanalytical thinkingpresentation skills