Medicaid Data Warehouse Analyst (Subject Matter Expert)
1 month ago
Springfield
Job DescriptionMedicaid Data Warehouse Analyst (Subject Matter Expert) Remote | Contract (Multi-Year or Permanent Option) | Competitive Pay + Benefits About the RoleJoin a high-impact initiative supporting a state Medicaid Enterprise Data Warehouse (EDW) program. We’re looking for a seasoned Medicaid Subject Matter Expert (SME) who can combine technical insight with business acumen to guide large-scale data warehouse operations and enhancements. What You’ll Do • Serve as the go-to expert for Medicaid processes, including claims adjudication, eligibility, and third-party liability., • Partner with stakeholders to identify data needs and deliver actionable solutions., • Provide direction to technical and business teams on healthcare data usage and compliance., • Recommend improvements based on Medicaid best practices and standards., • Develop and support tools such as dashboards, data visualizations, and decision aids., • Experience:, • 4+ years working directly with State Medicaid agencies or equivalent., • 7+ years in healthcare data analysis (requirements gathering, UAT, etc.)., • 2+ years on projects involving CMS Federal Reporting, quality measures, claims processing, eligibility, provider enrollment, or third-party liability., • Knowledge: Fee-for-service and managed care claim/encounter adjudication., • Skills: Strong communication, client-facing, and mentoring abilities., • Travel: Up to 25% to Springfield, IL for onsite meetings.Preferred Skills, • SQL and experience with Teradata or similar DBMS., • Familiarity with JIRA, Rally, DevOps, or equivalent tools., • Large-scale implementation project experience., • Located within driving distance (3–5 hours) of Springfield, IL.Why You’ll Love This Opportunity, • Flexibility: Remote work with occasional travel., • Stability: Multi-year contract or potential permanent hire., • Benefits: Competitive pay plus comprehensive benefits., • Impact: Help shape Medicaid data solutions that improve healthcare delivery.