Job Description
Job Description
EDW Medicaid Subject Matter Expert / Analyst
Remote | Contract (Multi-Year or Permanent Option) | Competitive Pay + Benefits
About the Role
Join a high-impact initiative supporting a state Medicaid Enterprise Data Warehouse (EDW) program. We’re looking for a seasoned Medicaid Subject Matter Expert (SME) who can combine technical insight with business acumen to guide large-scale data warehouse operations and enhancements.
What You’ll Do
- Serve as the go-to expert for Medicaid processes, including claims adjudication, eligibility, and third-party liability.
- Partner with stakeholders to identify data needs and deliver actionable solutions.
- Provide direction to technical and business teams on healthcare data usage and compliance.
- Recommend improvements based on Medicaid best practices and standards.
- Develop and support tools such as dashboards, data visualizations, and decision aids.
- Deliver analytics and critical reports to external clients.
What We’re Looking For
Experience :4+ years working directly with State Medicaid agencies or equivalent.
7+ years in healthcare data analysis (requirements gathering, UAT, etc.).2+ years on projects involving CMS Federal Reporting, quality measures, claims processing, eligibility, provider enrollment, or third-party liability.Knowledge : Fee-for-service and managed care claim / encounter adjudication.Skills : Strong communication, client-facing, and mentoring abilities.Travel : Up to 25% to Springfield, IL for onsite meetings.Preferred Skills
SQL and experience with Teradata or similar DBMS.Familiarity with JIRA, Rally, DevOps, or equivalent tools.Large-scale implementation project experience.Located within driving distance (3–5 hours) of Springfield, IL.Why You’ll Love This Opportunity
Flexibility : Remote work with occasional travel.Stability : Multi-year contract or potential permanent hire.Benefits : Competitive pay plus comprehensive benefits.Impact : Help shape Medicaid data solutions that improve healthcare delivery.