Medicaid Subject Matter ExpertData Specialist in EDW Environment
Medicaid Subject Matter ExpertData Specialist in EDW Environment
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Primary Responsibilities:
- Provide direction guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations.
- With the specialized knowledge of the Medicaid and Childrens Health Insurance Programs lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication recipient/provider eligibility and thirdparty liability.
- Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason justification and validated proof of concepts.
- Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately.
- Proactively suggest and recommend enhancements and improvements throughout the project processes driven by Medicaid best practices standards and policies.
Required Qualifications:
- More than ten 10 years of experience in information technology with five 5 years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis writing business requirements and testing/validation of various systems.
- Understanding of claims recipient/eligibility and provider/enrollment data processes.
- Able to create and perform data analysis using SQL Excel against data warehouses utilizing large datasets.
- Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered.
- Excellent verbal/written communication and presentation skills manager/executive/directorlevel client facing team collaboration and mentoring skills.
- Strong culture fit demonstrating our culture values in action (Integrity Compassion Inclusion Relationships Innovation and Performance).
- Ability to travel to Springfield IL two 3 to three 4 times per year.
Preferred Qualifications:
- More than 2 years of experience working with PERM TMSIS CMS Federal Reporting or similar projects
- More than 2 years of experience in HEDIS CHIPRA or similar quality metrics
- Experience with data analysis using Teradata Database Management System or other equivalent database management system.
- Experience using JIRA Rally DevOps or equivalent.
- Previous experience on large implementation project.
- Located within driving distance 3 5 Hours) of Springfield IL.
Required Experience:
Unclear Seniority
Employment Type
Contract
