Medicaid Data Analyst

Medicaid Data Analyst

Pay Range: $27.50hr - $32.50hr

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.

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 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.

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 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.

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.

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