Medicaid Data & Analytics Specialist

Job Description:

• 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

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: Medicaid claims or encounter data analysis
• Preferred: State Medicaid agency or managed care reporting
• Preferred: Quality measurement, cost analysis, risk adjustment, or program evaluation
• Preferred: Large healthcare datasets and secure analytical environments
• Preferred: Familiarity with T-MSIS or other Medicaid data sources
• Submit a résumé or professional profile highlighting relevant datasets, analytical projects, and tools
• Do not include confidential client information or protected health information

Benefits:

• Full-time employment or project-based engagement opportunities
• Compensation and employment arrangement discussed based on the opportunity and skills
• Current and anticipated opportunities