Job ID: VA-813718
Hybrid/Local Medicaid Data Quality Analyst (15+) with CMS/Medicare/HR1/eligibility/enrollment, SQL/DW, JAD, Tableau/Power BI/Looker, Data Extraction/Reporting/Visualization/Governance, ETL, Teradata/BTEQ/SQL Assistant experience
Location: Richmond, VA (DMAS)
Duration: 8 Months
PLS NOTE: If selected, some ON SITE work is required. Right now, they anticipate 1 /day week ON SITE required once the candidate starts. Then the weekly expectation / regular team schedule can be discussed later. MUST be able to pick up equipment IN PERSON. **Parking is NOT provided for contractors
Skills:
Experience with Medicaid or Medicare or other health systems Required 5 Years
Exp working with end users/customers to understand and develop requirements for technical solutions to meet business needs Required 5 Years
Exp w/analyzing project requirements and developing detailed technical specifications Required 5 Years
Exp with technical developers to strategize solutions to align with business requirements Required 5 Years
Recent SQL writing experience Required 5 Years
Exp w/facilitating customer requirements gathering meetings/sessions/JAD Sessions Required 5 Years
working knowledge of relational databases/database structures Required 5 Years
Requirements Traceability Required 5 Years
BI reporting tools Required 5 Years
developing test data and test scenarios Required 5 Years
Bachelor s degree or equivalent work experience Required
Description:
ABOUT THE ROLE
This role will review the Design documents, proactively identify requirement gaps and issues, map data between interface systems, assist lead analyst in project collaboration, documentation and coordination, review and contribute to the test plans, work with stakeholders to Build Test Scenarios, provide demonstrations to Internal teams and Project Stakeholders, work closely with Business, QAs, Dev team on project related pre and post go live issues, develop workflows, provide solutions, track issues end to end, ensure timely resolutions and accurate delegation of ownership.
Key Responsibilities
Data Testing & Validation: Design, execute, and document comprehensive test cases and validation scripts to ensure data accuracy, integrity, and consistency across data pipelines, ETL processes, and reports.
Data Extraction & Reporting: Write, optimize, and execute complex SQL queries against our data warehouse (in Teradata) to pull scheduled and ad-hoc operational and analytical reports.
Vendor Collaboration: Act as the primary technical point of contact for our data warehouse vendor, escalating performance bottlenecks, troubleshooting data loading issues, and tracking resolutions.
Reporting & Visualization: Translate business requirements into intuitive, actionable data visualizations and dashboards using tools such as Tableau, Power BI, or Looker
Data Governance & Documentation: Maintain documentation of data definitions, reporting logic, testing procedures, and data warehouse schemas to ensure organization-wide transparency.
Preferred Experience: Working knowledge of state and federal Medicaid policy and regulatory reporting requirements preferred.
Qualifications & Requirements
Domain Knowledge: 5+ years of experience with Medicaid or Medicare. Prior experience working on federal or state legislative policy implementations (e.g., CMS rules, HR1 provisions, Medicaid expansion/unwinding efforts).
Technical Experience: 3+ years of experience as a Data Analyst, Data Quality Analyst, or similar role with a heavy focus on data testing and SQL development.
Technical Expertise: Advanced SQL skills specifically within Teradata environments (including performance tuning, BTEQ, and Teradata SQL Assistant).
Testing & QA: Demonstrated experience writing test plans, performing data validation, and identifying data anomalies or discrepancies.
Collaboration: Experience working closely with third-party vendors, IT infrastructure teams, or database administrators to manage system updates and resolve issues.
Education: Bachelor s degree in Computer Science, Statistics, Data Analytics, Mathematics, or a related field.
Additional skills/experience should include:
Excellent interpersonal, verbal and written communications skills, with a demonstrated ability to prepare and present reports on complex concepts and findings to all levels of the organization.
Strong quantitative analysis skills, including working knowledge of SAS, SQL, data mining software, statistical validation techniques, predictive modeling construction and data visualization.
Proficiency in Microsoft Office Suite, including Access, Excel, Power Point and Word.
Demonstrated ability to plan, organize, implement, and monitor large scale/time sensitive projects; and to work collaboratively across teams.
Must be well organized, with the ability to prioritize work and possess a great attention to detail and accuracy and an ability to complete multiple complex assignments within short time frames and with minimal direction.
Experience working with Medicaid eligibility and enrollment data, health plans operations and data (encounters, claims, clinical quality, etc.) strongly preferred.
Working knowledge of state and federal Medicaid policy and regulatory reporting requirements preferred.
