Spherion, in partnership with the State of Wisconsin Department of Health Services, is looking for a Systems and Data Analyst to join the Behavioral Health Policy Section within the Bureau of Benefits Policy in the Division of Medicaid Services. This position is responsible for the design, implementation, management, monitoring, enhancement, and evaluation of assigned business area systems and operation of the Medicaid Enterprise System (MES). As a Systems and Data Analyst, you will also direct and monitor policy changes resulting from the implementation of reimbursement methodologies, budget initiatives, and changes to the fiscal agent contract for Medicaid and other State health care programs.PTO for this position mirrors the State of Wisconsin policy! Hourly pay rate will be discussed during the interview process.Responsibilities:- Analyze policy changes, state and federal regulations, and state administrative codes to prepare system requirements/specifications for necessary system or procedural changes and enhancements to implement these requirements in assigned subsystems and provider areas- Provide direction and technical assistance to the fiscal agent on system maintenance and management to improve manual and electronic data processing procedures- Meet with users and policy analysts of these policy areas to determine system problems, prepare an analysis of these problems, develop system specifications and tests to correct those problems, and monitor their implementation- Prepare detailed system requirements and specifications. Prepare written requests to a fiscal agent that includes these items- Conduct special projects to evaluate and monitor the impact of policy changes on the MES after implementation. Review the accuracy of policy and payment changes by the fiscal agent- Direct the implementation of Medicaid policy in the MES, the maintenance of written procedures documenting policy and system changes, and conduct special projects to monitor and evaluate the application and effectiveness of policy impacting system- Review programming results to ensure programs are written according to specifications- Act as technical liaison between programmers and users and serve as the policy and systems liaison- Evaluate the impact of policy and system changes post-implementation- Review IS requirements including reviewing and approving system documentation such as project charters, business requirements, functional requirements, and detailed system design documents- Identify and respond to system defects and incorrect claims paymentsWorking hours: 8:00 AM - 5:00 PMSkills:- Ability to exercise judgment and discretion in developing, applying, and interpreting administrative policies and procedures as well as strong analytical skills, including the use of statistical techniques to analyze large volumes of complex data- Ability to quickly acquire a competent working knowledge of systems and concepts- Advanced skills in the use of database information systems, management support systems, and other data processing systems- Strong interpersonal skills- Strong oral and written communication skillsEducation:BachelorsExperience:1-4 yearsQualifications:- Bachelors degree or higher in related field or equivalent experience- Considerable knowledge of research and policy analysis methodologies- Knowledge of the state and federal biennial/annual budget process, including general and governmental budgetary principles and procedures- Knowledge of federal Medicaid statutes and regulations, Wisconsin statutes, and Wisconsin Administrative Code- Extensive knowledge of data processing applications, including spreadsheet and database software- General knowledge of Wisconsins healthcare industry, including its composition and regulation- Knowledge of the healthcare billing process, including healthcare claims submission, processing, and payment- Extensive knowledge of nationally standardized medical code sets, including National Drug Codes (NDCs), Current Procedural Terminology (CPT) codes, Health Care Procedure Coding System (HCPCS) codes, and International Classification of Diseases (ICD) codes- Knowledge of Medicaid Management Information Systems (MMIS) requirements- Knowledge of Electronic Data Interchange (EDI) standards and transmission protocols- Knowledge of Health Insurance Portability and Accountability Act (HIPAA) regulations Apply today!Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.