What are the responsibilities and job description for the Enterprise Data Warehouse (EDW) Medicaid Subject Matter Expert/Data Specialist / Remote position at DATAMAXIS, Inc?
Job Details
Primary Responsibilities:
- Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations.
- With the specialized knowledge of the Medicaid and Children's 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.
Required Qualifications:
- 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:
- 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.
- Experience using JIRA, Rally, DevOps or equivalent.
- Previous experience on large implementation project.
- Located within driving distance (3 - 5 Hours) of Springfield, IL.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
