Systems Analyst III
2 months ago
The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Systems Analyst III position within the Medicaid and CHIP Services - Program and Enrollment Support – Product Management department. The Systems Analyst III performs and supports enrollment related project activities provided by Medicaid and CHIP Services business areas. This position performs highly advanced work overseeing the daily operations and activities with all Texas Integrated Eligibility Redesign System (TIERS) business updates or requested enhancements using the agile process. This position performs project administration tasks for multiple projects. The position provides advanced consultative services and technical assistance to program staff, governmental agencies, vendor staff, and community organizations to assist in accomplishing agency goals. The Systems Analyst III should possess an extensive knowledge of TIERS, and managed care policies and processes. The Systems Analyst III is responsible for analyzing managed care data including Medicaid/CHIP eligibility, premium payments, and encounter data to resolve issues. The Systems Analyst III should possess the ability to identify problems and develop and communicate recommended options and solutions to operational issues. This position requires formulating responses to requests from both internal and external stakeholders. This position will work under minimal supervision with extensive latitude for the use of initiative and independent judgment. The ideal candidate will thrive in an environment that emphasizes innovation through new ideas, striving for excellence by taking pride in your work, embracing our differences as a source of strength, accomplishing more through partnership, leading by example, and learning for continuous improvement.
Essential Job Functions:
(25%) Works collaboratively with internal and external partners to identify innovative and effective solutions for our clients and staff.
(25%) Provides high-level advice and counsel by interpreting policies, procedures, rules, regulations, and standards related to the program by analyzing project concepts and giving updates to management and peers on the status of projects.
(25%) Coordinates, leads, and facilitates project meetings with project stakeholders. This function requires leading meetings with vendor staff to review new processes or the need for corrective processes.
(10%) Evaluates activities including the development of performance reporting to internal and external audiences.
(10%) Prepares administrative reports, studies, and specialized research projects. This function requires compiling written records and escalating through contractually required means of communications.
(5%) Performs additional duties as assigned.
Knowledge Skills Abilities:
• Knowledge of Medicaid and CHIP eligibility programs and policy.
•Knowledge of Medicaid and CHIP managed care programs and policy.
•Knowledge of TIERS and how it pertains to managed care functions.
•Ability to perform inquiry in TIERS to identify potential processing or system issues.
•Knowledge of local, state, and federal laws and regulations relevant to eligibility determinations for Texas Health and Human Services Commission (HHSC) programs.
•Knowledge of agile principles.
•Knowledge of program planning and implementation.
•Skill in communicating effectively both verbally and in writing.
•Skill in establishing and maintaining effective working relationships with all levels of staff, customers and vendors.
•Ability to manage multiple tasks requiring the flexibility in work prioritization to meet demanding deadlines.
•Ability to gather, assemble, correlate, and analyze facts; to devise solutions to problems; develop alternative solutions; to prepare concise reports; and to develop and evaluate policies and procedures.
•Knowledge of project management tools and techniques, program planning and implementation.
•Skilled in analyzing data and preparing reports.
•Skilled in the use of office equipment and software i.e., Microsoft Office applications Excel, Word, etc.
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