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Please find the JD below if you have any consultant available then please reply me ASAP with contact details of your consultant at [email protected]. *Data Analyst/Programmer III* *Location: Long Beach, CA* *Duration : 6+ Months * *Interview : Phone and face to face (USC/GC/EAD/TN/OPT) must be local* Have SQL programming (biggest must have for the manager) must have good soft skills, running with meetings and work with stakeholders to resolve problems and give real time expectations Healthcare (ACA) and medicare background is best *Have candidates fill out the following matrix:* Molina Data Analyst/Programmer Required Skills: Years of experience Year last used Experience as a Data Analyst/Programmer Hands-on experience with ETL design, development & performance tuning Operational analysis, Reporting, SQL Health care payer organizations and particularly business operations SQL programming experience Understanding of Software Development Life Cycles (SDLC) Knowledge of: ·SQL/VB ·Crystal Reports ·Access, ·Relational Database tables and tools · · · · · · · · Participate in JAD sessions for gathering and defining data conversion and ETL rules requirements. Analyzes business workflows/system needs for new features and enhancements; assists in data mapping Lead and/or mentors other business analysts and data analysts Conducts gap analysis and uses analytical skills to identify root cause and assist with problem management. Preferred Skills: Experience with managed care Experience with: ·Medicaid ·Medicare ·Health Insurance Exchanges · · · · · · Exposure to health plan operations including member enrollment, billing, reconciliation, and issues resolution Compliance reporting – gathering requirements and building specifications for compliance reporting (e.g., State Departments of Health, MMP and/or CMS). *Job Summary * The Business Ops/Data Analyst provides expertise in the process of screening, framing and modeling business requirements and ideas for process enhancements, process improvements, and/ or cost savings. Determines best practices and makes recommendations on improving current practices and processes. Responsible for organizing and documenting requirements into Business Requirements Documents (BRDs) and Report Requirements Designs (RRDs). Develops recommendations to solve problems and issues related to business operations. Generally works on large scale projects of significant complexity. Accountable for delivering work products that meet business needs. Business Ops team is seeking an experienced Data analyst to join our team of qualified, diverse individuals. This is an excellent opportunity for an experienced professional to work with cross functional teams of business domain experts, software developers, data architects, solution analysts, testers, and trainers. *Required Experience: * · Minimum 3 yrs of current and hands-on experience with ETL design, development & performance tuning. · Minimum 3 yrs of Operational analysis, Reporting, SQL. · 6+ years’ experience with increasing responsibilities as a business analyst with experience leading teams a plus · 4+ years’ experience with health care payer organizations and particularly business operations *Preferred Experience: * · 4+ years of managed care experience · 2+ years Medicaid/Medicare/Exchanges experience · 2+ years exposure to health plan operations including member enrollment, billing, reconciliation, and issues resolution a plus · 2+ years compliance reporting – gathering requirements and building specifications for compliance reporting (e.g., State Departments of Health, MMP and/or CMS). *Knowledge/Skills/Abilities* · Demonstrated understanding of Software Development Life Cycles (SDLC). · Intermediate level of knowledge in Microsoft applications (Word, Excel, MS Project, PowerPoint, Visio) and SharePoint. · Good level knowledge: SQL/VB, Crystal Reports, Access, and Relational Database tables and tools. · Ability to articulate an appropriate course of action based on reading standard project documentation (charter, work plan). · Understanding of government healthcare programs such as Medicare and Medicaid is helpful. · Ability to document business analysis deliverables such as requirements, workflow diagrams, and testing documentation. · Ability to work independently, as a team member, or a team leader. · Ability to multi-task skills and prioritize workload. · Excellent verbal and written communication skills. · Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). · Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers. · Background in compliance reporting with experience in gathering requirements and building specifications for compliance reporting (e.g., State Departments of Health, MMP and/or CMS). *Responsibilities/Essential Functions * · Minimum 3 to 5 yrs of current and hands-on experience with ETL design, development & performance tuning. · Participate in JAD sessions for gathering and defining data conversion and ETL rules requirements. · Review designs with data conversion team members. · Provide accurate and efficient ETL transformations from mainframe and distributed systems to new web-based applications. · Ability to work during peak data conversion periods. · ACA and health insurance exchanges knowledge and experience preferred · Minimum 3 to 5 yrs of current and hands-on experience with SQL and Relational DB and SQL Query performance tuning. · Create analytical tools necessary to support Operational analysis and ad hoc reports as required. · Experience with building web based systems with real time capabilities. · Demonstrate ownership, innovation, and focus on delivering results. · Conducts and facilitates JAD sessions to develop and coordinate the requirements, specifications, design, and testing efforts for medium to large projects. · Analyzes and updates existing BRD’s/FRD’s annually or as requested. · Analyzes business workflows/system needs for new features and enhancements; assists in data mapping. · Reviews, analyzes, and evaluates business processes for improvement or enhancement as needed. · Recommends promotion of software to production based on satisfactory test result. · Supports or leads the process of screening, framing and modeling ideas that capture business requirements. · Defines and documents business and IT system processes and workflows. Models AS-IS and TO-BE processes. · Develops and executes test strategies, plans, scenarios, and tracks resolution to identified defects. · Prepares documentation and training materials for various audiences. · May lead and/or mentors other business analysts and data analysts · Conducts gap analysis and uses analytical skills to identify root cause and assist with problem management. *Summary:* · Access and integrate data from the various Molina Healthcare systems (QNXT, Medlnsight, (pharmacy,etc.), create actionable management reports that can be used to analyze costs and quality, analyze results and identify opportunities to manage costs and improve quality. Report observations to manager, pointing out areas of concern inaccuracy, cost trends, and efficiency. *Essential Functions:* · Extract and upload information including large data sets from various systems to support team needs. · This resource is utilized for ad hoc requests for pharmacy, medical expenses, and enrollment data by other members of the team. · Assist in preparation of reports produced regularly to support executive decision-making. · Research and analyze report results identifying opportunities and trends. · Develop efficient reporting methods. · Support team members when additional analytics are required for medical costs. *Regards,* *Bharat Chhibber* *SoftNice Inc.* 5050 Tilghman Street, Suite 115, Allentown, PA 18104, USA *Ph: 610-301-0285* www.softnice.com Leading Software Development and Consulting Company. Ranked 3rd fastest growing Asian American Business (USPAACA). Ranked 41st Fastest growing IT Company in USA (Inc. Magazine). E-Verify Organization. Microsoft Gold Certified Partner. [image: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: cert_minority][image: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: partner_logo][image: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: PhotoShare][image: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: Description: G:\barcode.gif] How am I doing? I want to exceed your expectations and I welcome your feedback. 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