Role Summary
Senior analysis role focused on source-to-target mapping, Medicaid/T-MSIS business rules, data profiling, and translating regulatory requirements into clear implementation specifications.
Duration: 3+ Months Intially
Roles & Responsibilities
- Create and maintain detailed source-to-target mappings for complex healthcare data transformations.
- Analyze source-system structures and identify the correct source fields for regulatory reporting requirements.
- Document transformation rules, filters, exclusions, defaults, derivations, crosswalks, and valid-value logic.
- Perform data profiling and gap analysis to identify missing, inconsistent, or undocumented mapping logic.
- Analyze legacy ETL logic, SQL, or existing processing documentation when requirements are incomplete.
- Maintain mapping traceability across source fields, business rules, target elements, and validation requirements.
- Work with business SMEs, data architects, engineers, and QA to clarify requirements and resolve mapping gaps.
- Support defect analysis and reconciliation by tracing data differences back to source or mapping logic.
- Prepare clear mapping and rule documentation for technical implementation and validation.
Required Skills & Experience
- 6+ years of business data analysis, data mapping, or data-integration experience.
- Strong experience creating and managing complex source-to-target mapping documents.
- Strong SQL and source-data profiling skills.
- Experience documenting derivations, crosswalks, filters, exclusions, defaults, reference data, and transformation logic.
- Ability to understand relational data models, ETL flows, and batch-processing logic.
- Experience analyzing existing SQL, ETL jobs, or legacy code when documentation is incomplete.
- Strong requirements-analysis, gap-analysis, traceability, and documentation skills.
- Excellent communication and facilitation skills for working with business SMEs and technical teams.
- Familiarity with Databricks / lakehouse concepts is preferred.
Domain Knowledge
- Strong Medicaid / MMIS domain experience is preferred.
- T-MSIS experience is highly desirable.
- Knowledge of claims, encounters, eligibility, provider, managed care, TPL, pharmacy, and financial transaction data.
- Experience interpreting CMS specifications, T-MSIS data elements, crosswalks, valid values, and state-specific rules.
- Healthcare payer / regulatory reporting experience.