Medicaid Business Analyst

Job ID: NC-0623)

Hybrid/Local Medicaid/HIX BA/PM (12+) with Business Integration, data policy/quality, clinical workflow/coding, EHR, digital quality measurement experience

Location: Raleigh NC (NCDHHS-HB)
Duration: 12 Months

Skills:
Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement Required 3 Years
Experience leading large, complex projects Required 3 Years
Excellent critical thinking, problem solving, and project management skills Required 3 Years
Experience managing or supervising other staff members Desired 2 Years
Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing Required 3 Years
Flexibility to adapt to shifting priorities and needs of multiple stakeholders Required 3 Years
Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word Required Years
Familiarity with Medicaid and health care and associated rules, regulations, and standards Desired 2 Years
Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models Desired 2 Years
Understanding of clinical workflows and/or familiarity with medical coding and electronic health records Desired 2 Years
Understanding of digital quality measurement Desired 2 Years

Description:
Business Integration Specialist Mid

Although this position works on a technology-related project, it is not a technical position but rather a strategic one. A successful candidate will demonstrate vision, clear communication, strong leadership, creative problem-solving, and the ability to cultivate relationships.

Responsibilities include, but are not limited to:
Serve as the primary lead of QPHE s project to leverage NC HealthConnex for quality and population health, including finalizing the project design and developing a strategy around future phases of work.
Lead policy and financial strategy related to this initiative, including developing and implementing a strategy to support provider organizations in participating in this initiative
Cultivate relationships across key partners, including with the Health Information Exchange Authority, Medicaid population health and quality measurement subject matter experts, Medicaid analysts, Medicaid technology experts, and vendors.
Collect and synthesize information and feedback from internal and external stakeholders, including Prepaid Health Plans, providers, and other divisions in NCDHHS, and use it to inform decision-making.
Supervise 1-2 full-time staff members supporting this initiative
Manage budgeting, invoicing, and contracting as needed

Desired Professional and Technical Expertise
Qualified applicants must document on the application that they possess all of the following:
Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement and quality improvement
Experience leading large, complex projects
Excellent critical thinking, problem solving, and project management skills
Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing
Demonstrated skill in creating and maintaining collaborative working relationships with internal and external stakeholders
Flexibility to adapt to shifting priorities and needs of multiple stakeholders
Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word

The following expertise is preferred, but not required:
Familiarity with Medicaid and health care and associated rules, regulations, and standards
Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models, clinical program innovations, quality improvement initiatives, and system redesign
Understanding of clinical workflows and/or familiarity with medical coding and electronic health records
Understanding of digital quality measurement

Skill Required /Desired Amount of Experience
Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement and quality improvement Required 3 Years
Experience leading large, complex projects Required 3 Years
Excellent critical thinking, problem solving, and project management skills Required 3 Years
Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing Required 3 Years
Flexibility to adapt to shifting priorities and needs of multiple stakeholders Required 3 Years
Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word Required 3 Years
Experience managing or supervising other staff members Desired 2 Years
Familiarity with Medicaid and health care and associated rules, regulations, and standards Desired 2 Years
Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models, clinical program innovations, quality improvement initiatives, and system redesign Desired 2 Years
Understanding of clinical workflows and/or familiarity with medical coding and electronic health records Desired 2 Years
Understanding of digital quality measurement Desired 2 Years