Business Lead - Medicaid Data Analytics

Introduction
At IBM, we know that transformation drives change, and it is in our DNA to continuously transform. Our Business Transformation Consultants help drive large scale change that spans IBM business units and geographies. As a part of this team, you will have the unique opportunity to be a part of driving IBM’s ongoing transformation as a company that continuously innovates and leads the market.

Your Role and Responsibilities
The Business Lead is expected to be a key staff position throughout the entire contract term. Serves as a liaison among stakeholders to ensure adherence to the structure, policies, and operations of the State of West Virginia Department of Human Services (DoHS). Ensures requirements are efficiently and effectively addressed by the solution. Coordinates the day-to-day operational activities and facilitates communication between the business analysts and development and Quality Assurance (QA) teams. Manages business analyst resources, assigns tasks, oversees work products and their completion, monitors the schedule, and ensures resources are utilized efficiently and effectively. Provides expert guidance ensuring that policy and business rules defined by the State are correctly implemented in the IBM solution. Serves as the senior business expert with a strong understanding of the State's Medicaid program and the IBM business applications. Ensures State requirements and reporting needs, including those that exceed the standard reporting package, are addressed. Provides ad hoc reporting, as requested by DoHS. Manages the processes and procedures associated with system change orders. Manages the Requirements Traceability Matrix.

Required Technical and Professional Expertise
1.Required to work onsite at the IBM office in Charleston, West Virginia, Monday through Friday 8:00 AM ET - 5:00 PM ET.
2. Minimum 8 years demonstrated experience working within a State Medicaid Agency with operations of similar size to West Virginia or a large healthcare provider management organization, including client-facing responsibility
3. Demonstrated expertise in Medicaid policy, Medicaid data and claims processing, healthcare data analytics, and business analysis
4. Strong understanding and demonstrated experience using IBM Cognos Analytics to support and design reports, dashboards and queries in support of state client needs

Preferred Technical and Professional Expertise
1. Degree or certifications in health informatics, data science, or similar field
2. Super-user experience with IBM Cloud Pak for Data, Information Analyzer, Information Governance Catalog, Esri ArcGIS, Toad, J-SURS, CaseIQ (formerly i-Sight)
3. Experience working with the State of West Virginia Bureau for Medical Services (runs the state Medicaid program)
4. Experience working in Medicaid program integrity (fraud and abuse detection, utilization review)"
About Business UnitIBM Consulting is IBM’s consulting and global professional services business, with market leading capabilities in business and technology transformation. With deep expertise in many industries, we offer strategy, experience, technology, and operations services to many of the most innovative and valuable companies in the world. Our people are focused on accelerating our clients’ businesses through the power of collaboration. We believe in the power of technology responsibly used to help people, partners and the planet.

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Location StatementIBM offers a competitive and comprehensive benefits program. Eligible employees may have access to: - Healthcare benefits including medical & prescription drug coverage, dental, vision, and mental health & well being - Financial programs such as 401(k), the IBM Employee Stock Purchase Plan, financial counseling, life insurance, short & long- term disability coverage, and opportunities for performance based salary incentive programs - Generous paid time off including 12 holidays, minimum 56 hours sick time, 120 hours vacation, 12 weeks parental bonding leave in accordance with IBM Policy, and other Paid Care Leave programs. IBM also offers paid family leave benefits to eligible employees where required by applicable law - Training and educational resources on our personalized, AI-driven learning platform where IBMers can grow skills and obtain industry-recognized certifications to achieve their career goals - Diverse and inclusive employee resource groups, giving & volunteer opportunities, and discounts on retail products, services & experiences The compensation range and benefits for this position are based on a full-time schedule for a full calendar year. The salary will vary depending on your job-related skills, experience and location. Pay increment and frequency of pay will be in accordance with employment classification and applicable laws. For part time roles, your compensation and benefits will be adjusted to reflect your hours. Benefits may be pro-rated for those who start working during the calendar year. This position was posted on the date cited in the key job details section and is anticipated to remain posted for 21 days from this date or less if not needed to fill the role. We consider qualified applicants with criminal histories, consistent with applicable law.

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