File Maintenance Analyst



IBM
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Post Date: Feb 07, 2019
Location: California - Sacramento
Security Clearance: None
Job Type: Permanent
Start Date: - n/a -
Salary: - n/a -
Job Reference: - n/a -
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Description
Job Title: File Maintenance Analyst

IBM is hiring in Sacramento, CA!

Register to meet and interview with recruiters: http://IBMexpo.com

IBM Professional Hiring Event
Wednesday, February 20
9:00 AM - 3:00 PM

Hilton Sacramento Arden West
2200 Harvard Street
Sacramento, CA 95815

Bring 3 copies of your resume with you.??Please share this invitation with your industry colleagues that may be interested in career opportunities with IBM.


ROLES & RESPONSIBILITIES:

• Review and analyze CA-MMIS Operating instruction letters(OILs) and Problems.
• Add and update new codes to CA-MMIS Mainframe tables, files, and manuals and disseminate information on changes to impacted parties
• Work with CA-MMIS Release Management and Testing Team in implementing CA-MMIS table and file updates and minor programming changes.
• Maintain and update Medicaid Management Information System (MMIS) tables and table layouts, Procedure File (Current Procedural Terminology [CPT] and Healthcare Common Procedure Coding System [HCPCS] service codes) and Diagnosis File (International Classification of Disease, 9th Revision [ICD-9] coding)
• Create and modify CA-MMIS claims edit/audit criteria with instructions to allow claims examiners to adjudicate suspended claims as per policy.
• Participate in policy clarification sessions and work with DHCS to collect and define data, determine impact to existing systems due to policy changes and regulatory needs and document the impacts.
• Act as a liaison between DHCS and technical solutions groups, using strong communication skills to elicit, document, analyze and validate business processes, systems, and solution requirements.
• Understand the system impacts, business process modeling of current state and desired future state processes, perform ambiguity analysis and ensure consistent understanding across users, developers and testers.
• Provide requirements and design estimates of the work effort required to fulfill the requirements using the IBM Rational DOORS tool.
• Apply the knowledge of the claims system data model and Medicaid Architecture based on MITA to ensure the solution requirements are in alignment with regulatory framework.


Open Positions Include:?
Business Analyst
Documentation Specialist
File Maintenance Analyst
Formulary File Liaison
OPUS/Formulary Cross Verifier
Release Management Analyst
Release Management Lead
Release Manager
Technical Lead
Technical Writer
Test Analyst
Test Data Management SME
Test Lead


IBM Services (GBS) is a team of business, strategy and technology consultants enabling enterprises to make smarter decisions and providing unparalleled client and consumer experiences in cognitive, data analytics, cloud technology and mobile app development. With global reach, outcome-focused methodologies and deep industry expertise, IBM empowers clients to digitally reinvent their business and get the high-reaching edge in the cognitive era.
The Public Service Sector consulting practice is a trusted advisor to federal, state and local governments, partnering to meet challenges and responding quickly to citizen demands, business needs, new economic conditions, and changing legislative priorities and policies. Do your best work ever.
In addition to the above positions, IBM will be posting more opportunities soon. Please visit ibm.com/jobs

For details and registration visit http://IBMexpo.com