Homeoffice CSpring - Enterprise Data Warehouse (EDW) Medicaid Subject Matter Expert/Analyst presso CSpring

At CSpring, we believe that data has the power to transform public health systems and improve lives. We’re looking for an Enterprise Data Warehouse (EDW) Medicaid Subject Matter Expert/Analyst who brings deep knowledge of Medicaid programs and healthcare data to help guide large-scale data warehouse initiatives.

In this role, you’ll use your Medicaid expertise to advise on data strategy, guide technical and business teams, and ensure systems and solutions align with state and federal requirements. You’ll collaborate closely with state partners and cross-functional teams to improve data quality, strengthen analytics, and deliver insights that drive better health outcomes.

If you’re a detail-oriented leader who thrives at the intersection of data, policy, and impact—and wants to help modernize systems that serve real people—this role was built for you.

Why You'll Love Working Here

Purposeful Projects – Strengthen Medicaid programs that directly impact lives by guiding data-driven decisions, improving systems, and shaping smarter healthcare solutions.

People-First Culture – We’re as committed to your professional growth as we are to empowering public health. You’ll find mentorship, flexibility, and a collaborative team that values your expertise and initiative.

Collaborative Trust – Our partners rely on us for deep Medicaid expertise, clear communication, and thoughtful recommendations. We lead with integrity, curiosity, and a shared commitment to better outcomes.

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. 

This position is a Medicaid Subject Matter 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 warehouse or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and operations. The selected SME willprovide 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. 

Required Qualifications: 

• More than four (4) years of experience working directly with/for State Medicaid agencies or equivalent.
• More than seven (7) years of healthcare data analysis experience supporting business initiatives through data analysis, writing business requirements, and user acceptance testing of various systems.
• More than two (2) years of experience working in projects like the following: CMS Federal 
• Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third-party liability.
• Understanding of fee-for-service, managed care claim/encounter adjudication processes from enrollment to funding/finance.
• Excellent verbal/written communication, end 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 up to twenty-five percent (25%).

Preferred Qualifications: 

• Experience writing and understand complex Structured Query Language (SQL).
• Experience with data analysis using Teradata Database Management System or other equivalent database management system.
• Experience using JIRA, Rally, DevOps or equivalent.
• Previous experience on large implementation project.
• Located within driving distance (3 - 5 Hours) of Springfield, IL