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Company Info

Rockville, MD, United States

Company Profile

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SME-Provider Enrollment - (958) - Lansing, MI


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Job Category:

Business Development, Health Care, Insurance, Management, Other



Employment Type:

Full Time



Job Description:

CNSI a CMMI Maturity Level 3 company has established strong domain expertise in prominent industries, including Health, Defense and National Security, Government IT, Homeland Security and Transportation. We employ a world-class team of professionals all of whom have experience with large scale mission-critical IT implementations. CNSI is headquartered in Rockville, Maryland and we are on site in over 10 cities worldwide.


Job Duties/Responsibilities: 

  • Serve as the Subject Matter Expert (SME) on the assigned healthcare system functions
  • Resolve issues and identify opportunities for process redesign and improvement
  • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
  • Conduct requirements management activities
  • Create/update/maintain requirements specification documents, general system design documents and detailed system design documents
  • Work with the technical lead assigned to the business area, defines design solution across all system components, and identifies all configurations and builds task
  • Reviews and comments on "As Is" and "To Be" business process work flows
  • Communicate status, issues and risk to management team
  • Participates in collaborative sessions to document Medicaid business processes
  • Provides requirements statements and business rules to articulate end-user functionality
  • Ensure all business area requirements are included in the overall requirements documentation and design documentation
  • Communications (oral, electronic) with State Representatives when directed
  • Participates in testing, acceptance testing and implementation of information systems, modules and subsystems
  • Participates in systems development efforts
  • Provides user support during application software implementations
  • Participates in training users on application software
  • Other duties as assigned


Job Requirements:

  • Bachelor's degree from a four-year accredited college or university
  • Eight (8) years’ experience as a Business Analyst or Subject Matter Expert in Medicare or Medicaid or Health care entity.
  • Proficiency in Medicaid Provider Enrollment System Functions.
  • Three (3) years of full-time supervisor/management experience in Medicaid, Medicare or other large-scale medical claims processing system
  • Great customer relation skills
  • Strong attention to detail
  • Excellent problem solving skills with a desire to take on responsibility
  • Excellent written and verbal communication skills with ability to communicate technical issues to nontechnical and technical audiences
    Following skills would be a “PLUS”:
  • Proficient with MS OFFICE
  • Experience with SQL and writing and executing SQL queries
  • Knowledge for RDBMS concepts
  • Demonstrated leadership skills, initiative, team oriented, self-motivated
  • Familiarity with Affordable Care Act
  • Previous experience in a DDI effort
  • PMP Certification
  • MITA business process areas
CLICK ON LINK BELOW TO BE DIRECTED TO OUR WEBSITE FOR YOUR APPLICATION PROCESS:  http://jobs.exelare.com/jobsWidget/index.html#companyId=cbiz_cnsi&userId=Admin

CNSI is focused on hiring and retaining the best and the brightest. For that, we offer employees a rewarding career path and benefits that exceed the industry norm. In addition to a solid compensation package, CNSI provides employees a range of benefit programs designed to support you and your family. Below are just a few of our programs.
  • Annual and Other Paid Leave
  • Medical/Dental Insurance
  • Flexible Spending Account (FSA) Plan
  • Disability Insurance (Short & Long Term)
  • Life Insurance
  • 401(k) Retirement Savings Plan
  • Employee Assistance Program
  • College Savings Plan
  • Tuition & Training Assistance
  • Paid Holidays
  • Employee Referral Program & More!
CNSI maintains a policy supporting equal employment opportunity. Employment decisions at CNSI are made without regard for race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, genetic status, family responsibilities, protected veteran status or any other status protected by applicable Federal, state, or local law. We are proud of our diversity and encourage all qualified applicants to apply.  


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