NorthShore Resources has a need for a Drools Developer for a long term project at one of our clients.
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.
This request is for a Drools Developer/Programmer to 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 State anticipates that in order to perform the work on the systems, resources will be able to access information about individuals that contains data that Minnesota law classifies as "not-public data." The State will therefore require the vendor to sing the Data Sharing Agreement attached as a prerequisite.
- Anticipated Project Start Date: January 2, 2021
- Anticipated End Date: January 1, 2022
The following document contains the samples tasks and qualifications for this project.
- Work in collaboration with MNIT@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.
- Understand and merge both the technology base and customer business goals.
- Develop and run test scripts to ensure rules are working as required.
- Work with testers and subject matter experts to identify code changes and additions.
- Identify and recommend specific code changes to State staff.
- Work with the Technical Architects and Leads to gain a comprehensive and up to date understanding of the software application developed by open source community.
- Work with the Business Analysts (BA) and Quality Assurance (QA) and subject matter experts (SME) to identify changes, additions, and or enhancements due to application errors or bugs.
- Perform software development maintenance (bug fixes) for the project change requests, as this position requires a strong software development background.
- Maintain and follow Object Oriented programming best practices.
- Consult and collaborate with in-house experts to ensure UI Standards are properly implemented and applied in the application.
- Perform comprehensive system and application code testing so that application deployments are working without errors and application codes are error free.
- Ensure application code sets are checked in to the code repository with no coding errors.
- Provide documentation and knowledge transfer for MNIT@DHS staff.
- Seven (7) years’ experience with Java development
- Four (4) years’ experience with automated testing
- Four (4) years’ experience with Spring MVC
- Four (4) years’ Drools experience, specifically with Decision tables
- Four (4) years’ experience with a State government developing a Medicaid Provider Enrollment application.
- Two (2) years combined experience in designing and architecting applications
- Two (2) years’ experience with web services
- Experience working with WebSphere application server
- Experience working with JPA/Hibernate
- Experience with web application testing frameworks (e.g. Selenium/WebDriver)
- Experience with Maven
- Experience with Eclipse
- Experience with Oracle Database