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Troubleshoot Analysis Manager
(Jobs in Menands, NY)
 
Requirement id 117436
Job title Manager
Job location in Menands, NY
Skills required PL/SQL, Data Corrections, Troubleshoot, Analysis
Open Date 17-Jun-2021
Close Date
Job type Contract
Duration 24 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Manager: PL/SQL, Data Corrections, Troubleshoot, Analysis

Description:

Day-to-Day Tasks include, but not limited to:

Monitors and troubleshoot nightly Eligibility and Managed Care Enrollment 834s reports from NYSoH
Data Correction - Analyze, Review and Assists NYSoH/eMedNY with Data Corrections
Single-Source- working with single source team as 834 Expert. Assisting team to implement single source of enrollment process
Review 834 X12 processing logic /rules --> Analyze and identify the gap
Reconciliation (Baseline reconciliation/EP/Medicaid and CHP) - Analysis of the Data Match produced by NYSoH and eMedNY and Issuers
Writing PL/Sql queries/Procedure to extract data
Managing and executing EP/CRs projects
Review and fix eMedNY Clients coverage
Analyzing FIDA reports from Maximus
Review daily report for Essential Plan/CHP/Medicaid and their issue

Mandatory Qualifications:

Plans, organizes, and integrates cross-functional information technology projects that are significant in scope and impact.
(60 - 84 Months)-Candidate is able to work independently, without assistance and provides guidance to others. May have an advanced education.

Preferred Qualifications:

Bachelors degree.
60 months experience with the Title XIX Medicaid Program.
60 months experience with claims payment systems such as eMedNY, with special emphasis on interfaces with other systems.
48 months experience with TPL in a Medicaid environment and the interactions between Medicaid, Medicare, and commercial insurance providers, with special emphasis on systems integration.
36 months experience with local district Medicaid operations and TPL procedures.
36 months experience supervising staff.
24 months experience with developing and maintaining working relationships with local districts, and/or the Medicaid provider community, other bureaus within state and federal agencies.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 117436 while calling.
 
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(Manager: PL/SQL, Data Corrections, Troubleshoot, Analysis in Menands, NY)
     
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