Medicaid Eligibility SME

Req ID: 376557 

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Medicaid Eligibility SME to join our team in Nashville, Tennessee (US-TN), United States (US).

This Medicaid Eligibility Subject Matter Expert (SME) will be a valued member of the client’s Business Services Support team. He/she will work directly with the client’s operations staff to assist with ongoing system enhancement work.  This includes but is not limited to participation in definition, design, testing and implementation of changes in each of the system releases. The Medicaid Eligibility SME will work collaboratively with the client and other vendors on the client’s projects and initiatives. He/she will provide valuable business analysis services and subject matter expertise through consultation with the client. The Medicaid Eligibility SME will integrate seamlessly with the client team to ensure that business needs are met by managing and driving change using knowledge and experience.

Job Responsibilities Include:

1. Work collaboratively with the Member Services team leveraging their Eligibility business operations skills and expertise as well as their systems implementation experience, to improve the operational efficiency of the team and increase the quality of the systems enhancements and changes that go into production.
2. Work collaboratively with the Member Services Partner Support team supporting onboarding and administrative tasks, including trouble shooting and problem solving.
3. Support Member Services Member communication team with daily notice review, researching notice issues, review of data fixes and notice User Acceptance Testing
4. Participate in identifying any operational impacts created by proposed system changes and recommend modifications to business workflow and processes.
5. Participate in requirements definition and design, business workflow development, design, and improvement, the review of system integration test case and results, and the review of user acceptance test case and results.
6. Participate in implementation planning and execution activities, such as operational readiness tests, parallel tests, and beta tests.
7. Develop and execute Eligibility Business Operations Test Cases as part of the User Acceptance phase for each system release.
8. Collaborate with the Enterprise Testing Management Office (eTMO) to ensure that testing standards and processes are maintained as the Eligibility Business Operations Test Cases are executed and defects are identified.
9. Employee is expected to undertake any additional duties as they are assigned by their manager.

Basic Qualifications:

• Bachelor’s degree or equivalent experience
• A minimum of 6 years’ experience in the health and human services eligibility determination
• A minimum of 1 years’ experience interpreting complex eligibility determination rules, policy, and processes
• A minimum of 3 years’ experience conducting meetings and making presentations
• A minimum of 3 years’ business experience working on large complex system implementation and/or enhancement projects
• A minimum of 1 year experience interacting with vendors and third parties effectively to meet commitments and milestones
• A minimum of 1 year testing experience
• Must be able to travel to Nashville, Tennessee, as requested

Preferred Skills:

• Ability to work independently and manage work to a defined schedule
• Strong written and verbal communication skills
• Strong problem-solving and customer service skills
• Team player and a consistent, dependable performer with an excellent work ethic, flexible “can-do” attitude, and a results-driven commitment to success
• Ability to apply industry best practices and future state/federal mandates to existing systems
• Excels at using quantitative data to drive recommendations and decisions

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting pay range for this remote role is $91,040 - $136,560. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance. 
This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short and long term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally-required benefits.

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us.

NTT DATA endeavors to make https://us.nttdata.com accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at https://us.nttdata.com/en/contact-us. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here. If you'd like more information on your EEO rights under the law, please click here. For Pay Transparency information, please click here.