| Urgent Remote Position || Business Intelligence @ State of ND at Remote, Remote, USA |
| Email: [email protected] |
| Direct client position Position: Business Intelligence Location: Remote Client: State of ND Department: Department of Health and Human Services Scope of Work Scope of Work : The North Dakota Department of Health and Human Services (STATE) provides reimbursement information for goods and services to providers. Currently, this information resides in multiple sources. STATEs claims system Medicaid Management Information System (MMIS) is the source for reimbursement rates and attributes. Provider manuals and other documents may contain unique coverage information above and beyond standard attributes (E.g., N.D.C.C. requires, Service is only covered by Medicaid if covered first by Medicare, Service is only allowed in a school setting, etc.). STATE is requesting fixed price cost on four project components to develop a Procedure Code lookup to be hosted on STATEs SharePoint and/or website hhs.nd.gov to bring all relevant coverage information to a single source accessible to internal staff and external providers, members, and the public. The four project components are separated into Deliverables 3, 4, 5, and 6 in this scope of work. A vendor is requested to include a total cost for each Deliverable using a fixed and total price, include a Project Deliverable Total cost, using the table in Exhibit B Work Order Compensation Details, based off the vendors rates listed in State Contract 095 - Information Technology Professional Services Contract Pool. STATE reserves the right to choose all of the successful vendors Deliverables 3, 4, 5, and 6, or any combination of Deliverables 3, 4, 5, and/or 6. If a component is not assigned to the successful vendor, that component will be considered out of scope and STATE will be responsible for developing that component. The successful vendor shall consult with STATE to plan, recommend, provide strategy for, and build/implement a procedure code lookup for internal staff, external providers, and the public. The solution shall provide accurate coverage and reimbursement information. See Exhibit A - Work Order Expanded Statement of Work for additional details. The successful vendors professional services shall include: Development of a repeatable standard process(es) to transform data from multiple excel or .csv file extracts. Successful vendor shall build repeatable process(es) to build the initial data set and update data set with new and change data updates (adds, deletes, revisions), and transition the running of processes to STATE staff. This imported data shall not allow edits. Role-based access to data required (at minimum - Editor/Admin, Internal User/Read Only, External). Data set shall allow some editable fields for select STATE staff: Categorization - A field to allow grouping/categorization of data. Relative Value Units (RVU) - Calculation values will need to be inputted by select STATE staff, as needed, at least annually. Validation When data changes are made, STATE would like for a STATE staff person to validate. This may include a workflow notifying staff when data needs validation. Other field(s) that may be needed Text values and/or other reimbursement rules or attributes that may be associated with some codes (E.g. this code is only allowed in school setting or other instructions that will be maintained by STATE staff with Editor/Admin roles.) Display only active codes. Provide an audit trail of changes; searchable by STATE staff with Editor/Admin role. Allow for monthly scheduled and ad hoc updates. Allow STATE staff with Editor/Admin role to query data for research purposes (E.g. wrong rate or other attribute). Include a documented plan for solution maintenance (E.g. type of maintenance, who is responsible, frequency performed, triggers, and documented steps). Display correctly transformed and formatted information based on specific criteria (such as code, service date, and plan type) to internal staff, external providers who bill for these services, members or families wanting to know if services are covered, and the public. Dataset, internal, and external views of data must reside on hhs.nd.gov. Deliverable 1: Project Kickoff Meeting The successful vendor shall coordinate with STATE to schedule an Initial Kickoff Meeting virtually with the core planning team. The successful vendors Project Manager shall lead the meeting. The Initial Kickoff Meeting must facilitate the introduction of the successful vendor and STATEs Core Project Team members and level-set understanding and awareness of project objectives, scope, governance, schedule, and project risks and issues. 1) The successful vendor shall provide content to STATE for a detailed agenda in advance of the meeting. STATE will finalize and send the agenda to invitees. 2) The successful vendor and STATEs Project Manager shall introduce Project Sponsors, Project Steering Committee, core STATE and successful vendors stakeholders. STATE will have one point of contact for the successful vendor for this project. STATE will assign a change manager to assist in the process of engaging stakeholders and NDIT project management standards as shown in the Project Management for Information Technology Standard | North Dakota Information Technology . 