Design, develop, and maintain Databricks ETL/ELT pipelines to process Medicaid claims, eligibility, encounters, provider files, and supplemental datasets
Ingest data from MMIS systems, state data warehouses, managed care organizations, and other Medicaid program data sources
Implement transformation, validation, and enrichment logic aligned to Medicaid data quality standards
Optimize Spark jobs for performance and cost efficiency across large Medicaid datasets
Build and maintain Data Lake models for auditability, lineage, and compliance
Develop Power BI semantic models, dashboards, and reports that support Medicaid operations
Collaborate with Medicaid program staff, policy teams, actuaries, and data governance groups
Requirements
6 or more years of experience programming or testing experience
Experience supporting state Medicaid agencies, MMIS modernization, or Medicaid managed care analytics
Familiarity with T‑MSIS, CMS reporting requirements, and state‑specific Medicaid data standards
Knowledge of Medicaid claims adjudication, eligibility determination processes, provider enrollment, and encounter submission workflows
Experience with Medicaid quality, compliance, or program integrity reporting