Manager State and Local MMIS Data Analytics

Job Description

KPMG is currently seeking a Manager State and Local MMIS Data Analytics in Customer & Operations for our Consulting practice.

Responsibilities:

• Be on the management team and deliver large, complex public services and state/local government engagements that identify, design and implement creative data analytic and information delivery services for state/local government clients
• Contribute to the vision and architecture of Medicaid Operational Data Store (ODS) and/or Enterprise Data Warehouse (EDW) solutions integrated with a State Medicaid Enterprise Solution
• Develop and execute methodologies and solutions specific to Medicaid reporting including Fraud Recovery, Program Integrity, Third Party Liability, Utilization Review, MARS/SURS compliance and the CMS Transformed Medicaid Statistical Information System (T-MSIS)
• Product knowledge and development understanding of healthcare quality measures including effectiveness, patient safety, efficiency, patient-centered, equitability and timely care from CMS, NCQA and other industry sources
• Hands-on development skills creating Data Analytics, Business Intelligence and Enterprise reporting solutions in the State Medicaid Enterprise Solution market
• Evaluate data analytics projects from a technical stance, helping to ensure that the development methods used are correct and practical; evaluate risks related to requirements management, business process definition, testing processes, internal controls, project communications, training, and organizational change management along with manage the day-to-day interactions with other project managers

Qualifications:

• Minimum five years of recent experience in the Health and Human Services Medicaid solution delivery market, working for a commercial COTS solution provider or consulting organization with a minimum of eight years of experience managing large, complex healthcare data reporting or analytic systems
• Bachelor's degree from an accredited college/university in technical sciences or information systems
• Must have served in a team role on a MMIS engagement as a Data Architect, Data Systems Manager, Business Analytics Manager or Artificial Intelligence based Analytics; demonstrated experience leading teams, including staff from diverse organizations to successfully implement and operate data driven analytic solutions
• Proven understanding of data security and data governance (HIPAA, BAA, DURSA) as applied in state Medicaid agency coupled with a willingness and ability to be hands-on to build the Medicaid Data practice; hands-on experience with the Center for Medicare and Medicaid Services (CMS) Outcomes based Certification (OBC) methodology coupled with demonstrated mastery of data modelling, profiling, schema design/implementation and data quality management
• Capable of presenting Medicaid data analysis and reporting topics to large, varied audiences in either written or verbal presentation format and experience in working on customer proposals or deal capture teams in the State Medicaid market
• Ability to travel up to 80% of the time and applicants must be currently authorized to work in the United States without the need for Visa sponsorship now or in the future