Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is seeking a Senior Power BI & Databricks ETL Engineer to support state Medicaid programs, regulatory reporting, and operational performance monitoring. The role designs and maintains Databricks data pipelines, Medicaid data lake models, and Power BI analytics solutions while ensuring data quality, governance, security, and compliance.
Responsibilities
- Design, develop, and maintain Databricks ETL/ELT pipelines to process Medicaid claims, eligibility, encounters, provider files, and supplemental datasets
- Ingest data from MMIS systems, state data warehouses, managed care organizations, and other Medicaid program data sources
- Implement transformation, validation, and enrichment logic aligned to Medicaid data quality standards, including handling of T‑MSIS, HIPAA‑compliant formats, and state‑specific coding rules
- Optimize Spark jobs for performance and cost efficiency across large Medicaid datasets
- Build and maintain Data Lake models that support auditability, lineage, and compliance with state and federal Medicaid reporting requirements
- Develop Power BI semantic models, dashboards, and reports that support Medicaid operations, including claims utilization, eligibility trends, provider network analytics, and program integrity monitoring
- Implement advanced DAX measures and KPIs tailored to Medicaid program metrics (e.g., enrollment churn, claims lag, encounter completeness)
- Apply dimensional modeling concepts to Medicaid analytics use cases such as service utilization, cost of care, and population segmentation
- Collaborate with Medicaid program staff, policy teams, actuaries, and data governance groups to translate program requirements into technical solutions
- Maintain detailed documentation including data mappings, transformation logic, and Medicaid‑specific business rules
- Support multi‑environment deployment activities across DEV / STG / UAT / PRD
- Implement data governance and security controls, including PHI/PII protections and role‑based access in Power BI
- Support CI/CD pipelines for Medicaid data and BI artifacts
- Monitor data pipelines and proactively resolve data quality issues related to claims completeness, eligibility accuracy, and provider file integrity
- Leverage experience with PBM/PBA data where relevant to Medicaid pharmacy programs
Skills
- * 6 or more years of experience programming or testing experience working with relevant programming languages, relational databases, operating systems and software
- * Experience supporting **state Medicaid agencies, MMIS modernization, or Medicaid managed care analytics**
- * Familiarity with T‑MSIS, CMS reporting requirements, and state‑specific Medicaid data standards
- * Knowledge of Medicaid claims adjudication, eligibility determination processes, provider enrollment, and encounter submission workflows
- * Experience with Medicaid quality, compliance, or program integrity reporting
Benefits
- Work flexibility
- Learning and career development
- Technical credentials and certifications
- Generous, flexible vacation policy
- Educational assistance
- Comprehensive leadership and technical development academies
- All salaried, full-time candidates are eligible for our generous, flexible vacation policy
- A 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
Company Overview
Company H1B Sponsorship