DMAHS Title: Eligibility Policy and IES Testing Specialist

Please note that the actual work location is in the DMAHS Office:
Quakerbridge Plaza, Hamilton Township, NJ 08619

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Develop and document testing logic for Medicaid eligibility rules related to the multitude of application situations.
• Provide system development logic and recommendations while following standards and rules for enhancements of Medicaid eligibility system.
• Troubleshoot system enhancements for processing errors and provide recommendations to comply with standards and current policies.
• Provide relevant input at weekly systems development meetings to help programmers develop and enhance the system for not only its functionality but also the public facing experience.
• Studies agency work processes and methods.
• Working knowledge of Medicaid eligibility policy rules and related program requirements.
• Knowledgeable of systems and available software to determine which programming technique will result in optimum timing, storage utilization, and overall efficiency.
• Manage network system issues logged and/or recorded through the monitoring of the network.
• Drafts comprehensive program documentation in accord with established standards, current systems and proposed enhancements for approval by subject matter experts and the Office of Eligibility Policy.
• Prepare charts, programs, and instructions needed to illustrate an operating system and its components.
• Analyzes and recommends solutions for procedural difficulties and operating problems and confers with analysts, programmers, and supervisors toward resolution.
• Provides technical assistance and eligibility rules to other data processing personnel on problems dealing with operating systems, computers, utility programs, system control parameters software/hardware, and application system programs.
• Analyzes error conditions which arise during testing or operations, recommends solutions and confers with planning/technical services about deficiencies in operating system support or in associated program manuals.
• Installs and monitors proprietary software packages designed to measure/improve system utilization including hardware/software monitors.
• Performs software systems studies, hardware capacity analysis, and hardware/ software projections to ensure adequate machine resource for projected workloads.
• Documents the impact, from a hardware/software viewpoint, projected on the installation of additional data communications lines, database management systems requirements, and online program development requirements.
• Following security standards, manages user access to network resources and adds/modifies/deletes user accounts for file/print and dial-in servers.
• Researches network security issues, recommends tools and process improvements to management.
• Submits accurate and up-to-date documentation (manual or through an online log file) of all errors of high severity and action taken to correct the error monthly or as requested.
• Provides technical support to end-users.
• Proficient with electronic and/or manual recording and information system used by the agency, office, or related units.
• Other related duties for the Office of Eligibility Policy as needed.

QUALIFICATIONS:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

LICENSE REQUIREMENTS: Appointees will be required to possess a driver's license valid in New Jersey only if the operation of a vehicle, rather than employee mobility, is necessary to perform the essential duties of the position.

REQUIRED KNOWLEDGE AND ABILITIES

• Must have the ability to learn, understand, communicate, and apply Medicaid eligibility rules.
• Ability to ensure accuracy and compliance while testing the information system. 
• Ability to test and track issues requiring resolution within the eligibility system.
• Ability to provide guidance and technical assistance for both public and agency use.
• Provide help desk support, troubleshoot and track user problems.
• Ability to work independently or in a team environment.
• Knowledge of the basics of computer systems hardware.
• Knowledge of system control statements and utility program parameters for use by information processing operations.
• Knowledge of various database access methods.
• Knowledge of objectives of information processing programs/terminology.
• Knowledge of procedures/techniques involved in evaluation/analysis of existing information processing equipment installations and the degree of utilization made thereof.
• Knowledge of computer programming design considerations and their differences, and applications of various programming languages.
• Ability to operate computer equipment, depending on agency requirements, for purposes of becoming familiar with operating systems software and for analyzing/correcting program errors.
• Ability to prepare forms, flowcharts, decision tables, and block diagrams.
• Ability to program in a time-sharing environment after a period of training.
• Ability to use agency work processes/methods after a period of training.
• Ability to write clear, concise instructions and to use the English language with reasonable proficiency.
• Ability to prepare clear, concise user/operations/programming documentation in accord with operating needs and established standards.
• Ability to prepare test data to check all specified conditions of a new or modified program.
• Ability to schedule and organize work activities and identify/resolve problems which arise.
• Ability to interact with others and come to consensus on various issues.
• Ability to utilize various types of electronic and/or manual recording and information systems used by the agency, office, or related units.
• Ability to read, write, speak, understand, and communicate in English clearly to perform duties of this position.

EDUCATION and/or EXPERIENCE: Excellent oral and written communication skills.  Ability to prioritize, exercise sound judgment and discretion, meet deadlines and work under pressure in a fast-paced environment with multiple stakeholders. Demonstrated knowledge of how to accomplish superior performance in a unionized environment is necessary. 

Must meet one of the following educational and/or experience requirements:

• Possession of a bachelor's degree from an accredited college or university in Public Administration, Business Administration, Computer Science, Information Technology, Database Management or equivalent; and three (3) years of professional experience.
• Three (3) years of professional experience in work.

NOTES: "Professional experience" refers to work involving the review, analysis, and evaluation of the administrative, business, and/or operational policies, procedures, practices, and processes and/or the technological requirements of an organization for the purpose of revising/enhancing existing information systems and/or developing/acquiring and implementing new IT solutions and services. Also work that is creative, analytical, evaluative, and interpretive; requires a range and depth of specialized knowledge of the profession's principles, concepts, theories, and practices; and is performed with the authority to act according to one's own judgment and make accurate and informed decisions.

Candidates must be legally authorized to work in the US, and the university will not sponsor an applicant for a work visa for this position.