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#21-002587-0087
Supplemental Questionnaire

Last Name
First Name

 

**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**

 


1

Do you possess a Bachelor's degree from an accredited college or university?

Yes No
2

In which field of study is your degree? If you do not have a degree, enter N/A.

3

Do you possess a BS or BA in Information Technology, Health Care Administration or Public Administration? If so, please indicate which degree you possess in the text box below. Also be sure to include this information on your application in the Education section.

4

Describe your administrative staff or professional work experience.

Please include name of employer, job title, dates of employment, and hours worked per week.  This information must also be reflected in your application.  If you do not possess experience in this area, put N/A in the box below.

5

Describe your experience in software requirements elicitation, documentation and management.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

6

Describe your experience in utilizing Microsoft Office suite applications; Excel, Word and PowerPoint. Please include name of employer, job title, dates of employment, and hours worked per week. This information must be reflected in your application. If you do not have this type of experience, please indicate N/A.

 

7

Describe your experience communicating to technical and non-technical audiences.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.

8

Describe your experience writing SOP's, DLP's, and training materials.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

9

Describe your experience in Agile/Scrum methodology.

With your description, include name of employer, job title, dates of employment, and hours worked per week for each relevant position.  This experience must also be reflected in the "Work Experience" section of your application.  If you do not have this experience, put N/A in the box below.

10

Describe your experience reviewing and documenting test cases and RTM's.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

11

Describe your understanding of database structure.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

12

Describe your experience working with software development teams, business and user staff on software development projects.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.

13

Describe your knowledge of/experience with Medicaid rules and Electronic Data Interface transactions as well as Medicaid Claims and Provider Management.

This experience must also be included on your application (please include name of employer, job title, dates of employment and hours worked per week). If you do not possess this type of experience, please indicate N/A.


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