Senior Medicaid Data Analyst — Health Analytics

DataAnalystJobs; United States; Remote; USD 100,000 - 150,000; Full time

Job summary

CSpring is seeking a senior Business Analyst to own Medicaid reporting deliverables, translate policy guidance into business rules, and collaborate with State users and technical teams. You will analyze workflows, write clear BRs, and mentor junior analysts.

Ideal candidates bring 8+ years of BA experience in healthcare, strong SQL skills, and solid facilitation abilities to drive UAT and testing in a fast-paced environment.

Qualifications

• 8+ years of business analysis experience, including requirements gathering, documentation, stakeholder facilitation, and UAT.
• 5+ years of experience with healthcare data such as claims, encounters, eligibility/enrollment, provider, or financial data.
• 3+ years of experience with Medicaid or public-sector healthcare programs.
• 3+ years of experience writing SQL to analyze and validate data in a relational database or data warehouse.
• Experience facilitating meetings and documenting outcomes.

Responsibilities

• Gather, document, and manage business requirements for EDW reports, extracts, and enhancements, including CMS reporting support.
• Analyze current business processes and document requirements for new or changed processes.
• Translate policy and reporting guidance into business rules with direction from the Medicaid SME.
• Write clear requirements artifacts: BRs, business rules, use cases, user stories, acceptance criteria, data mappings, and process flows.
• Maintain requirements traceability from request through design, testing, and delivery.
• Schedule and facilitate working sessions with State users, Optum teams, and partners; capture minutes and decisions.
• Track questions, dependencies, and risks; elevate issues to SME and project lead.
• Write SQL to profile Medicaid data to answer business questions and confirm requirements.
• Document data anomalies and coordinate with ETL/BI/QA teams to resolve them.
• Share use cases with data and QA for profiling and alignment with CMS guidelines.
• Support testing and UAT, including test scenarios, defects, and follow-ups.
• Prepare presentations and status updates for SME, leadership, and customer.
• Maintain business docs in SharePoint and Azure DevOps; support end-user training.
• Mentor junior analysts and provide day-to-day guidance on reporting processes.
• Review project artifacts and help manage intake and change requests.

Skills

SQL

Data analysis

Stakeholder facilitation

Healthcare data

Requirements documentation

Mentoring

Education

Bachelor’s degree in business, information systems, public health, or related field

Tools

SQL Server

Azure DevOps

SharePoint

MS Office (Word/Excel/PowerPoint)

Job description

CSpring is seeking a senior Business Analyst to own Medicaid reporting deliverables, translate policy guidance into business rules, and collaborate with State users and technical teams. You will analyze workflows, write clear BRs, and mentor junior analysts.

Ideal candidates bring 8+ years of BA experience in healthcare, strong SQL skills, and solid facilitation abilities to drive UAT and testing in a fast-paced environment.