The Business Analyst will play a critical role in supporting the Illinois Enterprise Data Warehouse (EDW) for the State of Illinois Medicaid program. This position requires a deep understanding of Medicaid systems, including claims processing, eligibility, and third-party liability, as well as expertise in analyzing complex healthcare data. The Business Analyst will work closely with stakeholders, technical teams, and business units to ensure the successful implementation and operation of the EDW. Responsibilities include providing data-driven insights, anticipating Medicaid agency needs, and developing innovative solutions to improve decision-making.
**This is a remote position with occasional travel (<25%) to Springfield, IL, for onsite meetings and collaboration.**
Duties:
- Provide guidance for Medicaid data warehouse implementation and operations.
- Offer Medicaid/CHIP expertise on claims processing, eligibility, and third-party liability.
- Anticipate state data needs and develop solutions to meet them.
- Collaborate with teams to analyze and utilize healthcare data effectively.
- Develop tools like dashboards, data visualizations, and reports.
- Support stakeholders with activity and value analytics.
Requirements
- 10+ years of healthcare data analysis experience.
- 4+ years working with/for State Medicaid agencies.
- 2+ years in CMS Federal Reporting, quality measures, claims processing, Medicaid eligibility, or provider enrollment.
- Strong understanding of claims adjudication and managed care processes.
- Excellent communication, teamwork, and mentoring skills.
- Ability to travel up to 25% to Springfield, IL.
Preferred Qualifications:
- Proficiency in SQL and data analysis tools (e.g., Teradata).
- Experience with JIRA, Rally, or DevOps.
- Prior involvement in large-scale implementation projects.
Physical Requirements & Environmental Conditions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this position, the employee is regularly required to sit and use hands to handle, or feel objects, a keyboard and other office equipment. The employee frequently is required to sit in meetings for long periods of time. The employee will utilize technology tools such as a laptop computer for extended periods of time. The employee must be able to reach with hands and arms and talk or hear. Specific vision abilities required by this position include close vision, color vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.
Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.