DHB Certification Data Analyst

Lead the development of outcome statements and operational reporting for Medicaid Enterprise System (MES) projects.

• Collaborate with Business Leads, Project Teams, functional/matrix managers, vendors, and stakeholders to ensure Medicaid and CMS criteria are met.
• Support Leadership and Managers in planning and executing CMS certification activities for complex system implementations.
• Gather, clean, transform, and ensure the quality and accuracy of data from multiple sources.
• Apply statistical methods and analytical tools to identify patterns, trends, and relationships within data.
• Administer and maintain the outcome statements database.
• Create clear visualizations (charts, graphs, dashboards) to present data insights.
• Draft MES outcome statements and metrics for program and project teams.
• Identify problems and develop data-driven solutions to improve business processes.
• Maintain timelines for the Operational Workbook Report (OWR).
• Collaborate with teams to create and update state-specific outcome statements.
• Contribute outcome statements to Advanced Planning Documents (APDs).
• Attend and facilitate meetings to present findings to stakeholders.
• Provide support to project leads and Subject Matter Experts (SMEs) regarding certification questions.
• Participate in CMS certification presentations and reviews.
• Utilize spreadsheet tools (Excel, Google Sheets) and data visualization software.
• Employ project tracking tools (Microsoft Project, Jira, MITAPulse) and adhere to implementation methodologies (Agile, Waterfall, Hybrid).
• Leverage knowledge of Medicaid, MMIS, claims processing, and healthcare analytics as needed., Job Summary: Senior Business Analyst (Data Modernization Initiative) NC DHHS, Division of Public Health - Serve as a Senior Business Analyst supporting the Data Modernization Ini…
• 16 hours ago
• Apply easily

3+ years with CMS Medicaid Enterprise Systems/federal regulations and MMIS/CMS certification.

• 5+ years with spreadsheets, data-driven organizational improvement, client-facing system implementation, data visualization tools, and healthcare analytics (preferred).
• 3+ years with CMS Medicaid Enterprise Certification Life Cycle, project tracking tools, and SDLC methodologies.
• Experience with Medicaid/MMIS claims (preferred)., Mandatory skills: HL7/FHIR, Healthcare Responsibilities: Minimum 7-10 years’ experience as a senior Data Analyst in the healthcare sector. Knowledge of FHIR Excellent …