INFORMATION SYSTEMS CONSULTANT - 81676

This position is a critical role supporting the quality, integrity, and compliance of Medicaid data reported through the Transformed Medicaid Statistical Information System (T-MSIS).The Division of TennCare is dedicated to providing our employees with a hybrid work environment All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need You may review the specific expectations with our hiring team. As a T-MSIS Data Governance & Quality Analyst, you will work collaboratively with CMS, TennCare Management, and state contractors to identify and resolve data quality issues, support system and reporting enhancements, and ensure accurate and timely T-MSIS reporting., * Analyze and validate T-MSIS data to identify data quality issues, investigate root causes, and ensure the accuracy, completeness, and integrity of reported information.

• Collaborate with stakeholders including CMS, TennCare Management, and state contractors to communicate data quality concerns, coordinate corrective actions, and drive issues through resolution.
• Support T-MSIS governance and compliance activities by monitoring reporting requirements and helping ensure accurate, timely, and compliant submissions to CMS.
• Review system and technical documentation, including design documents, test scenarios, and test results, to validate system functionality and data outcomes.
• Support quality assurance and testing efforts by evaluating test results, identifying discrepancies, and helping ensure system changes produce expected results.
• Track and manage software defects and enhancements, collaborating with technical teams and stakeholders to facilitate timely resolution and implementation.
• Identify opportunities for continuous improvement in data quality, reporting processes, and governance practices.

Graduation from an accredited college or university with a bachelor’s degree and five or more years of experience in any of the following: (1) systems training, systems analysis, systems design, technical support (i.e., the diagnosis and resolution of software and hardware malfunctions for computer or other information systems, as well as the technical justification for procuring software or hardware products), applications programming, network design, or telecommunications design; or (2) leading, supervising, consulting, directing, or managing the process involved in planning and implementing new information systems, or planning and integrating new technologies into existing systems

NON-SUBSTITUTABLE EXPERIENCE: At least two years of the required experience must have been in a lead, supervisory, consultative, managerial, or director capacity (education may not substitute for the required two years of lead, supervisory, consultative, managerial, or executive experience)

Desirable Qualifications:

• Working knowledge of SQL and experience with data analysis or reporting tools.
• Strong analytical and problem-solving skills with the ability to investigate complex data issues and identify potential solutions
• Strong written and verbal communication skills, with the ability to effectively collaborate with technical and non-technical stakeholders.
• Strong attention to detail and the ability to manage multiple issues, priorities, and deadlines.
• Experience working with T-MSIS or CMS reporting requirements.
• Understanding of healthcare claims data, Medicaid data, or related healthcare data structures.
• Experience with Medicaid data quality, data governance, or data validation.
• Experience working with MMIS or other large-scale healthcare information systems.
• Experience with software testing, defect management, or system implementation.
• 3 years State Medicaid claims experience or 5 years general claims experience
• 5 years data analytics utilizing SQL (Oracle preferred)

TennCare is Tennessee’s Medicaid managed care program, serving over 1.4 million Tennesseans, including children, pregnant women, older adults, and individuals with disabilities. With an annual budget exceeding $19.2 billion, TennCare operates under the oversight of the Centers for Medicare and Medicaid Services (CMS).TennCare’s mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for