Logo
CSpring

Medicaid Data Specialist

CSpring, Springfield, Illinois, United States

Save Job

Job Description

Job Description Description: At CSpring, we believe that data—when thoughtfully managed—has the power to shape policy, improve lives, and elevate public service. We’re looking for a seasoned

Medicaid Data Specialist

to lead one of the most critical and complex efforts in healthcare: supporting the State of Illinois in implementing and sustaining its Enterprise Data Warehouse (EDW) for Medicaid.

You’ll serve as the expert voice in aligning data strategy, state Medicaid goals, and warehouse operations. If you’re a trusted advisor with a passion for public health data, process improvement, and cross-functional problem solving, this role offers the scope, mission, and impact you’re looking for.

Why You’ll Love Working Here

Purpose-Driven Impact

– Shape the tools and data that influence healthcare outcomes for millions of Illinois residents. People-First Culture

– At CSpring, we invest in your whole self—your growth, wellbeing, and purpose—not just your resume. Strategic Influence

– You’ll provide trusted guidance to both business and technical teams on complex Medicaid systems and data flows. Collaborative Leadership

– Work closely with state agencies, vendors, and stakeholders to deliver clarity, quality, and real-world results. What You’ll Do

Serve as a

data and subject matter expert

for the Illinois EDW supporting the state’s Medicaid and CHIP programs. Translate Medicaid policies and data requirements into actionable strategies for implementation and optimization. Lead internal and external stakeholders in understanding and enhancing systems related to claims, eligibility, providers, and third-party liability. Proactively assess gaps and recommend improvements rooted in Medicaid best practices, CMS compliance, and system knowledge. Partner with technical and business teams to ensure appropriate data usage, model development, and warehouse alignment. Deliver insights and tools—interfaces, dashboards, visualizations—that drive decision-making and communicate value to stakeholders. Support operational excellence by guiding defect resolution, process change, and system evolution across teams. Mentor colleagues on Medicaid data topics, contribute to business case development, and present to leadership and agency clients. Requirements:

More than ten (10) years of experience in information technology with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems. Understanding of claims,

recipient/eligibility,

and

provider/enrollment

data processes. Able to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets. Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered. Excellent verbal/written communication and presentation skills including training,

manager/executive/director -level client facing, team collaboration, and mentoring skills. Ability to travel to Springfield, IL two (3) to three (4) times per year. Preferred Qualifications Master's Degree More than 2 years of experience in training on business functionality, BI Business Object reporting, and SQL. More than 2 years of experience working with PERM, T-MSIS, CMS Federal Reporting or similar projects More than 2 years of experience in Adult/Child Core measures, HEDIS, CHIPRA or similar quality metrics Experience with data analysis using Teradata Database Management System or other equivalent database management system. Previous experience in large implementation projects. Located within driving distance (3 - 5 Hours) of Springfield, IL. Join CSpring and Make a Difference

At CSpring, we unlock the power of people and data to serve communities. This role offers an opportunity to be a part of a high-stakes public health data transformation. If you’re ready to lead with knowledge, partner with purpose, and grow with a company that puts relationships first— apply today.