Medicaid Subject Matter Expert/Analyst

Role Overview • Location: Telecommute with up to 25% travel to Springfield, IL. • Focus: Support large Medicaid data warehouse implementation and operations, guide business and technical teams, and ensure compliance with Medicaid best practices. Primary Responsibilities • Provide guidance for Medicaid data warehouse decisions. • Lead stakeholders on complex Medicaid processes (claims, eligibility, third-party liability). • Identify state Medicaid agency data needs and recommend solutions. • Direct technical/business teams on healthcare data usage. • Suggest enhancements based on Medicaid standards. • Partner with stakeholders to develop tools (interfaces, dashboards, visualizations). • Deliver analytics and critical reports to external clients. Required Qualifications • Experience: • 4+ years working directly with State Medicaid agencies. • 7+ years in healthcare data analysis (requirements, UAT, etc.). • 2+ years on projects like CMS Federal Reporting, quality measures, claims processing, eligibility, provider enrollment, third-party liability. • Knowledge: Fee-for-service and managed care claim/encounter adjudication. • Skills: Strong communication, client-facing, collaboration, mentoring. • Travel: Up to 25% to Springfield, IL. Preferred Qualifications • SQL proficiency. • Experience with Teradata or similar DBMS. • Familiarity with JIRA, Rally, DevOps. • Large implementation project experience.