Medicaid Business Analyst/Team Lead
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People in our Client Delivery & Operations career track drive delivery and capability excellence through the design, development and/or delivery of a solution, service, capability or offering. They grow into delivery-focused roles, and can progress within their current role, laterally or upward.
Business & Technology Integration professionals advise upon, design, develop and/or deliver technology solutions that support best practice business changes
The Business & Technology Integration professional aligns technology with business strategy and goals. They work directly with the client gathering requirements to analyze, design and/or implement technology best practices into business changes. They are sought out as experts internally and externally for their deep functional or industry expertise, domain knowledge, or offering expertise. They enhance Accenture's marketplace reputation.
HPS-Industry Applications professionals design, implement and deploy packaged software solutions that have been developed to accommodate unique HEALTH and PUBLIC SERVICES industry business and management processes, regulatory requirements and other business needs.
HPS-Industry Applications professionals analyze, design, build, test and deploy innovative Health and Public Service industry-specific solutions that enable industry standards and processes.
A professional at this position level within Accenture has the following responsibilities:
Adapts existing methods and procedures to create alternative solutions to moderately complex problems.
Understands the strategic direction set by senior management as it relates to team goals.
Uses own judgment to determines optimal solution to recommend.
Primary upward interaction is with direct supervisor or teams leads. Generally interacts with peers and/or management levels at a client and/or within Accenture.
Determines methods and procedures on new assignments with minimal guidance.
Decisions often impact the team in which they reside and occasionally impact other teams.
Manages medium-small sized teams and/or work efforts (if in an individual contributor role) at a client or within Accenture.
+ Basic qualifications
- Minimum 5 years experience in Public Healthcare State Medicaid and/or Commercial Healthcare Experience
- At least 1 State MMIS/MES DDI
Professional Skill Requirements
- Experience Leading Teams
- PMP Certification/Experience
- Industry experience and knowledge in one or more of the areas below:
- Eligibility interface and Member Coordination of Benefits (COB)
- Benefit Plan covered members, covered services and provider networks
- Manage Care Organizations (MCO) enrollment and capitation processing
- Long-Term Care (LTC) institutional claims & member processing
- Medicaid Claims edit/audits, pricing, Medicare crossover processing, Operational Reporting Standards
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Accenture (i.e., H1-B visa, F-1 visa (OPT), TN visa or any other non-immigrant status).
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Accenture is a Federal Contractor and an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.
Equal Employment Opportunity
All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.
Accenture is committed to providing veteran employment opportunities to our service men and women.
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