547223 - Medicaid Management Information Systems (MMIS) SME - Telecommuting

UnitedHealth Group is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.
 
As the Medicaid Management Information Systems (MMIS) Claim Processing Subject Matter Expert (SME), you will be accountable for creating complex reports to enable Medicaid claims processing for State Government clients. You will serve as an SME in Medicaid processes and CMS / MARS (Medicaid Administrative and Reporting System) reporting requirements. You will develop solutions to emerging industry needs by working within the business and system analysis phase of the MARS product development lifecycle. There will be some minor travel involved to go to client sites.
 
Key Job Responsibilities:

• Consulting with State users to define business processes and the information systems supporting these processes


• Partnering with stakeholders to plan and execute strategies regarding report generation 


• Gathering requirements from various stakeholders and translating into detailed design documents


• Ensuring that designs are agreed to by all stakeholders


• Conducting data capture and consolidation activities relative to report generation


• Engaging in data analysis to summarize information into appropriate reports


• Leading the Systems Test and UAT processes


• Assisting in bringing the reporting product up in the production environment


• Serving as a subject matter expert related to MMIS data and processes 


• Coordinating with CMS as required


• Collaborating with project managers on overall customer relationship management activities

Required:

• Bachelors degree or equivalent relevant experience


• Comprehensive knowledge of Medicaid Management Information System (MMIS) claim processing


• Understanding of the DDI process for implementing an MMIS system


• Competent SQL skills, evidenced by the ability to run SQL scripts to verify data


• Experience using a structured SDLC process to deliver a software solution


• Knowledge of CMS reporting requirements for Medicaid


• Experience going through the development process of configuring reports for State Governments


• Proven ability to communicate with customers via phone, email, and in person


• Ability and willingness to travel less than 25%

Assets:

• MARS (Medicaid Administrative and Reporting System) experience


• Experience with Oracle, Teradata, Informatica, or Cognos


• Knowledge of MMIS member and provider data


• Experience designing database structures, tables, columns and 'rules' for manipulation of data


• Data capture, management and analysis experience


• Demonstrated ability to translate complex data into usable information to deliver value to clients


• PMP certification of value, but not required

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Job keywords: MMIS, Medicaid Management Information System, CMS, claims processing, technical, IT, reporting, data, government, SQL, SDLC, Oracle, Teradata, Cognos, Informatica, database, telecommuting