EDW Medicaid Subject Matter Expert/Data Specialist at DATAMAXIS

This a Full Remote job, the offer is available from: Austria, Illinois (USA)

EDW Medicaid Subject Matter Expert/Data Specialist

(Federal Reporting)

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.

Functional Description:

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 (