Medicaid Data & Analytics Specialist

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AlphaGovMedicaid analytics
United StatesFull-Time
Salary not disclosed
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Job Details

Required Skills
PythonSQLMicrosoft Power BITableauMicrosoft ExcelR

Requirements

  • Have experience analyzing Medicaid or closely related healthcare data.
  • Demonstrate strong analytical skills and attention to data quality.
  • Be proficient with relevant tools such as Excel, SQL, SAS, R, Python, Power BI, or Tableau; proficiency in every tool is not required.
  • Communicate findings clearly and connect them to program decisions.
  • Document analytical work so others can understand and review it.
  • Preferred: experience analyzing Medicaid claims or encounter data.
  • Preferred: experience with state Medicaid agency or managed care reporting.
  • Preferred: experience in quality measurement, cost analysis, risk adjustment, or program evaluation.
  • Preferred: experience with large healthcare datasets and secure analytical environments.
  • Preferred: familiarity with T-MSIS or other Medicaid data sources.

Responsibilities

  • 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.
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