- Position Title: Healthcare Data Systems Consultant
- Location: Atlanta, GA
- Position type: Contract
- Interview: Either Web Cam or In Person
Job Description:
Looking for a consultant with expertise in the management and analysis of databases that collect health insurance claims information from all health care payers into a statewide information repository. In this position, you will leverage available funding sources, incorporate best practices from previous APCD implementations, and provide a sustainable plan for ongoing operations.
Activities provided by the consultant include stakeholder engagement, identifying regulatory, legal, and legislative considerations and developing proposed solutions, defining ongoing program needs, developing a sustainability plan, developing and revising CMS Advanced Planning Documents, planning and leading APCD Advisory Committee meetings, management of program budget, and managing APCD implementation.
The APCD includes two modules – Data Collection and Data Analytics. Onpoint Health Data was selected to provide the Data Collection module. This module is currently in use, with a limited scope of remaining effort. The Data Analytics module is also currently in use, with additional certification efforts remaining.
Qualifications:
- Proven experience analyzing databases that collect health insurance claims information from health care payers
- Experience with Healthcare Claims data and Center for Medicare and Medicaid Services (CMS) Funding
- Project Management
- Data Warehouse
- Healthcare Claims Processing
- Medicaid System Design
Experience Required:
- Technical Project Management experience
- Experience with Healthcare Claims data and CMS Funding
- Strong Project and Budget Management Expertise
- Experience and Comfort Presenting to Senior Leadership
Job Types: Full-time, Contract
Pay: $120.00 - $130.00 per hour
Expected hours: 40 per week
Experience level:
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Education:
Experience:
- Product management: 10 years (Required)
- Healthcare Claims Processing: 7 years (Required)
- Data warehouse: 10 years (Required)
- Medicaid Services funding: 5 years (Required)
- Project management: 10 years (Required)
Ability to Commute:
Work Location: Remote