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GD Resources logo
GD Resources

A consulting company dedicated to fostering client success through expertise, people-first mission, and elite services.

Medicaid Economics Data Analyst

Data AnalystData AnalystOtherRemoteSeniorTeam 1-10H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

120 days ago

Salary

$85K - $95K / year

Seniority

Senior

Bachelor Degree4 yrs expExperience acceptedEnglishSQL

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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