Job Description

MES Reporting Analyst

Raleigh, NC(100% Remote)

Video Interview

Long Term Contract

JD:

Candidates with prior state experience in the healthcare domain STRONGLY preferred. Please share all of the required items listed below for the submittal. Please submit out of state / non-local candidates if their resume is great.

Responsibilities:

• Leads the development of operational reporting to support Medicaid Enterprise System (MES) projects.
• Collaborates with business leads, project teams, functional/matrix managers, vendors, and other key stakeholders to ensure that Medicaid and CMS criteria are met.
• Supports project tasks to ensure they are delivered on schedule, within budget, and aligned with MMIS/CMS Certification expectations and Program Management guidelines.
• Plays a key role in aligning MITA outcomes with CMS Certification outcomes.
• Works collaboratively with internal and external stakeholders, technical teams, vendors, contract and budget offices, and other MES partners to support the overall MES Program.
• Research federal, state, and CMS regulations.
• Gather data from various sources, clean and transform it for analysis, and ensure data accuracy and quality.
• Apply statistical methods, techniques, and tools to analyze data, identify patterns, trends and relationships, and draw conclusions.
• Administer and maintain operational reporting and outcome statements databases.
• Create clear and compelling visualizations (charts, graphs, dashboards) to present data findings and insights in an easily understandable format.
• Draft MES outcome statements and metrics for the program and project teams.
• Identify problems, develop solutions, and implement data-driven strategies to improve business processes and outcomes.
• Maintain Operational Report Workbook (ORW) schedules for MES.
• Collaborate with the Business Leads and Project Teams to create and update state- specific outcome statements.
• Contribute to Advanced Planning Documents (APDs).
• Attend and facilitate meetings to present findings.
• Support designated project leads and Subject Matter Experts (SMEs) with certification questions.
• Participate in CMS certification presentations and reviews.

Required Skills:

• 3 Years - MMIS / CMS certification experience.
• 3 Years - CMS Medicaid Enterprise Systems or federal regulations.
• 5 Years - Expert experience executing against multiple priorities/projects.
• 5 Years - Proficient use of project collaboration and tracking tools (Microsoft Project Suite, MS Teams, Zoom, etc.)
• 5 Years - Experience with spreadsheet tools like Microsoft Excel or Google Sheets
• 5 Years - Expert level communication skills, both verbal and written.
• 5 Years - Using data to improve organizations.
• 5 Years - Demonstrated stakeholder engagement and collaboration experience.
• 5 Years - Data visualization software experience
• 5 Years - Demonstrated experience using project tracking tools (e.g., Microsoft Project, Jira, Smartsheet).
• 5 Years - Ability to create and deliver PowerPoint presentations, and standard operating procedures (SOPs).
• 5 Years - State government sector experience with health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS analytic

Desired Skills:

• 3 Years - Medicaid, MMIS, claims process or related experience.

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