3) The successful vendor and STATE shall facilitate the meeting, discuss, and further define the following: Effective project communication. Project vision, background, purpose, and objectives. Project governance structure, project roles and responsibilities. Preliminary Project Plan, including scope and schedule. Initial risk assessment. Deliverable 2: Project Plan The successful vendor shall lead, contribute, and collaborate with STATE, to develop a baseline Project Plan that provides, at a minimum, the following: Management plans to control scope, schedule, cost, and quality. An integrated change control process. A human resource management plan. A communication management plan. A risk management plan. An issue management plan. A detailed project schedule. Deliverable 3: Data Transformation & Design Recommendation Project will include consulting with STATE and plan, recommend, and provide strategy for combining MMIS reimbursement data and relevant unique coverage details and instructions, processes, and workflows needed to support automation, data accuracy and data integrity. Outputs from facilitation will include an implementation plan and comprehensive operational documentation for recommended data maintenance adhering to industry standard best practices. All recommendations, improvements, and plans must align to all applicable State and ND Information Technology Department Principles, Policies, Standards, and Guidelines. Current versions of theses can be found at: https://www.ndit.nd.gov/governance . Deliverable 4: Data Transformation & Design Implementation Project will include building the combined dataset, importing data, creating processes to maintain the dataset (updates),and creating the internal views for STATE program staff and external view for providers, members, and the public. All website pages, subpages, recommendations, improvements, and plans must align to all applicable State and ND Information Technology Department Principles, Policies, Standards, and Guidelines. Current versions of these can be found at https://www.ndit.nd.gov/governance . Deliverable 5: Fee Schedule Reports In addition to the internal and external views of data by code and other criteria, external staff need to be able to download categorized fee schedule reports (E.g. Ambulance, dental, waiver covered services, etc.). Reports must include CUSTOMER logo and a date created reference on all report pages. Deliverable 6: Change Request Workflow Implementation Development of workflow technology to support STATE internal staff processes needed to maintain reimbursement data. Provides a way for internal staff to request changes (E.g., SharePoint workflow for internal staff to request add/delete/revision to codes, code attributes, coverage status, categorization, and other narratives). Deliverable 7: Post-Implementation Report The successful vendor shall participate, contribute, and collaborate with STATE, led by successful vendors Project Manager, to develop a Post-Implementation Report that provides, at a minimum, the following: Key project metrics related to schedule, cost, scope, and quality. Business metrics related to project objectives and measurements as defined in the project charter. Lessons learned from the project. Success stories from the project. Results of the Post-Project Implementation Survey. STATE will expect the successful vendor to provide support and maintenance on defects within 60 days from final deliverable sign-off. Deliverable 8: Closeout Meeting Successful vendor shall coordinate with STATE to schedule a virtual Closeout Meeting with the core project team and interested stakeholders. STATEs Project Manager shall lead the meeting, though the successful vendor may be asked to present on certain agenda items. The Closeout Meeting must present the completed Post-Implementation Report and facilitate discussion of the project closeout: Successful vendor shall provide content to STATE for a detailed agenda in advance of the meeting, STATE will finalize and send the agenda to invitees. Successful vendor shall provide STATE any required information for STATEs Project Manager to present the Post-Implementation Report. Thanks and Regards, TechNix LLC Tanushree Joshi Mail: [email protected] , www.technixonline.com Direct: 949-686-0786 Phoenix, AZ, 85050 Linkedln: https://www.linkedin.com/in/tanushree-joshi-574276212/ Note: We respect your online privacy. If you would like to be removed from our mailing list, please reply with "Remove" in the subject and we will comply immediately. We apologize for any inconvenience caused. Please let us know if you have more than one domain. The material in this e-mail is intended only for the use of the individual to whom it is addressed and may contain information that is confidential, privileged, and exempt from disclosure under applicable law. If you are not the intended recipient, be advised that the unauthorized use, disclosure, copying, distribution or the taking of any action in reliance on this information is strictly prohibited. We are an equal opportunity employer with a diverse workforce. Technix LLC | Phoenix, AZ | phoenix, AZ 85050 US | Update Profile | Constant Contact Data Notice Keywords: active directory information technology Arizona North Dakota Urgent Remote Position || Business Intelligence @ State of ND [email protected] |
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| Thu Oct 03 22:43:00 UTC 2024 |