Data Analyst with Medicaid/Gov Exp

***Mode of Interview :- WebCam Interview *** Long term contract( initial PO for 1 year but usually goes for 4-5 years) ***Primarily remote( onsite as needed)*** Need 3 references with resume***

Primary Job Duties and Tasks:-

• Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends, anomalies, and opportunities for improvement.
• Support program evaluation, policy analysis, and operational decision-making through data insights.
• Design and maintain dashboards and reports using tools like Tableau or AI-Generated web-based dashboards. Present findings to stakeholders in a clear, actionable format.
• Work with internal teams, external partners, and leadership to define data needs and deliver solutions. Present findings to stakeholders in a clear, actionable format.
• Ensure all work aligns with Agency's regulations, including HIPAA and state data governance standards. Document methodologies, data sources, and assumptions for transparency and reproducibility.
• Support special projects, audits, and federal reporting initiatives as needed.
• Assist in the development of technical documentation for recurring reports, data pipelines, and reporting logic to ensure consistency and knowledge transfer.
• Develop and validate data extracts for federal and state reporting requirements, including CMS submissions and performance metrics.
• Apply machine learning methods where appropriate to improve forecasting and risk stratification models.
• Perform other duties as required.

Specific Knowledge, Skills, and Abilities (KSAs) Minimum Qualifications:-

• Bachelor's or Master's degree in Data Science, Statistics, Computer Science, or a related field.
• 5+ years of experience in data analysis, preferably in healthcare or Medicaid.
• Strong proficiency in SQL/SAS, with working knowledge of Python for data manipulation, analysis, and automation tasks.
• 3 years of experience with data visualization tools such as Tableau, or similar platforms for building dashboards and reports.
• Strong understanding of healthcare data, especially Medicaid or claims-based data.
• Excellent communication skills and ability to present complex data to non-technical audiences.
• Strong understanding of Fraud Analysis methodologies.

Preferred Qualifications:-

• Experience working with state or federal healthcare programs.
• Knowledge of Medicaid managed care, long-term services and supports (LTSS), or waiver programs.
• Familiarity with cloud-based data platforms (e.g., Azure, AWS).
• Experience with machine learning or advanced statistical modeling.