CMS/MMIS Reporting Analyst:

The Reporting Analyst ensures MES projects meet Medicaid and CMS reporting and certification criteria. This key role submits ORWs to CMS monthly.

The Reporting Analyst leads the development of operational reporting to support Medicaid Enterprise System (MES) projects. This role collaborates with business leads, project teams, functional/matrix managers, vendors, and other key stakeholders to ensure that Medicaid and CMS criteria are met. The role supports project tasks to ensure they are delivered on schedule, within budget, and aligned with MMIS/CMS Certification expectations and Program Management guidelines. The Reporting Analyst plays a key role in aligning MITA outcomes with CMS Certification outcomes. This position works collaboratively with internal and external stakeholders, technical teams, vendors, contract and budget offices, and other MES partners to support the overall MES Program.

Responsibilities:

Research federal, state, and CMS regulations.
Gather data from various sources, clean and transform it for analysis, and ensure data accuracy and quality.
Apply statistical methods, techniques, and tools to analyze data, identify patterns, trends and relationships, and draw conclusions.
Administer and maintain operational reporting and outcome statements databases.
Create clear and compelling visualizations (charts, graphs, dashboards) to present data findings and insights in an easily understandable format.
Draft MES outcome statements and metrics for the program and project teams.
Identify problems, develop solutions, and implement data-driven strategies to improve business processes and outcomes.
Maintain Operational Report Workbook (ORW) schedules for MES.
Collaborate with the Business Leads and Project Teams to create and update state- specific outcome statements.
Contribute to Advanced Planning Documents (APDs).
Attend and facilitate meetings to present findings.
Support designated project leads and Subject Matter Experts (SMEs) with certification questions.
Participate in CMS certification presentations and reviews.

SkillRequired / DesiredAmount of ExperienceTotal YearsLast used

MMIS / CMS certification experience.

Required3 Years

CMS Medicaid Enterprise Systems or federal regulations.

Required3 Years

Expert experience executing against multiple priorities/projects.

Required5 Years

Proficient use of project collaboration and tracking tools (Microsoft Project Suite, MS Teams, Zoom, etc.)

Required5 Years

Experience with spreadsheet tools like Microsoft Excel or Google Sheets

Required5 Years

Expert level communication skills, both verbal and written.

Required5 Years

Using data to improve organizations.

Required5 Years

Demonstrated stakeholder engagement and collaboration experience.

Required5 Years

Data visualization software experience

Required5 Years

Medicaid, MMIS, claims process or related experience.

Highly desired3 Years

Demonstrated experience using project tracking tools (e.g., Microsoft Project, Jira, Smartsheet).

Required5 Years

Ability to create and deliver PowerPoint presentations, and standard operating procedures (SOPs).

Required5 Years

State government sector experience with health and human services programs (such as Medicaid, MMIS, claims processing, eligibility, HHS analytics)

Required5 Years

CMS/MMIS Reporting Analyst

Key skills

About this role