Wisconsin Licensed Rate Setting Analyst

Job Summary

A company is looking for a Senior Public Policy / Long-Term Care - Rate Setting Analyst.

Key Responsibilities

• Lead the development and documentation of rate setting models for long-term care programs
• Evaluate costs, trends, and reimbursement outcomes using advanced analytical techniques and large datasets
• Monitor State and Federal policy changes and assess their operational and financial impact on Managed Care Organizations (MCOs)

Required Qualifications, Training, and Education

• 6+ years of experience in business analysis, financial modeling, or health policy analysis
• Master's degree in Public Administration or Public Policy
• Strong data expertise related to rate-setting decisions and their impact on Managed Care Organizations (MCOs)
• Experience interpreting public policy within healthcare, preferably Wisconsin Medicaid
• Understanding of the Long Term Care (LTC) ecosystem, including reimbursement models