Medicaid Business Intelligence Lead Job Salt Lake City Utah USA,IT/Tech

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The Business Intelligence Lead serves as the primary analytics and enrollment operations expert supporting Medicaid Enrollment. This role is responsible for leading state implementation readiness efforts, regulatory and contractual reporting support, enrollment analytics, compliance monitoring, and analytics modernization across Medicaid markets.

The Business Intelligence Lead solves complex business problems and operational challenges using internal and external data sources to provide actionable insights and strategic direction to business leaders. This role serves as the primary analytics lead supporting Medicaid Enrollment Operations initiatives, with responsibility for state implementation readiness, enrollment analytics, compliance monitoring, and scalable solution architecture.

This associate functions as a strategic individual contributor and internal consultant, partnering with business leaders, operational teams, compliance organizations, and technology partners to design and implement analytics solutions. The Business Intelligence Lead exercises independent judgment and decision-making authority on complex issues affecting state compliance, enrollment operations, contractual reporting obligations, membership reporting, reconciliation processes, and operational performance.

The role leverages modern analytics platforms including Databricks, Power BI, SQL, and cloud-based data environments to create reusable and scalable solutions supporting current and future Medicaid market expansions. This associate is expected to influence strategy, identify opportunities for operational efficiencies, establish reporting standards, and drive modernization efforts that reduce implementation effort while improving compliance, operational visibility, and business outcomes.

Use your skills to make an impact
Required Qualifications

Bachelor's degree in Business, Information Systems, Data Analytics, Healthcare Administration, Computer Science, or related field
5+ years of healthcare analytics experience supporting complex operational processes
5+ years of experience working with large healthcare datasets, data warehouses, and analytic platforms
5+ years of advanced SQL development experience
5+ years of experience designing and delivering Power BI dashboards and reporting solutions
Demonstrated experience supporting Medicaid business
Demonstrated expertise with 834 enrollment transactions, membership reporting, and related operational controls
Experience with Databricks, cloud-based analytics platforms, and modern data architecture practices
Ability to independently lead cross-functional initiatives
Strong verbal and written communication skills with demonstrated ability to communicate to executive leadership
Experience driving process improvement and operational efficiency initiatives through data and analytics
Ability to function as an internal consultant and trusted advisor to business partners
Passion for improving member experiences through data-driven decision making

Preferred Qualifications

Medicaid managed care experience
Experience supporting state implementations, market expansions, or operational readiness initiatives
Experience supporting state reporting, contractual requirements, compliance monitoring, and audit activities
Advanced Databricks development experience
Experience building reusable data products and scalable reporting architectures
Experience with enrollment systems, eligibility processing, membership reconciliation, and operational workflow optimization
Expertise in healthcare operational reporting, automation, and process modernization
Lean, Six Sigma, Agile, or process improvement experience
Master's degree in Analytics, Information Systems, Public…