Medicaid Data Specialist

Job Summary

A company is looking for a Medicaid Data Specialist (Federal Reporting).

Key Responsibilities

• Provide direction and guidance for Medicaid data warehouse implementation and operations
• Lead stakeholders through complex determinations related to claims processing and eligibility
• Analyze large Medicaid data sets using advanced SQL and ensure compliance with federal reporting requirements

Required Qualifications

• 10+ years of experience in information technology, with 5 years in state Medicaid agencies
• 5+ years as a subject matter expert for CMS and Medicaid federal reporting
• Solid understanding of claims processing and eligibility data processes
• Advanced SQL proficiency with experience in analyzing large Medicaid data sets
• Ability to travel to Springfield, IL three to four times per year