• Medicaid Data Warehouse And Encounter Claim…

    TEKsystems (Lincoln, NE)


    We are seeking a highly experienced Transition Lead to oversee the successful transition of a Medicaid data warehouse and encounter claim processing solution from vendor management to a state-run model. This is a high-impact leadership role ideal for a seasoned professional with deep expertise in Medicaid data operations, system transitions, and healthcare data governance.

    Transition Management

    + Lead the transition of the Medicaid data warehouse and encounter claim processing to a state-managed model.

    + Develop transition deliverables including operational documentation, data migration plans, and system integration strategies.

    + Execute transition plans with a focus on risk mitigation, knowledge transfer, and readiness tracking.

    Operations Management

    + Oversee daily operations of the Medicaid Data Warehouse, ensuring optimal performance and reliability.

    + Monitor ETL processes, data pipelines, and system health.

    + Define and enforce procedures for data ingestion, validation, transformation, and reporting.

    Team Leadership & Collaboration

    + Lead a cross-functional team of analysts, engineers, and support staff.

    + Act as the primary liaison between IT, business stakeholders, and Medicaid agencies.

    + Provide regular updates on operational metrics and transition progress.

    Issue Resolution & Support

    + Direct troubleshooting and root cause analysis for operational issues.

    + Maintain SLAs for issue resolution and guide teams on resolving data anomalies and claim discrepancies.

    Compliance & Security

    + Ensure compliance with CMS regulations, HIPAA, and state data governance policies.

    + Implement and oversee data security protocols and audit processes.

    Required Qualifications

    + 7+ years of experience in Medicaid data warehouse operations, transitions, or healthcare data management.

    + Proven experience with large-scale system transitions or migrations in government or healthcare settings.

    + Strong leadership and project management skills.

    + Deep understanding of Medicaid data structures, encounter processing, and federal reporting.

    + Foundational knowledge of ETL, SQL, and cloud-based data warehouses (e.g., AWS, Azure, Snowflake).

    + Experience with MMIS and working with state Medicaid agencies.

    + Strong technical writing skills for operational documentation and transition planning.

    + Familiarity with HIPAA and data security best practices.

    Preferred Qualifications

    + Experience with Medicaid Enterprise Systems (MES) modernization.

    + Prior collaboration with CMS on Medicaid data initiatives.

    Pay and Benefits

    The pay range for this position is $90.00 - $90.00/hr.

     

    Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

     

    • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

     

    Workplace Type

     

    This is a fully remote position.

     

    Application Deadline

     

    This position is anticipated to close on Jun 16, 2025.

    About TEKsystems and TEKsystems Global Services

    We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

     

    The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.