LTSS & Dual Eligible Program Report Developer IV

CareSource; Dayton (OH); Hybrid; USD 94,100 - 164,800; Full time

Benefits offered by this job

Bonus tied to performance

Job summary

CareSource is seeking a Senior LTSS & Dual Eligible Report Engineer IV to lead data analytics and dashboard development for LTSS programs. You will build, manage, and analyze complex data sets and deliver actionable insights to improve patient outcomes and operational efficiency.

The role collaborates across clinical, operational, and IT teams to translate requirements into scalable data solutions, ETL processes, and interactive dashboards using Power BI and Tableau.

Qualifications

• Bachelor's degree required; five years ETL/BI experience required.
• Experience translating business requirements and extensive data analysis in healthcare LTSS/Dual Eligible reporting preferred.
• Familiarity with LTSS/DSNP data/report regulations preferred.

Responsibilities

• Generate complex reports and dashboards to track KPIs and metrics affecting patient care and operations.
• Utilize statistical methods and ML techniques to forecast outcomes and insights.
• Design and develop dashboards using Tableau and Power BI for stakeholders at all levels.
• Maintain data accuracy and timeliness through governance and data integration efforts.
• Develop ETL solutions for automated data refreshes and report delivery.
• Create scalable LTSS reporting solutions and efficient database architectures.

Skills

Data modeling

BI tools

SQL

SSIS

Power BI

Excel

Data visualization

Root cause analysis

Communication

Project management

Education

Bachelor's degree in Computer Science, MIS, or related field

Tools

Tableau

SSIS

SSRS

Databricks

Python

Power BI

Job description

Job Summary

The LTSS & Dual Eligible Report Engineer IV will play a crucial role in utilizing data analytics to drive informed decision-making and optimize business processes within the healthcare environment. This senior‑level position is responsible for developing, managing, and analyzing complex data sets, creating actionable insights, and building interactive dashboards to monitor key performance indicators (KPIs). This role requires the ability to work cross‑functionally, collaborating with clinical, operational, and IT teams to support the healthcare organization’s goals of improving patient outcomes and operational efficiency in the LTSS & Dual Eligible space.

Essential Functions

• Generate complex reports and dashboards to track KPIs and metrics related to LTSS & Dual Program reporting impacting patient care, operational efficiency, and financial performance.
• Utilize statistical methods and machine learning techniques to identify trends, forecast future outcomes, and drive actionable insights.
• Design and develop dynamic, user‑friendly dashboards using business intelligence tools such as Tableau and Power BI for stakeholders at various levels of the organization.
• Continuously enhance and update dashboards to ensure data relevance, accuracy, and timeliness.
• Analyze and evaluate current operations processes to identify opportunities for optimization, cost reduction, case‑manager effectiveness, and improved patient experience.
• Recommend strategies for improving operational efficiency and implementing changes to workflows in alignment with business objectives.
• Ensure high levels of data accuracy, integrity, consistency, and completeness through effective data governance practices.
• Work closely with data engineering teams to ensure data is sourced and integrated from multiple systems with high reliability.
• Develop LTSS & Dual Program reporting solutions that are scalable and include efficient database solutions for supporting reporting functionality.
• Collaborate with cross‑functional teams to better understand data needs.
• Create ETL solutions for automated, scheduled data refreshes and regular report delivery.
• Develop and deploy Power BI dashboards which provide leadership with actionable insights that drive critical business decisions.
• Transform data sets and quantitative and qualitative analysis into usable and effective data for department leaders to make informed business decisions.
• Build complex analytic tools that utilize the data pipeline to provide actionable insights and other key business performance metrics, historical trends or benchmarks.
• Identify, design, and implement internal process improvements, automating manual processes, optimizing data delivery.
• Perform complex analysis on data to provide insight and address critical business questions.
• Transform data analysis and present findings in a consumable, appealing, and impactful executive‑level format.
• Create cohesive, cross‑functional strategic plans for developing complex data solutions.
• Gather and analyze data, define and document business requirements, recommend technology requirements, review functional specs, and test relevant systems.
• Develop, document, and perform testing and validation as needed.
• Conduct examination, testing activities, and explanation of complex data relationships to answer questions identified by the business/department.
• Create, implement, and enforce coding standards for the team.
• Lead and participate in complex, large‑effort data transformation and visualization projects requiring cross‑functional coordination and collaboration across teams.
• Performs any other job‑related duties as requested.

Education and Experience

Bachelor's degree in Computer Science, MIS, or a related field is required. Five (5) years of experience working with ETL, BI, and database solutions is required. Experience translating business requirements, extensive data analysis, and relevant healthcare or LTSS and/or Dual Eligible reporting experience are preferred. Familiarity with LTSS/DSNP data/report regulations is preferred.

Competencies, Knowledge and Skills

• Advanced proficiency in data modeling, business intelligence tools, and process optimization strategies.
• Advanced proficiency with SQL, SSIS, and Power BI.
• Expert analytical skills in solving multi‑dimensional problems and ability to create reports, dashboards, and presentations.
• Expert proficiency using Microsoft Excel.
• Demonstrated graphic development and strong presentation skills.
• High level of skill in building analytic tools that utilize the data pipeline.
• Advanced proficiency performing root cause analysis.
• Critical listening and thinking skills.
• Demonstrated ability to create cohesive, strategic plans for developing complex solutions.
• Strong problem‑solving and analytical skills.
• Ability to manage multiple priorities, meet deadlines, and produce quality results in a fast‑paced environment.
• Knowledge of statistical techniques and concepts, AI or ML is preferred.
• Ability to work independently and in a team environment.
• Proven ability to influence key decision‑making across diverse functional areas.
• Excellent written and verbal communication skills.
• Experience with DevOps and CI/CD is preferred.

Licensure and Certification

Relevant certification in one or more of the following or related: Tableau, SQL, SSIS, SSRS, Databricks, Data Engineering, Power BI, Python is preferred.

Working Conditions

General office environment; may be required to sit or stand for extended periods of time. Travel is not typically required.

Compensation Range

$94,100.00 - $164,800.00. In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Equal Opportunity Employment

CareSource is an Equal Opportunity Employer.