Job Details

A company is looking for a Medicaid Subject Matter Expert/Data Specialist.Key ResponsibilitiesProvide direction and recommendations for Medicaid data warehouse implementation and operationsLead stakeholders in complex processes related to claims processing, eligibility, and provider enrollmentIdentify state Medicaid agency data needs and propose solutions with validated proof of conceptsRequired QualificationsOver ten (10) years of IT experience, with five (5) years working with State Medicaid agenciesMore than two (2) years of experience with CMS Federal Reporting projectsUnderstanding of claims, recipient eligibility, and provider enrollment data processesAbility to perform data analysis using SQL and Excel on large datasetsKnowledge of CMS reporting requirements and covered programs