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CMS API Medicaid Application Programming Interfaces Consultant
(Jobs in Jackson,
 
Requirement id 138946
Job title Consultant
Job location in Jackson, MS
Skills required Eligibility Support Services, IT Projects, CMS, API Medicaid Application Programming Int
Open Date 07-Feb-2023
Close Date
Job type Contract
Duration 37 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Consultant: Eligibility Support Services, IT Projects, CMS, API Medicaid Application Programming Int

Job Title : Medicaid Eligibility and Enrollment (E&E) Subject
Matter Expert (SME)

start date : 2/20/2023

End date : 04/01/2026

submission deadline : 2/14/2023 3:00:00 PM

client info : Medicaid

Description :

The Medicaid Eligibility and Enrollment (E&E) Subject Matter Expert (SME) will work with the Division of Medicaid (DOM) E&E team on procuring, implementing, upgrading, and maintenance of the DOM E&E systems.
The E&E SME will:

-Review and comment on project deliverables for completeness and content as assigned.

-Participates in Joint Application Design (JAD) sessions, Detailed Designed reviews, Agile sessions, project status meetings and any other Medicaid project meetings as necessary.

-Assist with tracking identified issues and verifying resolution.

-Work with the Systems Integrator and DOM Project Management to meet Medicaid Enrollment and Eligibility Outcome Based Certification as needed.

-Provide technical expertise to procurement, implementations, upgrades, and the continuous maintenance of the E&E systems;

-Assist in the integration of the E&E with other internal and external systems, services, and trading partners;

-Work to develop and document strategies to utilize standards for the integration with, and operation of, the E&E systems;

-Assist in the development of requirements for procurement of the E&E, E&E components, and related E&E services, tools, etc.

-Assist in development of test cases used for User Acceptance Testing (UAT) for changes in the E&E systems and related modules as well as assist in the UAT as needed by performing tests, analyzing and documenting defects and
issues

-Work with other State of Mississippi Agencies and programs to ensure data freely flows between associated systems and services;

-Document and report status, opportunities, findings, and risks to DOM management as well as State and federal partners (Centers for Medicare and Medicaid Services, CMS), etc.

-Work closely with the DOM E&E project team on the technical and operational aspects of the DOME E&E and related systems (Enterprise Service Bus, ESB, etc.).

Required Skills/Experience:

-4+ years experience with Eligibility systems, tools, and services

-3 years of working on IT projects that have critical timelines and deadlines and working with vendors to achieve these milestones as much as possible. Must have ability to adapt and overcome challenges of tight schedules.

-2 years experience facilitating meetings and discussions with both technical and non-technical staff

-1 years experience with E&E rules, requirements, and standards, such as the Affordable Care Act, the Centers for Medicare and Medicaid Services (CMS), Modified Adjusted Gross Income (MAGI) and non-MAGI Medicaid, Qualified Health Plans, Advance Premium Tax Credit (APTC), etc.

-1 years experience with technical integration of E&E systems with other payer and trading partner IT systems, including using standards-based Application Programming Interfaces (APIs)

Preferred/Not Required:

-3 years experience working with E&E systems that utilize an Enterprise Service Bus (ESB)

-3 years of documenting and reporting project status and risks to management

-2 years experience with identity resolution systems, such as a Master Person Index (MPI)

-Knowledge of other State benefit programs (WIC, SNAP, etc.)
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 138946 while calling.
 
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Job Title : Medicaid Eligibility and Enrollment (E&E) Subject
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start date : 4/24/2023

End date : 4/1/2026

submission deadline : 4/19/2023 3:00:00 PM

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Note :

* Preference will be given to candidates who can work 40 hours a week at the D.... (This job is for - Medicaid Jobs in MS Jackson Consultant - (in Jackson, MS))
 
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(Consultant: Eligibility Support Services, IT Projects, CMS, API Medicaid Application Programming Int in Jackson, MS)
     
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