12 days old
2017-11-092017-12-07

Sr. Healthcare BA/ SME (Medi-Cal) | Optum Consuulting | CA

Monterey Park, CA 91755
  • Job Code
    586894
  • Payrate
    $45 To $55

Sr. Healthcare BA/ SME (Medi-Cal)


Location: Los Angeles (Monterey Park)


Project: Support & Migration


Interview Process - Phone to hire


Overview:


Highest-priority areas with Medi-Cal programs:



  • Claims
  • Enrollment
  • Pharmacy
  • Encounters
  • Medi-cal expertise in the respective domains is a mandatory requirement
  • Resources must have operations experience and also facets would be a plus but is not required


Responsibilities:



  • DLP's & Training - Execution of Training Strategy including desk level. Procedures (DLP's), and instructions on how to perform and maintain day-to-day operations. This includes confirmation of new or updates to KPI and metrics that your team will track
  • Data Integration - Define, Rationalize, and prioritize data integration and reporting information needed from business teams. Remediation of business impacted reports defined by the MM scope.
  • External Communication - Raise awareness, prepare, educate, and respond to all impacted audience segments (members, providers, brokers, vendor partners, regulators, and the association).
  • Vendor Readiness - Support external vendor partners onboarding process to Facets solution thru the member migration program (operational vendors and trading partners)
  • Acceptance Testing - Development and execution of business use cases to confirm processes (DLP's, instructions, workflows) are aligned to technology as part of the member migration activities.
  • Contigency Planning - All business domains will document their plan for a plan and what they';; do if they lose access to a system which supports their business critical process. (ex. Facets goes down, phone system or email goes offline.)

Categories

  • Information Technology

Randstad utilizes a technology-driven focus with a human touch to provide better staffing and business solutions to organizations around the world. Our team of experts match professionals with available career opportunities in a variety of fields.

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Sr. Healthcare BA/ SME (Medi-Cal) | Optum Consuulting | CA

Randstad Technologies
Monterey Park, CA 91755

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Sr. Healthcare BA/ SME (Medi-Cal) | Optum Consuulting | CA

Randstad Technologies
Monterey Park, CA
US

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