Medicaid SME-Experience with DHCS applications jobs in United States
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Sysintelli Inc, · 1 day ago

Medicaid SME-Experience with DHCS applications

Sysintelli Inc. is a team of experienced professionals focused on providing innovative solutions. They are seeking a Medicaid Industry Subject Matter Expert to provide expertise in Medicaid business processes and systems, advising on data requirements and regulatory expectations.

Information TechnologySoftware
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Growth Opportunities
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Hiring Manager
Shireesha C.
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Responsibilities

Provides deep expertise in Medicaid Provider Management, including required data elements, validation rules, provider types, and common data-quality issues
Advises the team on data requirements, dependencies, and regulatory expectations that shape enrollment and credentialing workflows
Evaluates current system architecture to identify impacts related to provider data capture, transformation, and downstream usage
Contributes to defining the future-state data and architectural approach, ensuring proposed solutions are feasible, compliant, and aligned with real-world provider data behavior

Qualification

Medicaid SMEMedicaid business processesMedicaid Management Information SystemsBusiness process analysisRequirements gatheringAnalytical skillsDocumentation skillsProblem-solving skillsCommunication skills

Required

Subject matter expertise in Medicaid business processes, systems, and regulations
Deep expertise in Medicaid Provider Management, including required data elements, validation rules, provider types, and common data-quality issues
Experience with DHCS application
Advises the team on data requirements, dependencies, and regulatory expectations that shape enrollment and credentialing workflows
Evaluates current system architecture to identify impacts related to provider data capture, transformation, and downstream usage
Contributes to defining the future-state data and architectural approach, ensuring proposed solutions are feasible, compliant, and aligned with real-world provider data behavior
SME in Medicaid with in-depth knowledge of Medicaid business processes, regulations, and systems
Proficient in business process analysis, requirements gathering, and creating detailed documentation
Strong written documentation skills
Good problem-solving, analytical, and communication skills

Preferred

Experience with Medicaid Management Information Systems (MMIS) or similar healthcare platforms strongly preferred

Company

Sysintelli Inc,

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Sysintelli is an IT company that provides software engineering services.

Funding

Current Stage
Early Stage
Company data provided by crunchbase