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Medicaid Economics Data Analyst
Location
United States
Posted
120 days ago
Salary
$85K - $95K / year
Seniority
Senior
Job Description
Medicaid Economics Data Analyst
GD Resources
• Analyze Medicare, Medicaid, and Marketplace data to support medical cost, utilization, and reimbursement insights • Develop and maintain complex SQL queries to extract, validate, and analyze large datasets • Perform financial and medical cost analyses related to payment and reimbursement methodologies (DRG, APC, EAPG) • Build and maintain Power BI dashboards using DAX and Power Pivot to track KPIs, MLR, and QAI initiatives • Create advanced Excel models using Pivot Tables, Power Query, nested formulas, and lookups to support financial modeling • Collaborate with Medical Economics, Actuarial, Finance, and other cross-functional teams • Support evaluation of Quality & Affordability Initiatives (QAI) and Medical Loss Ratio (MLR) performance • Ensure data accuracy through validation, reconciliation, and documentation
Job Requirements
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related field
- Equivalent experience considered
- 4+ years of experience working with large datasets, data management, and analytics OR 2+ years of IT/data-focused experience with healthcare exposure
- Strong experience in Managed Care / Medical Economics analytics
- Demonstrated knowledge of payment and reimbursement methodologies (DRG, APC, EAPG)
- Advanced SQL skills (complex SELECTs, multiple JOINs, subqueries)
- Advanced Excel skills (Pivot Tables, Power Query, VLOOKUP/XLOOKUP, financial modeling)
- Power BI experience, including DAX and Power Pivot
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