Medicaid Policy Analyst

Job Summary

To lead Medicaid policy analysis for a high-visibility state program, the full-time remote Medicaid Policy Analyst will interpret program rules, develop analytic logic, and create data deliverables while engaging with state program staff and stakeholders.

Key responsibilities

• Interpret state and federal Medicaid program rules and translate them into testable analytic logic
• Develop data marts, cohort definitions, and dashboards using SQL and Python, ensuring quality and accuracy
• Engage with senior stakeholders to advise on data implications of policy changes and deliver client-facing materials

Required qualifications

• Working knowledge of health programs and managed care plans, with direct Medicaid experience preferred
• Fluency in clinical codes (ICD-10, CPT/HCPCS) and claims data, including eligibility and provider information
• Advanced SQL skills and experience in data modeling to a high engineering standard
• Hands-on experience with BI tools for building dashboards and reports, as well as creating executive-ready presentations
• Demonstrated ability to lead analytic programs independently for senior customer audiences