Senior Healthcare Data Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Analyze intricate datasets related to eligibility, enrollment, claims and encounters, providers, utilization, financial aspects, and operations.

• Evaluate the impact of changes in federal and state Medicaid policies on eligibility, enrollment, coverage continuity, utilization, expenditures, access, operations, and the populations affected.

• Create analytical strategies for planning, monitoring, and evaluation implementation.

• Define, compute, validate, and interpret key performance indicators and measures.

• Produce dashboards, reports, analytical summaries, monitoring tools, and ad hoc analyses.

• Convert policy, program, operational, and business inquiries into population definitions, business rules, data requirements, reporting logic, analytical specifications, and validation criteria.

• Assist in system development and implementation through requirements validation, testing, user acceptance testing (UAT), production validation, release monitoring, and post-implementation assessments.

• Perform data profiling, reconciliation, reasonableness checks, and quality reviews.

• Investigate discrepancies and anomalies, collaborating with technical and business teams to address data issues.

• Utilize trend, cohort, utilization, expenditure, population, and comparative analyses.

• Establish reproducible analytical processes and document methodologies.

• Transform analyses into findings, visualizations, presentations, technical documentation, and actionable recommendations.

• Partner with Medicaid leaders, policy specialists, operations teams, technologists, vendors, actuaries, economists, and fellow analysts.

• Spearhead complex analyses, engage directly with client and project leadership, contribute to analytic methodologies and tools, and enhance sustainable data and analytic capabilities.

⛳️ Requirements

• Master’s degree in health services research, public health, health informatics, statistics, biostatistics, data science, economics, health policy, mathematics, information systems, or a closely related quantitative field.

• A minimum of five years of progressively responsible experience in healthcare analytics, Medicaid or health and human services data analysis, health services research, program evaluation, or similar quantitative work.

• Practical experience with large and complex healthcare or administrative datasets.

• Advanced proficiency in SQL and/or analytic programming tools such as SAS, R, Python, or equivalent technologies.

• Experience in manipulating, analyzing, validating, and interpreting large and complex datasets.

• Proven ability to develop analytical methods, measures, reports, dashboards, data visualizations, and decision-support products.

• Capability to translate policy, program, operational, and business questions into structured analytical frameworks.

• Proficient in communicating findings, assumptions, limitations, and implications to both technical and non-technical audiences.

• Strong analytical, problem-solving, writing, documentation, and communication skills.

• Ability to work independently on complex analyses while collaborating across multidisciplinary teams.

• Competence in handling sensitive Medicaid, healthcare, personally identifiable information (PII), and protected health information (PHI) data appropriately.

• Familiarity with applicable privacy, security, confidentiality, and HIPAA regulations.

• Preferred: experience supporting a state Medicaid agency, Medicaid managed care organization, CMS-related Medicaid initiative, or in a Medicaid consulting or technology setting.

• Preferred: knowledge of Medicaid eligibility, enrollment, claims and encounters, managed care, and program operations.

• Preferred: experience with Medicaid eligibility systems, MMIS/MES environments, integrated eligibility systems, data warehouses, vendor-managed data platforms, or significant Medicaid policy and system implementations.

• Preferred: experience evaluating utilization, expenditures, access, population outcomes, coverage transitions, program performance, or policy and operational changes using administrative healthcare data.

• Preferred: familiarity with Power BI, Tableau, Jira, and SharePoint or similar tools.

🏝️ Benefits

• Eligibility for a discretionary annual bonus based on both company and personal performance.

• Comprehensive benefits that support physical, mental, career, social, and financial well-being.

• Reasonable accommodations provided for the application, interview, and job performance processes.

• A culture focused on learning, development, and well-being.