Specialist- Junior

1 month ago

Raleigh, United States HighCloud Solutions Full time
Title Specialist Junior Location Raleigh NC (Hybrid) Duration 12 Months Interview Type Webcam Interview Only Job Type C2CW2 Job Description

NC DHHS Division of Health Benefits is responsible for enrollment and credentialing of NC Medicaid Providers. In this position you will help with technical operations aspects within this unit.

The Junior Specialist is responsible for Technical Operations within DHB Provider Operations Unit. The Junior Specialist will:

  • Play an active role partnering with business leaders and teams to understand and drive technology/information requirements through internal and external service providers to achieve the required technology and information capabilities
  • Support Provider Operations activities to ensure the accurate timely and costeffective implementation of new and existing processes and functionality in both the NCTracks system and the new Provider Data Management/Credentials Verification Organization (PDM/CVO) modules to include planning requirements prioritization Customer Service Requests service tickets File Maintenance Requests defects training and testing.
  • Participate and collaboration with other workgroups to collect and analyze data; assist with testing and validation of data and business processes; evaluate file layouts risks of modifications and downstream impacts to other systems; utilize systems to holistically research identify and resolve errors with data transmission; prioritize needs of Provider Operations.
  • Participation in creating and maintaining Provider Operations reporting and dashboarding.
  • Serve as a primary point of contact for the change control and technical processes used by Provider Operations
  • Assist with other projects and activities as needed Skills:
  • Excellent analytical critical thinking and problemsolving skills.
  • Broad understanding of an array of Information technologies and their uses.
  • Ability to extrapolate conclusions from large data reports
  • Proven ability in establishing and maintaining effective working relationships with internal and external stakeholders.
  • Excellent verbal and written communication skills.
  • Proven ability to recommend modifications to program policy and procedure to minimize risk and/or improve effectiveness.
  • Ability to work independently and assess project and assignment requirements.
  • Ability to organize and follow complex and/or detailed technical procedures
  • Adaptability and capability to work in a fastpaced environment
  • Ability to pay close attention to detail and communicate in a clear and concise manner (written and oral).
  • Excellent interpersonal analytical research and documentation skills.

Requirements:

  • Education: Prefer degree in business administration computer/data science or related field or experience.
  • Experience/familiarity with following business procedures audit processes and corrective action.

Skill Required / Desired Amount of Experience Excellent analytical critical thinking and problemsolving skills. Required 1 Years Broad understanding of an array of Information technologies and their uses. And adaptability and capability to work in a fastpaced environment Required 1 Years Ability to extrapolate conclusions from large data reports Required 1 Years Excellent verbal and written communication skills with proven ability in establishing and maintaining effective working relationships with internal Required 1 Years Excellent verbal and written communication skills and ability to pay close attention to detail and communicate in a clear and concise manner Required 1 Years Proven ability to recommend modifications and follow policy and procedure to minimize risk and/or improve effectiveness Required 1 Years Ability to work independently and assess project and assignment requirements Required 1 Years Excellent interpersonal analytical research and documentation skills Required 1 Years

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