Aetna Medicaid Administrators LLC, a CVS Health company, is hiring for the following role in Woonsocket, RI: Senior Manager, Informatics to design, model, and implement data management and information systems for Aetna's Medicaid Business unit. Duties include: manage the information systems used to transfer Medicaid claims data to State agencies and verify the accuracy and quality of warehouse data; implement and monitor data extraction procedures from internal systems, analyze the data for discrepancies and correct as required, and send files to meet compliance obligations; review EDI (Electronic Data Interchange) files and validate for inconsistencies and syntax errors, and correct EDI files when required using complex SSIS (SQL Server Integration Services) packages; design and implement database structures and manipulate data using Microsoft SQL Server, QNXT, Edifecs, Remedy, ServiceNow, ClearQuest, Excel, and X12 Transactional Files; update applications and perform system maintenance to support new business implementations; extract data from multiple sources to create integrated analytical datasets and dashboards and present information to management on trends, key metrics, and regulatory compliance. Telecommuting available. Multiple positions.
Master's degree (or foreign equivalent) in Analytics, Information Systems, Business Analytics & Project Management, Computer Information Systems, Computer Engineering, or a related field, and two (2) years of experience in the job offered or a related occupation. Also requires two (2) years of experience in each of the following: programming in Visual Basic, R or Python; Power BI or Tableau; GitHub or TFS version control software; SQL Server Reporting Services (SSRS), SQL Server Integration Services (SSIS), and Microsoft Access; and marketing or operations analytics in the healthcare sector.
See Required Qualifications.
See Required Qualifications.
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