Home       |     Overview      |     Candidate Login      |     Post Resume       |     Contact us
 
  
     
     
Search Jobs
     
Keywords,Title,Skills,Company  Location,City,State,Zip  
  Advanced Search
     
Executive Order 11246, Section 503 & VEVRAA EOE, including disability/vets
Stakeholders CMS Consultant
(Jobs in Lincoln, NE)
 
Requirement id 153633
Job title Consultant
Job location in Lincoln, NE
Skills required Transition To Operations, Risk Mitigation Plan, ETL Management, Stakeholders CMS
Open Date 30-May-2025
Close Date
Job type Contract
Duration 23 Months
Compensation DOE
Status requirement ---
Job interview type ---
Apply
   Email Recruiter: coolsoft
Job Description Consultant: Transition To Operations, Risk Mitigation Plan, ETL Management, Stakeholders CMS

Start date : 06/30/2025

End Date : 05/30/2027

Submission deadline : 06/12/2025

Client Info : NeDHHS

Note:

* Candidates can work remotely.

Description :

The Medicaid Data Warehouse and Encounter Claim Processing Transition Lead will be responsible for leading the successful transition of the states Medicaid data warehouse and encounter processing solution to a state-run and managed model. This role will coordinate transition activities, including the development of key deliverables required for transition and sustainable ongoing operations. The Transition Lead will coordinate activities of a team of data and operational experts, collaborate with project management, and ensure that all transition goals align with state and federal requirements.

Job Responsibilities:

Transition Management:
Coordinate the transition of the Medicaid data warehouse and encounter claim processing solution from vendor management to a state-run model.
Oversee and manage a team responsible for technical and operational aspects of the transition and ongoing data warehouse operations.
Develop and author transition deliverables, including operational documentation, data migration plans, system integration strategies, and reporting requirements
Develop and execute transition plans, including risk mitigation and knowledge transfer
Document transition processes and manage transition readiness checklists.
Operations Management:
Manage and oversee the daily operations of the Medicaid Data Warehouse, ensuring seamless functionality.
Monitor ETL processes, data pipelines, and system performance to prevent downtime and inefficiencies.
Establish and enforce operational procedures for data ingestion, validation, transformation, and reporting.
Collaborate with technical teams to implement automation, performance improvements, and scalability solutions.
Work closely with business users to understand reporting and data access needs.
Team Leadership and Collaboration:
Lead and mentor a team of analysts, engineers, and support staff responsible for Medicaid Data Warehouse operations.
Serve as the primary liaison between IT, business stakeholders, and state Medicaid agencies.
Conduct regular meetings to provide updates on operational status, performance metrics, and transition progress.
Issue Resolution and Support:
Lead troubleshooting and root cause analysis for operational issues, working with data engineers and support teams.
Establish and maintain SLAs for issue resolution and operational support.
Provide guidance to teams on resolving Medicaid data anomalies, claim processing errors, and eligibility discrepancies.
Compliance and Security:
Ensure compliance with CMS (Centers for Medicare & Medicaid Services) regulations, HIPAA, and state Medicaid data governance policies.
Implement security protocols for data access, storage, and sharing in accordance with regulatory requirements.
Oversee audits and reporting processes to maintain data accuracy and integrity
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 153633 while calling.
 
Other jobs in NE: Lincoln (21),
 
 Transition To Operations job openings in other states
Jobs List

Clark Memorial SSO Mobility Expert
Create date: 29-Oct-2013
[Note: Start Date: 11/15/2013]

[Note: Submission Deadline: 11/8/2013]

Description:

The Program Manager, Web SSO will be responsible for platform management activities across Hospital Single Sign-On (SSO) solutions. The candidate will be responsible for the management of the current solution with an eye toward future.... (This job is for - SLAs Jobs in KY Jeffersonville Expert - (in Jeffersonville, KY))
 
 
(Consultant: Transition To Operations, Risk Mitigation Plan, ETL Management, Stakeholders CMS in Lincoln, NE)
     
Search Jobs
     
Keywords,Title,Skills,Company  Location,City,State,Zip  
  Advanced Search
     

    About Us     Services    Privacy policy    Legal     Contact us