Job Description

TriTech Enterprise Systems seeks a 'Senior Systems Analyst - Reports' to support the Maryland Health Benefit Exchange (MHBE) program. This candidate will plan, design, develop, enhance, and maintain various reports, dashboards, and data extractions and perform Electronic Data Interchange (EDI) data analysis for the Health Benefit Exchange (HBX) and other systems.

The MHBE program is an independent unit of state government that provides accessible, affordable health coverage to Marylanders. MHBE administers Maryland Health Connection (MHC), the state’s health insurance marketplace. 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).

Duties / Responsibilities:

• Design, develop, build, and manage complex, operational, and federally mandated reports.
• Identify, from design, implementation, and post-implementation evaluation, a variety of possible approaches for generating reports, dashboards, and meeting data extraction requirements.
• Write a variety of complex SQL queries for data extraction and develop reports in Tableau and other tools, using PostgreSQL and other databases as data sources.
• Identify opportunities for securely sharing commonly used data internally and externally. Interpret data and perform data analysis for management decision-making, policy formulation, and review.
• Utilize database applications and analytical tools to evaluate data quality, functions, and maintain operations. Analyze the business processes to develop data solutions, reports, and dashboards to meet reporting requirements.
• Work with multi-disciplinary teams in a fast-paced, technically challenging environment, delivering data to various internal and external stakeholders.
• Perform Medicaid 8001 Flat File validation and analysis, review multiple Member Person Index(MPI) for SSN matching and Master Data Management (MDM) matching. Perform HBX System Error analysis, validate 1095-A/1095-B files, and reconcile Medicaid 8001 transactions. Assist the development team, EDI operations team, and testing team in analyzing, fixing, testing, and transmitting EDI files daily.
• Create data change requests to fix consumer or system-reported errors, coordinate with technical and business teams to analyze error reports, and access the HBX database and application to perform root cause analysis for transaction rejections.
• Adhere to all security, change control, and MHBE Project Management Office (PMO) policies, processes, and methodologies.
• Note: The candidate must be flexible to work overtime as needed, including weekends, holidays, and off-hours.

Minimum Qualifications:

• A minimum of five (5) years of experience performing complex data extractions, analysis, report generation, and dashboard creation.
• A minimum of five (5) years of experience working in a complex IT organization developing a variety of queries and custom reports utilizing SQL, stored procedures, and complex queries.
• A minimum of five (5) years of experience developing various reports and dashboards utilizing reporting tools such as Tableau, or PowerBI.
• A minimum of two (2) years of experience translating business requirements into effective data visualizations and dashboards.
• Experience in establishing and maintaining reporting databases and data warehouses.
• Knowledge of data modeling, data warehousing, and ETL processes.
• Effective communication and collaboration skills to work with stakeholders and technical teams.
• Demonstrated ability to manage multiple critical priorities and tight deadlines.
• Demonstrated analytical and problem-solving skills

Preferred Qualifications:

• A minimum of eight (8) years of hands-on experience designing complex queries and reports using SQL and Stored Procedures.
• A minimum of four (4) years of experience developing queries and reports in the PostgreSQL database environment.
• A minimum of four (4) years of experience developing complex reports and dashboards utilizing Tableau, or equivalent.
• Extensive knowledge of data sources, data flow, data/system interactions, and advanced reports design techniques to develop complex analytical reporting solutions.
• Experience with developing reports and dashboards for the health insurance marketplaces, healthcare, or Health and Human Services domains.
• Hands-on experience with data visualization, data analysis, and report automation. Experience with web technologies, such as HTML, CSS, and JavaScript.
• Familiarity with programming languages such as Python, Java, or equivalent. Knowledge of EDI transaction sets such as 834, 820, and 999. Knowledge of Medicaid and Qualified Health Plan (QHP) eligibility rules. Knowledge of EDI 834 enrollment transactions, including Adds, Terminations, Cancellations, and life events.