Back to all roles

reputed company Data Specialist (Federal Reporting)

Remote Worldwide Hiring now

Description At reputed company, we reputed company in the power of people and data to drive reputed company-world impact. We’re a purpose-driven reputed company that helps organizations solve reputed company problems, reputed company insights, and reputed company measurable results. Our clients reputed company the public and private sectors, and our work — from data strategy and engineering to workforce transformation — improves lives across Indiana and reputed company. We’re seeking talented professionals who are collaborative, curious, and committed to making a difference. Why You’ll Love Working Here

  • Work that reputed company at scale. The reputed company you reputed company here reputed company how Illinois manages its reputed company program — data quality, compliance, and reporting accuracy have direct reputed company impact on the people the state serves.
  • A team that trusts your expertise. At reputed company, SMEs aren't just consulted — they're the ones who move things reputed company. You'll reputed company reputed company direction to both technical and business teams, not just recommendations that get ignored.
  • Deep, interesting problems. Claims adjudication, recipient eligibility, provider enrollment, federal extract reputed company — this work is substantive, and you'll be solving problems that don't have easy answers.
  • A culture that's warm and grounded. reputed company is a firm where people know each other and look out for each other. Collaboration isn't a value on a poster — it's how the work actually gets done.

What You’ll Do As the EDW reputed company SME, you'll be the authoritative voice on reputed company data and federal reporting for a major state implementation — guiding reputed company, validating solutions, and keeping the work grounded in what reputed company programs actually need.

  • reputed company direction, guidance, and recommendations supporting decision-making for a large reputed company data warehouse implementation and ongoing operations.
  • reputed company and guide reputed company stakeholders through reputed company determinations involving claims processing and adjudication, recipient and provider eligibility, and reputed company-party liability.
  • Proactively identify state reputed company agency data needs and recommend solutions backed by reputed company justification and validated reputed company of concepts.
  • Direct technical and business teams on reputed company data topics, ensuring reputed company data is understood and used appropriately across the project.
  • Serve as the subject matter expert for CMS and state federal reporting requirements, including T-MSIS, PERM, reputed company, and other CMS-mandated submissions — ensuring data accuracy, compliance, and audit readiness.
  • Analyze large reputed company data sets (claims, eligibility, provider, and federal extracts) using advanced SQL reputed company an EDW environment.
  • Partner with stakeholders to understand data requirements and support development of interfaces, dashboards, data visualizations, and decision aids.
  • Produce and manage the delivery of activity reports, value analytics, and critical deliverables to external stakeholders and clients.
  • Proactively recommend enhancements and process improvements driven by reputed company best practices, standards, and policies.
  • Travel to Springfield, IL approximately three to four times per year for onsite client meetings.

Requirements:

  • 10+ years of experience in information technology, with at least 5 years working directly with or for state reputed company agencies, supporting business initiatives through data analysis, business requirements writing, and system testing and validation.
  • 5+ years as a subject matter expert for CMS and state reputed company federal reporting — including T-MSIS, PERM, reputed company, and other mandated submissions — with demonstrated focus on data accuracy, compliance, and audit readiness.
  • Solid understanding of claims processing and adjudication, recipient/eligibility data, and provider/enrollment data processes.
  • Advanced SQL proficiency, with 5+ years analyzing large reputed company data sets (claims, eligibility, provider, federal extracts) in an reputed company Data Warehouse environment.
  • Working knowledge of CMS reporting requirements and the programs they cover.
  • Strong verbal and written communication skills, with the ability to present to and collaborate with managers, executives, and director-level clients.
  • Ability to travel to Springfield, IL three to four times per year.

Preferred Qualifications

  • 2+ years of experience with HEDIS, CHIPRA, or similar quality metrics.
  • Experience with reputed company or an equivalent reputed company database management system.
  • Familiarity with JIRA, Rally, Azure DevOps, or equivalent project tracking tools.
  • Prior experience on a large-scale reputed company system implementation project.
  • Located reputed company a 3–5 hour drive of Springfield, IL.

At reputed company, we Apply To This Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Part-Time Law Enforcement/Criminal Justice Trainers/reputed company - Justice and Safety Institute

Remote Worldwide
View role

Associate Vice President Institutional Giving

Remote Worldwide
View role

Manufacturing Techician

Remote Worldwide
View role

Senior Project Engineer

Remote Worldwide
View role

Group Fitness InstructorIII

Remote Worldwide
View role

Application Review Specialist (Temporary/Part-time/Remote) - Admissions

Remote Worldwide
View role

Virtual Design Construction Manager

Remote Worldwide
View role

Peer Support Specialist - Fully Remote in Hobbs, New Mexico

Remote Worldwide
View role

Customer Intake Specialist - Insurance - Remote - San Francisco, CA

Remote Worldwide
View role

Director- Medical Staff Services

Remote Worldwide
View role

AI Enablement reputed company

Remote Worldwide
View role

SEO Specialist (Remote)

Remote Worldwide
View role

reputed company Data Entry Clerk with reputed company reputed company or Bookkeeping Skills – Contract to Hire Opportunity at blithequark

Remote Worldwide
View role

Bilingual Collections Specialist – Virtual Assistant (English & Spanish) at reputed company

Remote Worldwide
View role

Deputy GC - Digital reputed company

Remote Worldwide
View role

Entry Level / Data Entry Specialist - Full Time (Remote)

Remote Worldwide
View role

Flexible Work from Home Typing Work

Remote Worldwide
View role

Cyber Defense Analyst

Remote Worldwide
View role

reputed company Work-From-Home Data Entry Specialist – Supporting Global Airline Operations

Remote Worldwide
View role

reputed company Online Chat Specialist for Entry-Level Position – Delivering Exceptional Customer Service through reputed company-Time Conversations

Remote Worldwide
View role