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.
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
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,
Sysintelli is an IT company that provides software engineering services.
Funding
Current Stage
Early StageCompany data provided by crunchbase