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OPB Georgia All-Payer Claims Database Product Manager

Remote: 
Full Remote
Work from: 
Georgia (USA)

Offer summary

Qualifications:

Project Management: 7 years (required), Data Warehouse: 5 years (desired), Healthcare Claims Processing: 5 years (desired), Medicaid System Design: 5 years (desired).

Key responsabilities:

  • Manage and analyze databases for health insurance claims information
  • Engage stakeholders, develop sustainable plans, lead meetings
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Job description

Requisition Class: DBAN : Database Analyst 3
Region Name: State of Georgia
Title/Role: OPB Georgia All-Payer Claims Database Product Manager
Region Description: State of Georgia
Req. Status: Open
No. of Openings: 1
No. Filled: 0
Start Date: 08/05/2024

End Date: 06/30/2025

No New Submittals After: 07/08/2024

Max Submittals by Vendor: 2 Per Opening
Worksite Address: 2 Capitol Sq SW, Atlanta, GA 30334
CAI Contract Manager: Tim Brodrick
Agency Interview Type: Either Web Cam or In Person
Expenses Allowed: No
Temp to Hire: No
Position Type: Standard
Workflow Process Designation (CAI Use Only):: CWP
Estimated Project Completion Date:

Work Arrangement: Hybrid


Rate Structure used: Standard
Hours/Units per day: 8
Days per week: 5
Max pay Rate: $ 125.00 USD Per Hour

Short Description:

Under broad supervision, proficient in the design, development, integration, testing, and support of large/complex database systems necessary to support the information systems needs of the agency.

Complete Description:

The Governor's Office of Planning & Budget and Georgia Office of Health Strategy & Coordination (OHSC) require support from a consultant with expertise in the management and analysis of databases that collect health insurance claims information from all health care payers into a statewide information repository. OHSC seeks a consultant who will leverage available funding sources, incorporate best practices from previous APCD implementations, and provide a sustainable plan for ongoing operations.

Activities provided by the consultant include stakeholder engagement, identifying regulatory, legal, and legislative considerations and developing proposed solutions, defining ongoing program needs, developing a sustainability plan, developing and revising CMS Advanced Planning Documents, planning and leading APCD Advisory Committee meetings, management of program budget, and managing APCD implementation. The Product Manager will serve as OHSC's primary point of contact for the APCD.

The APCD includes two modules – Data Collection and Data Analytics. Onpoint Health Data was selected to provide the Data Collection module. This module is currently in use, with a limited scope of remaining effort. The Data Analytics module is also currently in use, with additional certification efforts remaining.

Local candidates are strongly preferred, however, out-of-state candidates that would work 100% remote are welcome to apply.

Qualifications:
Project Management: 7 years (required)
Data Warehouse: 5 years (desired)
Healthcare Claims Processing: 5 years (desired)
Medicaid System Design: 5 years (desired)

Required profile

Experience

Industry :
Information Technology & Services
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Verbal Communication Skills
  • Leadership Development

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