Java Developer
Remote Job | 2023-10-11 16:35:50
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Job Code : 2023-MY3TECH1302
Job: Java developer
Location: REMOTE
Duration: 12+ Months Contract with possibility to extension
Description of Project:
The Minnesota Department of Human Services is seeking one full-time resource to work on the Minnesota Provider Screening and Enrollment (MPSE) portal, where the Developer/Programmer will work in collaboration with MNIT@DHS application development staff to enhance the application's maintainability, efficiency, accessibility, user experience, and resolving identified issues (bug fixes) and recommend changes as per business requirements.
The Minnesota Department of Human Services (DHS) is one of the largest payers of health care in Minnesota. DHS provides health care services to approximately 862,000 Minnesotans through a combination of federal and state health care programs, including Minnesota’s Medicaid program, Medical Assistance (MA), and MinnesotaCare (a subsidized health care program for people who live in Minnesota and do not have access to health insurance). These combined health care programs are jointly referred to as Minnesota Health Care Programs (MHCP). Federal provider screening regulations require all health care providers who enroll in federal health care programs, including Medicaid, to undergo a "Risk-Based Provider Screening" process. Enrolled providers must be” revalidated” at least once every five years and must also go through the same “Risk-Based Provider Screening” process as new enrollees. MN-DHS estimates it will need to perform approximately 50,000 provider enrollment screenings annually. Current staff and systems cannot process this high volume of screenings. To solve this problem and process provider enrollment and renewals in compliance with the federal provider screening regulations, DHS has launched a large IT project to build a system called the Minnesota Provider Screening and Enrollment (MPSE) portal. Several key components have been identified for the overall MPSE project: A front-end Provider Enrollment Processor (PEP), A back-end Provider Validation Service (PVS), and Related Medicaid Management Information System (MMIS) and Associated Database changes (the current MN-DHS system).
The front-end PEP application is a web-based portal responsible for collecting required provider based data. It also has the ability to collect payment of application fees (if applicable) and to send collected data to (a) various external systems, such as DHS’ Surveillance Integrity and Review Section (SIRS), which will conduct pre and post-enrollment site visits on providers, and (b) DHS’ Licensing Unit for NetStudy® background checks. Additionally, it will send and receive data from both the back end PVS system and the existing MMIS systems. The PEP system will utilize a dynamic set of business rules (written in Drools) to collect the appropriate information and direct the enrollee to the various areas of the application to be completed based on level of assigned risk for the provider type (limited, moderate, or high) or a variety of other preset parameters such as provider type, license, and practice specialties. Essentially, the PEP serves as the starting point for all new applicants seeking to enroll and for existing providers to revalidate. It also applies to any provider when a change to their data may trigger additional screening or follow-on actions (e.g., a change of ownership). It serves as both the brains and the gatekeeper for all downstream processing as data collected in this stage determines what has to take place at the various junctures to comply with screening regulations. Application programming using Java and incorporating the Drools business rules for the provider enrollment and screening process is an important piece of this project. The PEP will navigate a provider through its user interface based on a series of preset parameters and ultimately assign a level of risk to each registrant by application of a configurable suite of dynamic business rules. This implementation of Drools is supplemented by Java programming.
At a high level, the resource will work in collaboration with MNIT Services @ DHS application development staff to enhance the application’s maintainability, efficiency, accessibility, user experience, and resolving of identified issues (bug fixes) and recommend changes as per business requirements. For additional details on the request such as qualifications, tasks, and evaluation criteria, see the attachments found in the Buyer Attachment section of the Event.
The following document contains the samples tasks and qualifications for this MNSITE Event.
Minimum Qualifications:
Desired Skills:
Any Graduate