Medicaid Functional Consultant - HIPAA/Enrollment

Intellibee Inc; City of Albany (NY); Vor Ort; USD 90.000 - 130.000; Vollzeit

Benefits dieser Stelle

Long-Term Stability

Comprehensive Health Coverage

401(k) program

Green Card support

Zusammenfassung

IntelliBee Inc seeks a Functional Consultant in Albany, NY to support the NY State Medicaid LTSS modernization Enrollment track. You will gather requirements, articulate solution designs, and provide HIPAA transaction support including 834 and 278 interchanges.

The role requires hands-on experience with Medicaid and LTSS enrollment, NY eMedNY, BRDs/FRDs, data mappings, and close collaboration with State, MCO, and vendor teams. Strong communication and QA coordination are essential.

Qualifikationen

• 4-7 years as Business/Functional Consultant in healthcare/public sector
• Strong Medicaid and LTSS knowledge, including enrollment and managed care
• Hands-on HIPAA 834 or 278 transactions experience
• Experience with NY eMedNY transaction interchange
• BRDs/FRDs, process flows, data mappings, interface specs
• Strong client-facing communication with State, MCO, and vendor stakeholders
• Experience with development/QA teams on requirements, testing, defects
• Familiar with Managed Long Term Care enrollment concepts
• SQL / basic data analysis for reconciliation

Aufgaben

• Gather and clarify requirements for the Enrollment track
• Articulate solution design and HIPAA transaction support (834/278)
• Coordinate with State, MCO, and vendor stakeholders
• Collaborate with development and QA on testing and defect triage
• Produce BRDs/FRDs, process flows, data mappings, and interface specs

Kenntnisse

Healthcare/Medicaid domain knowledge

Requirements gathering

Stakeholder communication

SQL data analysis

Enrollment/ LTSS knowledge

Tools

JIRA

Confluence

Visio

MS Office Suite

eMedNY

Jobbeschreibung

IntelliBee Inc seeks a Functional Consultant in Albany, NY to support the NY State Medicaid LTSS modernization Enrollment track. You will gather requirements, articulate solution designs, and provide HIPAA transaction support including 834 and 278 interchanges.

The role requires hands-on experience with Medicaid and LTSS enrollment, NY eMedNY, BRDs/FRDs, data mappings, and close collaboration with State, MCO, and vendor teams. Strong communication and QA coordination are essential.