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Application Systems Analyst-Programmer IV-OR-DHS-Remote-11124-25 at Remote, Remote, USA
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From:

Nagajyoti,

INNOZA TECH LLC.

[email protected]

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Position: Application Systems Analyst-Programmer IV-OR-DHS-Remote-11124-25

Location:  500 Summer St. NE E21   Salem,  Oregon    97301

Duration: 12 Months PLUS

REMOTE WITH CONDITION 

This contractor position is approved for remote/hybrid/onsite work. 

Onsite/Remote onboarding will be required for the first day. 

Background and scope of project:

HAL is a Medicaid analytical and reporting SQL database solution and environment managed by the MADI (Medicaid Analytics and Data Integration) Unit housed within the Office of Health Information Technology and Analytics Infrastructure, that exists within the Health Policy and Analytics (HPA) Division of the Oregon Health Authority (OHA).

 Medicaid administrative data is primarily made up of 1) medical claims submitted by health providers and Coordinated Care Organizations (CCOs) to receive payment for health services delivered to patients enrolled in Oregon's Medicaid program, which is known as the Oregon Health Plan (OHP) and 2) Medicaid enrollment data from the OHA/ ODHS ONE eligibility system. The raw transactional data are stored in Oregons Medicaid Management & Information System (MMIS). HA analysts typically access these data through a MMIS data warehouse solution called Decision Support and Surveillance Utilization Review System (DSSURS), or in the Health Analytics Library (HAL), where the raw Medicaid enrollment and utilization/ claim data are packaged differently into easier to analyze categories and groups for analysis. These analytical value-added elements are not present in DSSURS.

HAL contains Medicaid enrolment and claims data that is accessed by two main sets of users:

-       OHAs Office of Actuarial and Financial Analysis (OAFA) team users, who use the data for setting of per-capita rates of reimbursement of health care services provided by Coordinated Care Organization (CCOs) to Oregons Medicaid population, and various other financial analyses.

-       Office of Health Analytics reporting teams, who access Medicaid enrollment and claims data for the development of different enrollment and utilization analytical and data visualization products.

 The HPA MADI unit wants to launch a HAL modernization project to analyze, identify and make improvements to the HAL analysis and reporting database solution. This project has the following objectives:

-       Analyzing the existing HAL database solution and environment, identifying any refinements or rework to HAL architecture, dataflows, governance or management processes, and developing a roadmap for HAL future state.

-       Reprogramming HAL ETL code, currently written in legacy SAS language, into SQL language, to prepare HAL for migrating to the OHA ODE (Oregon Data Environment) cloud Azure environment (NOTE: The migration to the cloud, expected to occur in the next 1-2 years, is out of scope for this project and will require working with OIS and other OHA teams)

-       Gathering and documenting requirements, developing and testing other improvements to the HAL data logic, including:

o    Updating claim data grouping categories used predominantly by the Office of Actuarial and Financial Analysis (OAFA) team for rate capitation analyses, to reflect updates Medicaid national coding standards

o    Performing other coding improvements needed by OAFA team users and other HAL users to improve analytical value and capabilities of HAL data or reflect changes in Medicaid eligibility, program, beneficiary and claim administrative coding these types of improvements have accumulated over time and have reached a point in which they require a focused project and dedicated resources.

Tasks:

Contractors Key Person shall:

         Perform analysis of HAL data system as needed, which may include reviewing documentation and analyzing current HAL system/ environment, including data models, schemas and tables, data dictionaries, ETLs, system and database management processes, data quality, security, queries, reporting environment.

         Work with OHA project team members (PM, BAs, DBAs, data analysts, architects), HAL management and HAL users to identify/ determine business/technical requirements.

         Gather and document detailed system, data and integration requirements for HAL system improvements (e.g. changes to ETL code, business rules, HAL tables, new or updated OHG Medicaid claim code grouping categories, etc.)

          Design, develop and implement new ETL code/ packages.

         Migrate existing ETL process built in legacy SAS coding to Microsoft Structured Query Language (SQL) stack language/ stored procedures, by:

o    Woking with various program areas and business teams to make code as modular as possible.

o    Reviewing and analyzing existing ETL SAS programming code to update to new SQL language/ procedures

o    Developing new SQL stack / stored procedures programming code to create new ETL processes.

o    Test, troubleshoot and implement the new ETL code in the HAL test and production environments.

Required skills and experience:

        SQL programming

         Advanced data analysis skills.

         Experience using Microsoft DevOps or other code management tools.

In addition, the ideal candidate will have skills and experience in:

          Experience with SAS data management.

         Good communication skills

Keywords: Nebraska
Application Systems Analyst-Programmer IV-OR-DHS-Remote-11124-25
[email protected]
[email protected]
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10:34 PM 14-Feb-25


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