Overview
Remote
Depends on Experience
Accepts corp to corp applications
Contract - W2
Contract - Independent
Contract - 6 Month(s)
Skills
claims
recipient/eligibility
and provider/enrollment data processes
PERM
T-MSIS
CMS Federal Reporting
Adult/Child Core measures
HEDIS
CHIPRA or similar quality metrics
Teradata Database Management System
JIRA
Rally
DevOps
Job Details
Required Qualifications:
Enterprise Data Warehouse (EDW) Medicaid Data Specialist
- 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.
Preferred Qualifications:
- Master's Degree preferred
- More than 2 years of experience working with PERM, T-MSIS, CMS Federal Reporting or similar projects
- More than 2 years of experience in Adult/Child Core measures, 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 in large implementation projects.
- Located within driving distance (3 - 5 Hours) of Springfield, IL.
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