Functional Architect

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Job description

Title: Functional Architect

Duration: 6+ months

Location: Harrisburg, PA

Candidates must reside in Pennsylvania

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 Client 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, 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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