Note: The job is a remote job and is open to candidates in USA. The Washington State Health Care Authority manages Apple Health (Medicaid), public employee health benefit programs, and behavioral health services. The ProviderOne Interface Analyst manages, monitors, tests, and troubleshoots electronic data interfaces connected to the ProviderOne and Pharmacy Point of Sale systems. The role also coordinates data exchanges, develops technical requirements, manages vendor relationships, and supports system documentation, implementation, and stakeholder training.
Responsibilities
- Independently responsible for the management of all external electronic data interfaces (including web services and APIs). This responsibility includes monitoring timely data delivery and specialized analysis to identify, troubleshoot and resolve interface issues
- Technical advisor and customer liaison between the vendor(s) and business and technical stakeholders such as CMS, other state agencies, and other businesses
- Coordinate, manage and maintain successful and efficient data exchanges via current contracts and Data Share Agreements
- Conduct database research, ensure data integrity, monitor interface products and schedule and provide technical consultation and analysis regarding ProviderOne and POS external interfaces and DOC1 correspondence solution
- In coordination with the ProviderOne and POS vendors, prepare planning and implementation strategies and process documents for data interface activities and maintain communication of these activities with multiple internal and external stakeholders
- Follow change control processes and procedures to ensure that proposed system changes are analyzed for interface impacts
- Leads the analysis of system modifications by eliciting business needs related to interfaces and synthesizing those needs into technical requirements for utilization by the vendor(s) during design development and implementation
- Coordinate and plan for new interfaces with subsystem business analyst senior staff to ensure the new data exchanges will fulfill the customer request
- Serve as primary tester for all ProviderOne and POS interfaces, APIs, and web services for defect fixes, enhancements and change requests
- Facilitates the modification (As-Built) process with the vendor(s) in order to ensure system documentation is updated to support the changes in the Change Request
- Communicates with business stakeholders when system changes are successfully implemented into UAT and production. Facilitates the delivery of training when necessary to ensure stakeholders understand ProviderOne specifications and how the system is designed to function
Skills
- Master's degree or higher in computer technology or an information technology (IT) area
- Bachelor's degree in computer technology or an information technology (IT) area, and three (3) years of the required experience below
- Associate degree in computer technology or an information technology (IT) area, and five (5) years of the required experience below
- Seven (7) years of the required experience below
- Three (3) years as an Entry level IT professional or higher in State service performing professional IT
- Consulting, analyzing, designing, programming, installing, and/or maintaining computer software applications, hardware, telecommunications, or network infrastructure equipment
- Directing projects
- Providing customer or technical support in IT
- Administering staff who performed work in any of these IT disciplines
- (Concurrent) One (1) year Knowledge of System Development Life Cycle (SDLC). Ensures technical integration is achieved across the enterprise by participating in planning, validation, reviews and testing and implementation
- (Concurrent) Two (2) years of experience with vendor/ system integrator management and facilitating systems development sessions and relationships
- Knowledge of technical aspects of data exchanges and data exchange management between multiple systems
- The ability to take action to learn and grow
- The ability to take action to meet the needs of others
- Knowledge and experience with Medicaid eligibility and health care claims processing. This includes a working knowledge of ACES eligibility categories, strong analytic skills and the ability to assess, interpret and report on data elements related to eligibility
- Knowledge of the other WA state agency systems (CARE, BARCODE, ACES, WHALES, JBRS) that interact with ProviderOne to assist with troubleshooting and/or testing of the interfaces that are used to update ProviderOne client data
- Knowledge of large systems/software applications and data analysis methods, tools and techniques, including the ability to extract, analyze and interpret data from computer systems. This includes demonstrated proficiency in and knowledge of tools for data extraction, data analysis and information presentation
- Knowledge of technical aspects of data exchanges and data exchange management between multiple systems
- Ability to represent HCA in technical data interface workgroups and statewide and national professional organizations, and to present information in a way that establishes rapport and influences others
- Excellent written, oral and presentation skills and the ability to interpret and communicate technical standards and information to management, technical staff, and stakeholders inside and outside of the Agency
- Functional knowledge and experience in information system development life cycle activities, project activities, including project planning and project management methodologies and the use of automated project tracking tools
- Ability to organize and prioritize multiple activities and responsibilities, balance competing demands, establish priorities, work independently and advance assigned projects from inception to completion with limited supervision
- Demonstrated commitment to providing superior customer service
- Commitment to quality, diversity and public service values
- Knowledge of ProviderOne and Medicaid payment methodology
- Knowledge and experience with large IT systems and data analysis methodologies and techniques
- All applicants with a legal right to work in the United States are encouraged to apply
- An advanced degree in an IT field and at least one (1) year of required experience listed above
- Knowledge and experience of data transmission concepts, functions and mechanisms in data exchange concepts
- Knowledge and experience of medical, dental, pharmacy coding and/or HIPAA terminology. Also have strong analytic skills and the expert ability to analyze, interpret and implement state specific and HIPAA Transactions and Code Sets regulations
- Knowledge and experience with the Medicaid Management Information System (MMIS) or equivalent medical payment system. Experience would include design and development, system documentation, testing, subsystem functionality and requirements gathering
- Demonstrate an understanding of basic system architecture documentation methodologies
- Knowledge of interfaces delivered and transmitted to and from the ProviderOne and/or POS systems
Benefits
- This position is eligible to telework and is typically not required to report on-site.
- A healthy work/life balance, including alternative/flexible schedules and mobile work options.
- A great total compensation and benefit package.
- Free parking.
- Medical insurance, including vision, for employees and their families.
- Dental insurance for employees and their families.
- Basic life insurance for employees and their families.
- Affordable monthly premiums with multiple medical plan options offering coverage throughout the state.
- Medical flexible spending account using tax-deferred dollars toward health care expenses.
- Long-term disability insurance, with the option to purchase additional coverage amounts.
- Washington Wellness workplace wellness programs.
- Dependent care assistance allowing employees to save pre-tax dollars for child or elder care expenses.
- Auto, boat, home, and renter insurance available through payroll deduction.
- Washington State Employee Assistance Program supporting employee health and well-being.
- Membership in the Washington Public Employees' Retirement System (PERS).
- Two employer-contributed retirement program options for new employees.
- Deferred Compensation Program (DCP), a supplemental retirement savings program with pre-tax salary deferrals and multiple investment options.
- Coverage under the federal Social Security and Medicare systems, with the state and employee paying equal amounts.
- Eligibility for student loan forgiveness under the Public Service Loan Forgiveness Program for qualifying employees of a government or not-for-profit organization.
- Paid holidays and one paid personal holiday per calendar year for full-time and part-time employees.
- Full-time employees earn eight hours of sick leave per month.
- Vacation leave accrual for full-time employees at rates specified in WAC 357-31-165 or the applicable collective bargaining agreement.
- Washington State supports members of the armed forces with 21 days of paid military leave per year.
- Most employees whose family member or household member dies, or for loss of pregnancy, are entitled to five (5) days of paid bereavement leave.
- Leave sharing.
- Parental leave.
- Family and Medical Leave Act (FMLA) leave.
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