Medicaid Economics Data Analyst - Full Time - Remote Role
Data Analyst III – Medical Economics
Location: Fully Remote (CST/EST preferred; CA candidates must start ~6:00am PST)
Type: Permanent
Salary: $85,000–$95,000 base + 8% target bonus
Industry: Healthcare / Managed Care
Overview
We are expanding our Medical Economics team and are seeking a Data Analyst III with strong managed care analytics experience. This role focuses on Medicare, Medicaid, and Marketplace analytics, reimbursement methodologies, and financial performance insights that support affordability, quality, and MLR targets.
The ideal candidate has hands-on experience working with large healthcare datasets, payment methodologies, and cross-functional stakeholders, with exposure to actuarial or medical economics workstreams. Key Responsibilities
- 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
- 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
- Experience with actuarial or financial analytics in a healthcare setting
- Exposure to Python and/or R
- Consulting experience within managed care or medical economics
- No relocation available
- No sponsorship
- This is a new position due to team expansion
- Candidates with actuarial-adjacent experience or prior medical economics consulting backgrounds have been especially successful in this team
Recommended Jobs
Housekeeper-part time
White Birch Communities is looking for a Housekeeper to join our team. The Housekeeper will clean, sanitize, and maintain private residences and commercial buildings. White Birch Communities is…
CDL A Delivery Driver - SYGMA - Ruther Glen, VA
CDL A Delivery Driver - SYGMA - Ruther Glen, VA at Sysco summary: The CDL A Delivery Driver at SYGMA is responsible for safely transporting and delivering food products using a tractor-trailer to …
Harmon Learning Center Assistant Teacher
Summary The Assistant Teacher will work alongside the Lead Teacher to collaborate on coordinating curriculum and managing the day-to-day operations of the classroom. The ideal candidate will pos…
Technical Sales Consultant
Technical Sales Consultant Position Description CGI empowers clients to maximize their return on technology investments through enterprise-wide innovation. Our flagship solution, CGI Advantage, …
Power Apps Developer
Atlas Technologies, a rapidly expanding company supporting the US Military and other Government entities, is seeking a passionate, flexible, highly motivated Power Apps Developer to join our group of …
Identify, Credentialing, and Access Management (ICAM) Subject Matter Expert (SME)
Description gTANGIBLE Corporation (gTC), www.gtangible.com, is a C corporation and a registered Government contractor that provides services and solutions in: ~National Security Programs ~Profe…
Director of Student Ministries
The Director of Student Ministries assists the Lead Pastor in leading the church to accomplish the mission and vision of Lakewood Baptist Church as it relates to student ministry of grades 7 through …
Restoration Repair Estimator/Project Manager
Join our dynamic team as a Restoration Repair Estimator/Project Manager! Our company specializes in restoring properties to their pre-loss condition after damage caused by water, fire, mold, and more…
Logistics Coordinator - Transportation
Overview: The Logistics Coordinator provides overall direction throughout the Dedicated Fleet operation and provides operational assistance to the Project Manager wherever needed. Responsibilities: …
Catering & Private Events Manager
Overview: We are seeking a talented and experienced Catering Manager to join our team. As a Catering Manager, you will be responsible for planning, coordinating, and executing catering events, ensuri…