Reporting Specialist

Essential Duties and Responsibilities:

- Act as lead technical representative and spokesperson supporting pre-marketing and proposal activities.

- Frequently responsible for providing guidance, coaching, and training to other employees across the organization within area of expertise.

- Drive the decision making for technical decisions in conjunction with systems technical staff.

- Document technical strategies to facilitate operational business needs.

- Assess systems requirements and design against best practices, technology advances, industry standards, and business needs.

- Provide direction on implementing feasible, cost-effective solutions to the overall system architecture and design to meet these needs.

- Review systems functionality, performance, and reliability to determine fit with business needs.

- Identify gaps and propose strategic technical solutions to implement solutions.

- Review federal, state, and company policies to determine applicability to systems functionality, design, and operation.

- Develop strategies to fulfill requirements and assess effectiveness of implementation.

- Design, develop, and maintain operational, analytical, and regulatory reports using SSRS, Bold BI, and other BI/reporting tools

- Create parameterized, drill-down, and user-friendly reports for diverse audiences

- Ensure reports are accurate, timely, and aligned with Medicaid business and reporting needs

- Maintain report catalogs, documentation, and version control

- Develop reports supporting Medicaid operations, such as claims, encounters, eligibility, provider, care management, and utilization

- Support regulatory and compliance reporting requirements, including CMS and state Medicaid submissions

- Partner with business and compliance teams to interpret reporting specifications and translate them into report logic

- Validate data outputs and reconcile results against source systems and expectations

- Write and optimize SQL queries and stored procedures to support reporting needs

- Collaborate with data engineers, analysts, and business stakeholders to clarify requirements

- Participate in testing, peer reviews, and quality assurance of reporting outputs

- Provide end-user support, enhancements, and minor modifications to existing reports

Minimum Requirements

- Bachelor's degree in relevant field of study and 10+ years of relevant professional experience required.

Required Qualifications

- Bachelor's degree

- 5+ years of experience developing reports in a healthcare environment

- Strong hands-on experience with SSRS and at least one modern BI tool (e.g., Bold BI, Power BI, Tableau)

- Advanced SQL skills (queries, joins, aggregations, performance tuning)

- Experience reporting on Medicaid data domains (claims, encounters, eligibility, provider, or quality data)

- Strong attention to detail and commitment to data accuracy

- Ability to communicate technical concepts clearly to non-technical users

Preferred Qualificati...