Medicaid Data & Analytics Specialist

• Analyze Medicaid claims, encounter, enrollment, eligibility, provider, or program data.
• Assess utilization, expenditures, access to care, and program outcomes.
• Clean, validate, and document datasets.
• Develop performance measures, dashboards, and recurring reports.
• Identify trends, data quality issues, and opportunities for improvement.
• Support program evaluation and operational analysis.
• Explain analytical methods, assumptions, and limitations.
• Present findings clearly to technical and nontechnical stakeholders.
• Follow applicable privacy, security, and data-handling requirements.

• Experience analyzing Medicaid or closely related healthcare data.
• Strong analytical skills and attention to data quality.
• Proficiency with relevant tools such as Excel, SQL, SAS, R, Python, Power BI, or Tableau; proficiency in every tool is not required.
• Ability to communicate findings clearly and connect them to program decisions.
• Experience documenting analytical work so others can understand and review it.

Preferred Experience

• Medicaid claims or encounter data analysis.
• State Medicaid agency or managed care reporting.
• Quality measurement, cost analysis, risk adjustment, or program evaluation.
• Large healthcare datasets and secure analytical environments.
• Familiarity with T-MSIS or other Medicaid data sources.