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Contact Name: DAVE

Job Details: Medical Research Analyst Date: May 30 2020

Job Reference: 2697
Job Category: Health Care Jobs [ View All Health Care Jobs Jobs ]
Company Type Recruiter
Employment type: Full Time, Contract
Degree: Bachelors
Experience: 3 years
Location: Baltimore, Maryland, 21202
Job Skills: Federal or state based health care systems, Microsoft Office Suite (MS Word and MS Excel), Oracle CRM,
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Job Description

Direct End Client: State of Maryland
Job Title: Medical Research Analyst
Location: Baltimore, MD
Position Type: Contract

• A minimum of one (1) year of experience working with the federal or state based health care systems.
• Proficiency using Microsoft Office Suite (MS Word and MS Excel).
• Working knowledge of the basic database functionalities.
• Experience using Oracle CRM.
• Ability to analyze and interpret data and organize information into reports or presentation.
• Excellent communication skills, problem solving skills, knowledge retention skills and listening abilities.
• Demonstrated ability to understand system application functionality.

Preferred Skills:
• Two or more years of experience in the healthcare industry.
• Experience with data analysis, healthcare product or system related research.
• Experience in Medicaid and Client Information System (CIS).
• Experience with MMIS applications.
• Knowledge of the Affordable Care Act (ACA).

Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP).

MHBE is seeking up to two (2) Research Analysts to provide research and analysis support services to reconcile the Enrollment Transactions (8001 transactions) between the Health Benefit Exchange (HBX) system and the Maryland Medicaid Management and Information Systems (MA-MMIS), and to resolve and track the 834 Benefit Enrollment and Maintenance records data with the Carriers.

• Research into the 8001 Enrollment Transactions generated out of HBX system for identifying any missing mandatory data.
• Identify the best match for the Individual Registration Number (IRN) by accessing and analyzing data from multiple systems across MHBE, DHR and DHMH.
• Analyze and reconcile the HBX 8001 transactions with the MMIS application.
• Analyze data errors and track 834 Benefit Enrollment and Maintenance records in the HBX system.
• Utilize data matching and correction protocols to process escalated system errors to process high volumes of data reconciliation efforts on a daily basis.
• Research into Member Level Record (MLR) data from the Carriers, obtain additional information from the consumers, analyze and resolve 834 escalated cases.
• Analyze and collate data from daily 8001, 834 error reports and Interim Database (IDB), to produce data reconciliation and escalation reports for the MHBE EDI, Call Center and Case Management teams.
• Research 834 and 8001 escalated cases using CRM records, and update CRM records upon resolution

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