Description
At CSpring, we believe in the power of people and data to drive real-world impact. We’re a purpose-driven consulting firm that helps organizations solve complex problems, gain insights, and achieve measurable results. Our clients span the public and private sectors, and our work — from data strategy and engineering to workforce transformation — improves lives across Indiana and beyond. We’re seeking talented professionals who are collaborative, curious, and committed to making a difference.
What You\'ll Do
- Engage with business and technical stakeholders to gather, analyze, document, define, and standardize business/data requirements (2%).
- Perform or lead Gap Analysis between as-is and to-be systems to identify shortcomings (5%).
- Develop and maintain documentation including requirement specifications, RTMs, acceptance criteria, process flows, and data mapping documents, using SharePoint and Confluence for version control and collaboration (2%).
- Design, develop, and optimize complex data models and validation frameworks using SQL and Teradata (5%).
- Perform/conduct comprehensive root cause analysis for data quality issues and develop/implement solutions or automated preventive controls (5%).
- Represent the State/organization in interactions with the CMS federal team (alongside manager or as lead SME), addressing queries and serving as subject matter expert on CMS reporting standards (5%).
- Oversee or ensure timely, accurate, error-free, and compliant submission of monthly extracts and quarterly CMS reports (claims, provider, eligibility, CMS-64.9 forms) (5%).
- Lead enterprise level analytical initiatives supporting CMS reporting systems and Indiana healthcare programs (5%).
- Conduct advanced data analysis, modeling, and automation using Excel (Power Query, Power Pivot, VBA macros, complex formulas, dynamic arrays, and scenario modeling) (10%).
- Develop and maintain interactive dashboards and visualizations using Tableau and Power BI to identify trends, anomalies, compliance risks, and key performance metrics for executive and federal reporting (7%).
- Define and implement enterprise data quality governance frameworks, KPIs, automated validation rules, and monitoring systems (5%).
- Lead and coordinate complex testing/QA/UAT activities by establishing strategies, overseeing execution, and reviewing test cases prepared by junior analysts (5%).
- Provide mentorship and technical leadership to junior analysts on advanced SQL, Informatica ETL, Power BI/Tableau development, and CMS processes (10%).
- Recommend and drive implementation of process enhancements, tool upgrades, and automation initiatives for efficiency and compliance (10%).
- Manage and analyze Treatment Episode Data Set (TEDS) Admission and Discharge data submissions for the Division of Mental Health and Addiction (DMHA) (4%).
- Collaborate with the CMS State Support Team to analyze, document, and implement TMSIS (Transformed Medicaid Statistical Information System) updates and changes required by CMS (4%).
- Research, interpret, and ensure application of HHS/CMS rules and regulations to maintain ongoing compliance with Indiana Medicaid/Medicare systems (7%).
- Coordinate with the State Board of Accounts (SBOA) to design and deliver customized annual data extracts for audits and financial reporting, using automated workflows and secure transmission processes (4%).
- Remote work requests will be considered consistent with company’s remote work policy.
- Domestic travel required less than 2% of the time.
Requirements
This position requires a:
- Bachelor’s degree in Computer Science, Information Systems, Systems Engineering, or a related field, or foreign equivalent
- 7 years of relevant experience in data analysis, systems analysis, quality assurance, and CMS data reporting and compliance in the Business Systems Analyst or relevant position
This position also requires:
- 7 years of experience with handling multiple projects/workstreams simultaneously
- 7 years of experience defining and executing test strategies, UAT, and QA methodologies
- 7 years of experience with Agile and Waterfall software development methodologies
- 7 years of experience using JIRA, Zephyr, and comparable tools for project tracking and test management
- 7 years of experience in SQL and Teradata for data extraction, modeling, and validation
- 7 years of experience developing data dashboards and analytical reports using Tableau and comparable BI tools
- 5 years of experience utilizing data quality frameworks and data governance best practices
- 5 years of experience with Medicaid including CMS reporting compliance experience.
- Will accept any suitable combination of education, training, and experience.
At CSpring, we unlock the potential of people and data. If you’re ready to lead meaningful work, collaborate with passionate teams, and grow your career in a people-first consulting environment — apply today!
