Looking for Functional & Data Architect || PA Locals Only || Onsite ||

Specific work items for the contractor are:

• Determines and documents requirements for diagnosis level reporting
• Follows current process and continuously improves data reporting based on quality standards
• Provides expertise for defining functional architecture and infrastructure, using LEAN principles
• Lead analyst in the oversight and tracking of data requests by using the existing data governance structure
• Lead analyst in the design of SOP and process flow diagrams for effective cross training and knowledge transfer
• Provide succinct analysis in addition to providing data charts and graphs
• Support the Program Development and Innovation section on special studies and research requested by DHS or OLTL bureaus
• Provide innovative ways to use existing data to improve program outcomes and efficiencies, including predictive analytics and business intelligence
• Collaborate and build relations with program and policy staff
• Assist in the development and support of monitoring OLTL’s program performances
• Participate and recommend specifications for new program performance measures
• Assist in the development and data dashboards and other data visualizations
• Maintain project documentation and work plans
• Create executive level reports and presentations
• Provide support in other projects as assigned by the Section Chief or above level management
• Attend meetings as assigned by the Section Chief or above level management

CONTRACTOR SKILLS AND EXPERIENCE REQUIREMENTS

• Bachelor’s Degree.
• Minimum of three (3) years of healthcare industry experience, preferably with a health plan, a pharmacy, or health tech environment.
• A working knowledge of healthcare operations to include: enrollment, claims, customer service and appeals.
• Demonstrated project management experience.
• Applied analytical skills.
• Strong written and verbal communication skills.
• Proficiency in Microsoft office suite, including Access, Excel, powerpoint and word.
• Proven ability to lead a team and successfully complete assignments.
• Ability to extract data from various data sources and warehouses.
• Ability to create executive level presentations.
• Working knowledge of Medicaid and Medicare
• Proficiency in SAS
• Proficiency in SQL
• Experience in Healthcare Quality measures, utilization studies, and Healthcare analytics