Medicaid Eligibility Subject Matter Expert (SME)

Req ID: 287269 

NTT DATA Services 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 Subject Matter Expert (SME) to join our team in Nashville, Tennessee (US-TN), United States (US).

Overview of job:

The Medicaid Eligibility Subject Matter Expert (SME) 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. This Medicaid Eligibility SME will be a valued member of the client’s Business Services Support team. The Medicaid Eligibility SME will work collaboratively with the client and other vendors on the client’s projects and initiatives. The Medicaid Eligibility SME 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.

The Medicaid Eligibility SME will assist the team with implementing these changes driven by requirements definition through final implementation and stabilization. The NTT DATA staff will perform the follow responsibilities:

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
• 6 years’ experience in the health and human services eligibility determination
• A minimum of 1 years’ experi