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.
  • reputed company 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 unlock the potential of people and data. If you’re reputed company to reputed company meaningful work, collaborate with passionate teams, and grow your career in a people-first consulting environment — app Apply tot his job 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

Remote Customer Service Representative – Member Services & Provider Support for reputed company Programs (Remote – Charleston, WV) – arenaflex

Remote Worldwide
View role

Catastrophe Property Claims Examiner II

Remote Worldwide
View role

Claims Consultant - Indemnity Specialty (Asbestos)

Remote Worldwide
View role

Claims Processor - Remote/Hybrid Working Arrangements

Remote Worldwide
View role

Auto Insurance Claims Adjuster - Work from Home!

Remote Worldwide
View role

reputed company Insurance Claims Adjuster - Remote

Remote Worldwide
View role

Litigation Insurance Adjuster (Remote)

Remote Worldwide
View role

Title Insurance Claims Counsel (Remote)

Remote Worldwide
View role

Insurance Claims Specialist HB

Remote Worldwide
View role

reputed company Pending Billing Specialist - Remote

Remote Worldwide
View role

reputed company Part-Time Remote Chat Moderator – Online Community Management and Customer Support Specialist

Remote Worldwide
View role

Part Time - Head Cashier - Flexible Munhall, PA (Homestead) 0780

Remote Worldwide
View role

Virtual Customer Support Specialist – Join the blithequark Team Today!

Remote Worldwide
View role

reputed company Customer Service Representative – Delivering Exceptional Experiences at arenaflex

Remote Worldwide
View role

Immediate Hiring: AI Sales Specialist III, reputed company Life

Remote Worldwide
View role

reputed company Remote Customer Service Representative – Deliver Exceptional Experiences for arenaflex Clients

Remote Worldwide
View role

Editorial Coordinator

Remote Worldwide
View role

Assistant Librarian

Remote Worldwide
View role

Manager - Data Governance (REMOTE, AL, US)

Remote Worldwide
View role

reputed company Remote Data Entry and Live Chat Specialist for a Dynamic Work-from-Home Experience with arenaflex, Offering $25-$35/Hour

Remote Worldwide
View role