• Inventory TEA and external data systems to develop a comprehensive, vendor-ready data map. • Document data sources, ownership, formats, dependencies, and data integration requirements. • Assess data quality across systems to identify gaps, inconsistencies, duplications, and standardization needs. • Recommend data cleansing and validation strategies. • Design a scalable data integration strategy that improves data accessibility, interoperability, usability, and long-term sustainability across TEA systems. • Align the data integration strategy with TEA's implementation of the Ed-Fi Data Standard. • Serve as the Business Analyst for OnePlan, gathering, analyzing, and documenting business and system requirements in Modern Requirements format. • Document process flows, skip logic, system interdependencies, and user interface mock-ups. • Translate business and system requirements into clear functional requirements for vendor design and development. • Support broader IDS team workstreams, including LASO, GSA, OneSystem, and other initiatives.

Role Description This individual will play the role of Claims Domain lead for MMIS health care projects. Responsibilities - Drive the claims module and process and provide domain knowledge. - Perform analysis of business requirements. - Design and develop documentation and ensure quality process while coordinating with customers. - Work in a team environment and provide guidance throughout the entire life cycle. - Responsible for meeting customer expectations and troubleshooting problems in the application. - Assist customers in implementation decisions. Qualifications - Minimum of 8+ years of experience in health care experience especially in MMIS domain. - Capability to think out-of-the-box to create new solutions as needed. - Ability to validate Test scenarios and test plans, test data. - Should be able to Review requirements, documentation and create Requirements Traceability matrix (RTM). - Should have excellent communication (written and spoken) skills to engage with different stakeholders like QA/dev team, clients, end users of Clients and Business Units. - Ability to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product. - Ability to drive and share the requirements with Technical and Architects regarding product features to be implemented. - Communication: Collaborate with cross-functional teams. Requirements - Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare. - Candidate should have hands-on experience on claims processing and Adjudication processes. - Must have good experience in Reference code/data sets required in Claims adjudication. - Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems. - Should be able to run queries and perform basic system analysis, RCA etc. - Should work closely with the client and development team during the stages of development, and conduct demos at completion of milestones, track and close feedback from such demos. - Must have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks. - Work Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product. - In depth understanding of Claims and Claims lifecycle: - Member, Provider, Claim submission – Paper and EDI X12, Adjudication, Payment Cycle (Finance), Reporting. - Claim Types: Professional, Dental, Institutional, Pharmacy, Encounters and Capitation. - Claim Formats: EDI X12 formats like 837P/I/D, X12 formats 835, 834, 270/271, 276/277. - Claim System: Familiarity with systems like CMdS, GHS, Facets and etc. - SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan). - EDI Tools: Validating X12 files. - Interface Testing: Understanding how data flows between systems and formats and use tools like postman. Benefits - Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint. - Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts. - Remote work: Enjoy the convenience of working from home and maximize your time by unplugging at the end of your workday.

• Monitor player gameplay activity, deposits and withdrawals to identify suspicious or potentially fraudulent emerging patterns and recommend fraud prevention strategies. • Utilize various data sources to design, test and implement effective fraud prevention rules. • Assist in tuning existing fraud detection rules and thresholds to reduce false positives while improving detection rates. • Conduct root cause analysis on fraud trends and recommend preventative measures and process enhancements. • Support the ongoing optimization of chargeback prevention and representment processes. • Collaborate closely with the Operations teams to resolve emerging fraud rings and enforce account actions (i.e., suspension, closure, etc.). • Analyze betting patterns to detect irregular gameplay, arbitrage betting and coordinated activity between accounts. • Design and build effective dashboards to support the monitoring of key fraud KPIs.

• Elicit, document, and validate business requirements from stakeholders, translating business needs into user stories and functional specifications; support sprint planning, backlog grooming, and UAT coordination. • Facilitate workshops and working sessions with business and IT stakeholders to gather requirements, align on priorities, and drive decisions. • Analyze CRM data and processes to identify gaps and improvement areas, providing recommendations aligned to BD’s long-term CRM strategy and roadmap. • Act as liaison between business users and technical delivery teams, working collaboratively across Commercial functions inclusive of business partnerships, marketing teams, and T D S. • Independently manage requirements workstreams and own stakeholder relationships broadly, partnering with Sales Effectiveness and the Commercial team to curate & deliver technical training for newly deployed capabilities. • Develop dashboards that support business needs and measurement of CRM KPI’s.