Job Description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

We are seeking a highly skilled Senior Power BI & Databricks ETL Engineer with deep experience working with Medicaid claims, eligibility, provider, and encounter data . This role will design, build, and maintain scalable data pipelines and analytics solutions that support state Medicaid programs, regulatory reporting, and operational performance monitoring. The ideal candidate combines strong technical expertise in Databricks, ETL/ELT development, and Power BI with a solid understanding of Medicaid data structures, program rules, and state‑specific reporting requirements .

Your role in our mission

• 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.

What we're looking for

• 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.

What you should expect in this role

• United States remote  opportunity
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• The Deadline to submit applications for this posting is July 14, 2026

The pay range for this position is $72,800.00 - $104,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our and visit our for all available job role openings.

Gainwell Technologies  is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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