Medicaid Data Analyst

• The Medicaid Data Analyst will be responsible for conducting data analysis on program-specific and contract monitoring datasets using standard statistical and data exploration techniques.
• The role involves identifying trends, outliers, and ensuring data quality while communicating findings and insights to program staff and leadership.
• The position also supports reporting, policy development, and process improvement initiatives within managed care and Medicaid-related programs., * Conduct data analysis on program-specific projects using standard data exploration techniques including trend analysis and outlier identification.
• Ensure data quality through verification and validation of outlying data points.
• Analyze grievance and appeals data, service authorization data, and dispute datasets.
• Produce quarterly and annual reports and ensure timely dissemination of findings to leadership.
• Develop and maintain policies and procedures for data management, verification, and maintenance.
• Analyze contract monitoring datasets and ensure data accuracy and consistency.
• Communicate data analysis methods, logic models, and results to program staff and leadership.
• Support process improvement initiatives and agency-wide strategic objectives.
• Participate in professional development and apply new skills to improve analytical effectiveness.
• Collaborate with internal and external stakeholders including vendors, government agencies, and providers.
• Support additional project-related analytical tasks as assigned.

• Strong knowledge of research design, data collection, data manipulation, and data analysis techniques.
• Experience analyzing and interpreting complex datasets using statistical methods.
• Ability to identify trends, patterns, and anomalies in healthcare or program data.
• Strong reporting and data presentation skills.
• Ability to maintain effective working relationships with stakeholders and cross-functional teams.
• Strong communication skills for explaining technical findings to non-technical audiences.
• Ability to learn and adapt to new tools and analytical methods.

Experience:

• Experience working with data analysis in healthcare, public health, or government programs preferred.
• Experience with Medicaid, federal, or state health data systems preferred.
• Experience working in cross-functional team environments.
• Experience in reporting and analytics for program monitoring and evaluation., * Strong analytical thinking and problem-solving skills.
• Ability to work independently and in cross-functional teams.
• Strong attention to detail and data validation skills.
• Ability to manage multiple reporting deadlines effectively.

Skills:

• Data analysis and statistical techniques.
• SAS, Excel, and Python.
• Data visualization and reporting tools.
• Trend analysis and forecasting.
• Data quality validation.
• Healthcare or Medicaid data systems (preferred).
• Communication and stakeholder management.

Qualification And Education:

• Master's degree in Data Science, Public Health, Statistics, Health Informatics, or related field required.

• $112,700-193,200 per year Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industr…

• 1 day ago