Application Systems Analyst/Programmer IV

OIS/OHA are seeking a SQL programmer to help modernize our ETL process for a reporting data mart named HAL (Health Analytics Library). This work anticipates development of an ETL that will have continuity as we move data marts into the Azure cloud-based servers from on-prem VM servers. The contractor’s Key Person under this WOC will closely work with internal data management staff to identify the scope of programming to update and update progress. The programmer will work with internal program staff to facilitate introductions with data owners and work team meetings. HAL is a Medicaid analytical and reporting SQL database solution and environment managed by the MADI (Medicaid Analytics and Data Integration) Unit housed within the Office of Health Information Technology and Analytics Infrastructure, that exists within the Health Policy and Analytics (HPA) Division of the Oregon Health Authority (OHA). Medicaid administrative data is primarily made up of medical claims submitted by health providers and Coordinated Care Organizations (CCOs) to receive payment for health services delivered to patients enrolled in Oregon's Medicaid program, which is known as the Oregon Health Plan (OHP) and Medicaid enrollment data from the OHA/ ODHS ONE eligibility system. The raw transactional data are stored in Oregon’s Medicaid Management & Information System (MMIS). HA analysts typically access these data through a MMIS data warehouse solution called Decision Support and Surveillance Utilization Review System (DSSURS), or in the Health Analytics Library (HAL), where the raw Medicaid enrollment and utilization/ claim data are packaged differently into easier to analyze categories and groups for analysis. These analytical value-added elements are not present in DSSURS. HAL contains Medicaid enrolment and claims data that is accessed by two main sets of users: OHA’s Office of Actuarial and Financial Analysis (OAFA) team users, who use the data for setting of per-capita rates of reimbursement of health care services provided by Coordinated Care Organization (CCO’s) to Oregon’s Medicaid population, and various other financial analyses. Office of Health Analytics’ reporting teams, who access Medicaid enrollment and claims data for the development of different enrollment and utilization analytical and data visualization products. The HPA MADI unit wants to launch a HAL modernization project to analyze, identify and make improvements to the HAL analysis and reporting database solution. This project has the following objectives: Analyzing the existing HAL database solution and environment, identifying any refinements or rework to HAL architecture, dataflows, governance or management processes, and developing a roadmap for HAL future state. Reprogramming HAL ETL code, currently written in legacy SAS language, into SQL language, to prepare HAL for migrating to the OHA ODE (Oregon Data Environment) cloud Azure environment (NOTE: The migration to the cloud, expected to occur in the next 1-2 years, is out of scope for this project and will require working with OIS and other OHA teams). Gathering and documenting requirements, developing and testing other improvements to the HAL data logic, including updating claim data grouping categories used predominantly by the Office of Actuarial and Financial Analysis (OAFA) team for rate capitation analyses, to reflect updates Medicaid national coding standards, and performing other coding improvements needed by OAFA team users and other HAL users to improve analytical value and capabilities of HAL data or reflect changes in Medicaid eligibility, program, beneficiary and claim administrative coding.