MMIS Developer

Management Consulting | Core Business Operations
Same job available in 3 locations

Atlanta, Georgia, United States

Austin, Texas, United States

Rosslyn, Virginia, United States

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Position Summary

MMIS Developer

Are you a Data Analytics/ Informatics subject matter expert with technical/functional Medicaid Data Analytics experience?  Are you a MMIS application development person? Do you want to help us transform the Medicaid market as it embraces modularization, and we help our clients create a new future for Medicaid technology?

 

Work you’ll do

Seeking application developer with demonstrated experience in the batches and interfaces application domain or in the claims domain in a  State Medicaid, MMIS setting or in a health insurance Managed Care Organization setting. The individual will participate in current state assessment (conduct discovery) and transition from the incumbent within 120 days, acquire hands-on experience in the sub-system being transitioned and prepare for operational readiness demonstrations. The definition of done is our team assuming ownership of the sub-systems in each domain. The lead will have some experience in Agile-style software development and will work as part of a sprint team.

Application domain details may include:

  • Batch and interface operations including FTP, scheduling and error handling within specified SLAs
  • Inbound data file (nightly, as scheduled) management across SFTP and other non-EDI channels
  • Maintenance of interface and batch design specifications with integration partners
  • Reporting and analytics for Medicaid and CHIP claims, enrollment, rates, providers
  • Ad-hoc and scheduled reporting
  • Fraud detection - data analytics
  • Claims and encounters:
  • EDI X12 837 claims management experience for FFS claims
  • Encounter data processing experience from a State Medicaid perspective
  • Medicaid and CHIP data warehouse and operational data store experience for claims and encounter sub systems

Technology platforms may include:

  • Development (enhancement and maintenance) of enterprise technology solutions that satisfy business requirements for Medicaid and CHIP data warehouses, data marts for regulatory reporting, large complex systems in the Medicaid/MMIS or health insurance claims and pricing space.

 

The team 

Deloitte’s Government and Public Services (GPS) practice – our people, ideas, technology and outcomes—is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of over 15,000+ professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.   

 

Deloitte’s Digital Health offering transforms the way the Healthcare IT market embraces modernization and modularization. Using our deep health, government, and technology consulting experience, our team strategically advises on design as well as implements and deploys solutions. In order to help clients reduce costs, improve health outcomes, and respond to public health crises, our Digital Health practice addresses critical health agency issues including: claims management, electronic health records, health information exchanges, health analytics, and health case management. 

 

Qualifications 

Required: 

  • Associates degree required 
  • Limited immigration sponsorship may be available
  • Travel up to 20%

Preferred: 

  • 5+ years of interface and batch management experience
  • Agile development experience and developer certification in core skills
  • SCRUM certification
  • Custom Development experience in Tableau and BusinesObject
  • 5+ years of EDI EDIFECS XEngine / equivalent experience
  • 5+ years of TANDEM/HP Nonstop platform
  • 5+ years development experience (GUARDIAN / OSS, COBOL, C, C++, JAVA)

Our people and culture

Our diverse, equitable, and inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our client most complex challenges. This makes Deloitte one of the most rewarding places to work. Learn more about our inclusive culture.

Professional development

From entry-level employees to senior leaders, we believe there’s always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.

As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.

Requisition code: 126920

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