Are you looking to make an immediate impact where you can help our clients solve their business challenges? Deloitte’s Core Business Operations (CBO) portfolio operates at the center of our client’s business. By joining our team, you could help C-suite and program leaders transform their organization and accelerate mission execution through emerging and disruptive technologies, innovative business models, retooled program operations and industry-driven solutions.
Work you’ll do
- Lead in the transition of current methodology to an Agile SAFe mindset and deliver system operations, enhancements, and maintenance via domain aligned sprint teams.
- Use experience working in a Medicaid, MMIS setting or in a health insurance Managed Care Organization setting. to understand the current state, perform systems operations job duties and prepare for operational readiness demonstrations.
- Will assist Senior Manager leading the DDI or System Operations transition and will have a team of developers and infrastructure personnel to support.
- Development (enhancement and maintenance) of enterprise technology solutions that satisfy business requirements for Medicaid and CHIP Medicaid and CHIP claims, enrollment, rates, providers.
- Perform Batch and interface operations including FTP, scheduling, and error handling within specified SLAs.
- Assist in planning, architecture, analysis, and design of enterprise technology solutions that satisfy business requirements for large complex systems in the Medicaid/MMIS or health insurance claims and pricing space.
- Will ensure developers are trained and prepare for operational readiness demonstrations.
- Work with the scrum masters and runs agile maintenance and development sprints.
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 bring fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.
Deloitte’s Health Technology 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. To help clients, reduce costs, improve health outcomes, and respond to public health crises, our Health Technology practice addresses critical health agency issues including claims management, electronic health records, health information exchanges, health analytics, and health case management.
Qualifications
Required:
- Bachelor's degree from an accredited college or university
- 4+ years of MMIS experience relating to claims and encounters, pricing rate setting application development, Medicaid encounter data processing, Medicaid eligibility determination, EDI X12 887 claims management for FFS claims and EDI Clearinghouse
- Must be able to obtain and maintain required US Security clearance
- Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
- Must be able to travel up to 50%
Preferred:
- 5+ years of Tableau/ Qlik, ArcGIS experience
- 5+ years of EDI EDIFECS XEngine / equivalent experience
- 5+ years of TANDEM/HP Nonstop platform - 5-7 years development experience (GUARDIAN / OSS, COBOL, C, C++, JAVA
- Hands-on TANDEM/NonStop X Systems development; Using Tools and Languages TAL, TACL, Tandem COBOL, TANDEM C++, ENSCRIBE, ENFORM, SQL MP / MX, TANDEM pathway, Tandem internal messaging system, FUP, BATCHCOM, SQLCI, Host security module, tokenization and encryption Reporting and analytics for Medicaid and
- Agile development experience and SCRUM certification are pluses.
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