DHB Specialist- Junior
Location: Raleigh, NC (hybrid)
12 Month contract with opportunity for extension
W-2 only (cannot accommodate Corp-to-Corp or 1099)
Brooksource is searching for a Division of Health Benefits (DHB) Specialist to be responsible for the enrollment and credentialing of Medicaid Providers and help with technical operations within the unit.
Responsibilities:
- Play an active role partnering with business leaders and teams to understand and drive technology/information requirements through internal and external service providers to achieve the required technology and information capabilities
- Support Provider Operations activities to ensure the accurate, timely, and cost-effective implementation of new and existing processes and functionality in both the NCTracks system and the new Provider Data Management/Credentials Verification Organization (PDM/CVO) modules to include planning, requirements, prioritization, Customer Service Requests, service tickets, File Maintenance Requests, defects, training, and testing.
- Participate and collaboration with other workgroups to collect and analyze data; assist with testing and validation of data and business processes; evaluate file layouts, risks of modifications, and downstream impacts to other systems; utilize systems to holistically research, identify and resolve errors with data transmission; prioritize needs of Provider Operations.
- Participation in creating and maintaining Provider Operations reporting and dashboarding.
- Serve as a primary point of contact for the change control and technical processes used by Provider Operations
- Assist with other projects and activities as needed Skills:
- Excellent analytical, critical thinking and problem-solving skills.
- Broad understanding of an array of Information technologies and their uses.
- Ability to extrapolate conclusions from large data reports.
- Proven ability in establishing and maintaining effective working relationships with internal and external stakeholders.
- Excellent verbal and written communication skills.
- Proven ability to recommend modifications to program policy and procedure to minimize risk and/or improve effectiveness.
- Ability to work independently and assess project and assignment requirements.
- Ability to organize and follow complex and/or detailed technical procedures.
- Adaptability and capability to work in a fast-paced environment
- Ability to pay close attention to detail and communicate in a clear and concise manner (written and oral).
- Excellent interpersonal, analytical, research, and documentation skills.
Requirements:
- Education: Prefer degree in business administration, computer/data science, or related field or experience.
- Experience/familiarity with following business procedures, audit processes, and corrective action.
Eight Eleven Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, national origin, age, sex, citizenship, disability, genetic information, gender, sexual orientation, gender identity, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.