Principal Data Analyst(SQL,Excel) - Remote

Principal Data Analyst

100% Telecommute

8:00 AM - 5:00 PM (CST)

Responsibilities:

Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. With 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 determine 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 Skills:

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. 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 Skills:

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.

Project Summary:

This position is needed on the IL EDW contract consisting of three program delivery including maintenance and operations, reporting and analytics, and design development, and implementation.

Ideal Candidate Background:

This position is a Medicaid Subject Matter (SME) Expert for the Illinois Enterprise Data Warehouse supporting the State of Illinois Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data. Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some (?25%) required travel to Springfield, IL for onsite customer meetings.

Top Required Skills:

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. Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered.