Functional Architect FA1 A4 SC1

2 days ago

Harrisburg, Pennsylvania, United States JobRialto Full time
Job Title: Functional Architect FA1 A4 SC1

We are seeking a highly skilled Functional Architect to join our team at JobRialto. As a key member of our organization, you will be responsible for determining and documenting requirements for diagnosis level reporting, following current process and continuously improving data reporting based on quality standards, and providing expertise for defining functional architecture and infrastructure, using LEAN principles.

Key Responsibilities:
  • Determine and document requirements for diagnosis level reporting
  • Follow current process and continuously improve data reporting based on quality standards
  • Provide 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
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, power point 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
  • Experience in Healthcare Quality measures, utilization studies, and Healthcare analytics

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