Principal Data Analyst(SQL,Excel) Remote

Principal Data Analyst

100% Telecommute

8:00 AM - 5:00 PM (CST)

11. What are the top 5-10 responsibilities for this position (please be detailed as to what the candidate is expected to do or complete on a daily basis)

Provide direction guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. With thespecialized 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 third-party 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

12. What skills/attributes are required (please be detailed as to number of years of experience for each skill)

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/director-level 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.

13. What skills/attributes are preferred (what will set a candidate apart)

More than 2 years of experience working with PERM T-MSIS 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.

15. Can you please provide a summary of the project/initiative which describes whats being done

This position is needed on the IL EDW contract consisting of three program delivery including maintenance and operations reporting and analytics and design development and implementation.

16. What does the ideal candidate background look like (ex: healthcare specific background etc.) We want to be as specific as possible with our firms so they can find the type of candidate youre looking for.

This position is a Medicaid Subject Matter (SME) Expert for the Illinois Enterprise Data Warehouse supporting the State of Illinois Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify change enhance or correct within the system related to claims provider and recipient data. Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces dashboards data visualizations decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some (25%) required travel to Springfield IL for onsite customer meetings.

17. Of the required skills listed which would you consider the top 3 Please list your expectations regarding years of experience for each requirement.

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. Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered.

18. What experience will set candidates apart from one another

Multiple years of experience working for a State Medicaid agency knowing business and technical side of delviery.

Required Skills :

Basic Qualification :

Additional Skills :

This is a high PRIORITY requisition. This is a PROACTIVE requisition

Background Check : No

Drug Screen : No