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Depends on experience
Business Analyst,Data warehouse,Medicaid,MMIS,SQL,UAT
Work type: Remote
Work authorization: US local resources,Work authorization required,Work authorization sponsored,Work authorization in field of study
Duration: 1 year 1 month
Veteran Service: Yes
Number of hirings: 1
Job Details
We are seeking a Senior Business Analyst with strong Medicaid data domain expertise to support the transition, stabilization, and enhancement of a Medicaid Data Warehouse (MDW)
This role is critical to bridging business, data, and technical teams, with a focus on:
• Understanding Medicaid claims, encounters, eligibility, and provider data
• Performing data analysis, mapping, and impact assessments
• Supporting system implementations, transitions, and reporting modernization
The ideal candidate brings a combination of hands-on data analysis, Medicaid program knowledge, and experience in Medicaid Data Warehouse systems or supporting large-scale system implementations or transitions.
Key Responsibilities
1. Medicaid Data Analysis & Mapping
• Analyze Medicaid data domains including claims, encounters, eligibility, provider, and reference data
• Develop and validate source-to-target mappings across upstream systems (e.g., MCO submissions, MMIS, vendor systems) and the MDW
• Perform data profiling, reconciliation, and validation to ensure accuracy and completeness
• Support definition of business rules, transformations, and derived metrics
2. MMIS Reporting & Data Warehouse Support
• Support ongoing operations of the Medicaid Data Warehouse and reporting platforms (e.g., Cognos)
• Partner with stakeholders to define and refine reporting requirements and data models
• Assist in improving data accessibility, usability, and performance
3. System Implementation & Transition Support
• Support transition/takeover activities from vendor systems, including knowledge transfer and gap analysis
• Participate in system implementation lifecycle activities:
• Requirements gathering
• Functional and data analysis
• UAT support (validation of reports and data outputs)
• Collaborate with technical teams to ensure accurate translation of business requirements into data solutions
4. Operations & Issue Resolution
• Monitor and support daily data warehouse operations, including ETL/data pipelines and reporting jobs
• Investigate and resolve data issues, discrepancies, and production incidents
• Conduct root cause analysis and recommend corrective actions
5. Compliance & Governance
• Ensure alignment with CMS reporting requirements, HIPAA, and state data governance policies
• Support audit readiness and documentation of data lineage, mappings, and transformations
6. Documentation & Stakeholder Communication
• Produce clear documentation including:
• Business requirements
• Data mappings
• Data dictionaries
• Process flows
• Communicate effectively with business users, program teams, and technical teams
Required Qualifications
• 8+ years of experience as a Business Analyst in:
• Medicaid / healthcare data environments
• Data warehouse or analytics platforms
• Strong understanding of Medicaid data domains, including:
• Claims and encounters
• Member eligibility
• Provider data
• Managed Care (MCO) data flows
• Experience supporting MMIS systems or Medicaid reporting environments
• Strong SQL skills for data analysis, validation, and troubleshooting
• Experience with data mapping, source-to-target design, and data validation
• Experience supporting system implementations, transitions, or large data initiatives
• Familiarity with cloud data platforms (AWS, Azure, etc.)
• Strong communication skills with ability to work across technical and business stakeholders
Preferred Qualifications
• Experience with Cognos or similar enterprise reporting tools
• Experience with vendor transition / system takeover scenarios
• Exposure to ETL tools (DataStage, Informatica, etc.)
• Prior experience working with State Medicaid agencies
This role is critical to bridging business, data, and technical teams, with a focus on:
• Understanding Medicaid claims, encounters, eligibility, and provider data
• Performing data analysis, mapping, and impact assessments
• Supporting system implementations, transitions, and reporting modernization
The ideal candidate brings a combination of hands-on data analysis, Medicaid program knowledge, and experience in Medicaid Data Warehouse systems or supporting large-scale system implementations or transitions.
Key Responsibilities
1. Medicaid Data Analysis & Mapping
• Analyze Medicaid data domains including claims, encounters, eligibility, provider, and reference data
• Develop and validate source-to-target mappings across upstream systems (e.g., MCO submissions, MMIS, vendor systems) and the MDW
• Perform data profiling, reconciliation, and validation to ensure accuracy and completeness
• Support definition of business rules, transformations, and derived metrics
2. MMIS Reporting & Data Warehouse Support
• Support ongoing operations of the Medicaid Data Warehouse and reporting platforms (e.g., Cognos)
• Partner with stakeholders to define and refine reporting requirements and data models
• Assist in improving data accessibility, usability, and performance
3. System Implementation & Transition Support
• Support transition/takeover activities from vendor systems, including knowledge transfer and gap analysis
• Participate in system implementation lifecycle activities:
• Requirements gathering
• Functional and data analysis
• UAT support (validation of reports and data outputs)
• Collaborate with technical teams to ensure accurate translation of business requirements into data solutions
4. Operations & Issue Resolution
• Monitor and support daily data warehouse operations, including ETL/data pipelines and reporting jobs
• Investigate and resolve data issues, discrepancies, and production incidents
• Conduct root cause analysis and recommend corrective actions
5. Compliance & Governance
• Ensure alignment with CMS reporting requirements, HIPAA, and state data governance policies
• Support audit readiness and documentation of data lineage, mappings, and transformations
6. Documentation & Stakeholder Communication
• Produce clear documentation including:
• Business requirements
• Data mappings
• Data dictionaries
• Process flows
• Communicate effectively with business users, program teams, and technical teams
Required Qualifications
• 8+ years of experience as a Business Analyst in:
• Medicaid / healthcare data environments
• Data warehouse or analytics platforms
• Strong understanding of Medicaid data domains, including:
• Claims and encounters
• Member eligibility
• Provider data
• Managed Care (MCO) data flows
• Experience supporting MMIS systems or Medicaid reporting environments
• Strong SQL skills for data analysis, validation, and troubleshooting
• Experience with data mapping, source-to-target design, and data validation
• Experience supporting system implementations, transitions, or large data initiatives
• Familiarity with cloud data platforms (AWS, Azure, etc.)
• Strong communication skills with ability to work across technical and business stakeholders
Preferred Qualifications
• Experience with Cognos or similar enterprise reporting tools
• Experience with vendor transition / system takeover scenarios
• Exposure to ETL tools (DataStage, Informatica, etc.)
• Prior experience working with State Medicaid agencies
Interview type: Telephonic, Virtual
Experience years required: 0