Overview
Skills
Job Details
Title : Data Warehouse Transition Lead
Location : Lincoln,NE
Duration : 24 + Months
Job Type : C
Description :
Job Description Summary:
The Medicaid Data Warehouse and Encounter Claim Processing Transition Lead will be responsible for leading the successful transition of the state's Medicaid data warehouse and encounter processing solution to a state-run and managed model. This role will coordinate transition activities, including the development of key deliverables required for transition and sustainable ongoing operations. The Transition Lead will coordinate activities of a team of data and operational experts, collaborate with project management, and ensure that all transition goals align with state and federal requirements.
Job Responsibilities:
- Transition Management:
- Coordinate the transition of the Medicaid data warehouse and encounter claim processing solution from vendor management to a state-run model.
- Oversee and manage a team responsible for technical and operational aspects of the transition and ongoing data warehouse operations.
- Develop and author transition deliverables, including operational documentation, data migration plans, system integration strategies, and reporting requirements
- Develop and execute transition plans, including risk mitigation and knowledge transfer
- Document transition processes and manage transition readiness checklists.
- Operations Management:
- Manage and oversee the daily operations of the Medicaid Data Warehouse, ensuring seamless functionality.
- Monitor ETL processes, data pipelines, and system performance to prevent downtime and inefficiencies.
- Establish and enforce operational procedures for data ingestion, validation, transformation, and reporting.
- Collaborate with technical teams to implement automation, performance improvements, and scalability solutions.
- Work closely with business users to understand reporting and data access needs.
- Team Leadership and Collaboration:
- Lead and mentor a team of analysts, engineers, and support staff responsible for Medicaid Data Warehouse operations.
- Serve as the primary liaison between IT, business stakeholders, and state Medicaid agencies.
- Conduct regular meetings to provide updates on operational status, performance metrics, and transition progress.
- Issue Resolution and Support:
- Lead troubleshooting and root cause analysis for operational issues, working with data engineers and support teams.
- Establish and maintain SLAs for issue resolution and operational support.
- Provide guidance to teams on resolving Medicaid data anomalies, claim processing errors, and eligibility discrepancies.
- Compliance and Security:
- Ensure compliance with CMS (Centers for Medicare & Medicaid Services) regulations, HIPAA, and state Medicaid data governance policies.
- Implement security protocols for data access, storage, and sharing in accordance with regulatory requirements.
- Oversee audits and reporting processes to maintain data accuracy and integrity
Skills :
Required Credentials and Experience:
- 7+ years of experience in Medicaid data warehouse operations, transition projects, or healthcare data management
- Experience in large-scale system transitions, implementations, or migrations in a government or healthcare setting.
- Strong leadership skills with the ability to manage cross-functional teams and complex projects.
- Deep understanding of Medicaid data structures, encounter processing, federal reporting requirements, and data governance.
- Foundational knowledge of ETL processes, cloud-based data warehouses (AWS, Azure, Snowflake), and SQL.
- Experience working with state Medicaid agencies or MMIS (Medicaid Management Information Systems).
- Strong technical writing skills with experience authoring operational documentation and transition plans.
- Ability to analyze and interpret complex healthcare data to drive informed decision-making.
- Familiarity with cloud-based data warehouse solutions and modern data processing tools.
- Strong knowledge of data security best practices and compliance requirements, including HIPAA.
Preferred Credentials and Experience:
- Experience with Medicaid Enterprise Systems (MES) modernization efforts.
- Prior experience working with CMS (Centers for Medicare & Medicaid Services) on Medicaid data initiatives.
This role is an excellent opportunity for a seasoned Medicaid data expert who is eager to lead a high-impact transition and contribute to the long-term success of a state-run Medicaid data warehouse. If you have the required experience and leadership capabilities, we encourage you to apply.