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Medicaid Business Analyst

Job

Innosoul inc

Raleigh, NC (In Person)

Full-Time

Posted 3 days ago (Updated 11 hours ago) • Actively hiring

Expires 7/19/2026

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Job Description

Job ID:
NC-0623) Hybrid/Local Medicaid/HIX BA/PM (12+) with Business Integration, data policy/quality, clinical workflow/coding, EHR, digital quality measurement experience
Location:
Raleigh NC (NCDHHS-HB)
Duration:
12
Months Skills:
Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement Required 3 Years Experience leading large, complex projects Required 3 Years Excellent critical thinking, problem solving, and project management skills Required 3 Years Experience managing or supervising other staff members Desired 2 Years Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing Required 3 Years Flexibility to adapt to shifting priorities and needs of multiple stakeholders Required 3 Years Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word Required Years Familiarity with Medicaid and health care and associated rules, regulations, and standards Desired 2 Years Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models Desired 2 Years Understanding of clinical workflows and/or familiarity with medical coding and electronic health records Desired 2 Years Understanding of digital quality measurement Desired 2
Years Description:
Business Integration Specialist Mid Although this position works on a technology-related project, it is not a technical position but rather a strategic one. A successful candidate will demonstrate vision, clear communication, strong leadership, creative problem-solving, and the ability to cultivate relationships. Responsibilities include, but are not limited to: Serve as the primary lead of QPHE s project to leverage NC HealthConnex for quality and population health, including finalizing the project design and developing a strategy around future phases of work. Lead policy and financial strategy related to this initiative, including developing and implementing a strategy to support provider organizations in participating in this initiative Cultivate relationships across key partners, including with the Health Information Exchange Authority, Medicaid population health and quality measurement subject matter experts, Medicaid analysts, Medicaid technology experts, and vendors. Collect and synthesize information and feedback from internal and external stakeholders, including Prepaid Health Plans, providers, and other divisions in NCDHHS, and use it to inform decision-making. Supervise 1-2 full-time staff members supporting this initiative Manage budgeting, invoicing, and contracting as needed Desired Professional and Technical Expertise Qualified applicants must document on the application that they possess all of the following: Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement and quality improvement Experience leading large, complex projects Excellent critical thinking, problem solving, and project management skills Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing Demonstrated skill in creating and maintaining collaborative working relationships with internal and external stakeholders Flexibility to adapt to shifting priorities and needs of multiple stakeholders Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word The following expertise is preferred, but not required: Familiarity with Medicaid and health care and associated rules, regulations, and standards Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models, clinical program innovations, quality improvement initiatives, and system redesign Understanding of clinical workflows and/or familiarity with medical coding and electronic health records Understanding of digital quality measurement Skill Required /Desired Amount of Experience Understanding of data policy and the healthcare data ecosystem; health information technology; program monitoring; and/or quality measurement and quality improvement Required 3 Years Experience leading large, complex projects Required 3 Years Excellent critical thinking, problem solving, and project management skills Required 3 Years Demonstrated ability to communicate complex material in a clear and concise manner both verbally and in writing Required 3 Years Flexibility to adapt to shifting priorities and needs of multiple stakeholders Required 3 Years Strong proficiency in Microsoft Office products, including Excel, Outlook, PowerPoint, and Word Required 3 Years Experience managing or supervising other staff members Desired 2 Years Familiarity with Medicaid and health care and associated rules, regulations, and standards Desired 2 Years Knowledge and demonstrated experience in the analysis of population health delivery models, care delivery models, care management models, clinical program innovations, quality improvement initiatives, and system redesign Desired 2 Years Understanding of clinical workflows and/or familiarity with medical coding and electronic health records Desired 2 Years Understanding of digital quality measurement Desired 2 Years