Wisconsin Licensed Rate Setting Analyst

Job Summary

Leading the development and maintenance of rate setting methodologies for a complex Medicaid long-term care program, the full-time Senior Long-Term Care - Rate Setting Analyst will utilize advanced analytical techniques and large datasets to evaluate costs and trends while working remotely.

Key responsibilities

• Develop, enhance, and document rate setting models for long-term care programs
• Evaluate costs, trends, and reimbursement outcomes using advanced analytical techniques
• Research reimbursement methodologies and recommend improvements to support program efficiency

Required qualifications

• 6+ years of experience in business analysis, financial modeling, or health policy analysis
• Bachelor's degree in Public Administration, Public Policy, Economics, or a related field; master's degree preferred
• Strong data expertise and understanding of how rate-setting decisions impact Managed Care Organizations (MCOs)
• Advanced skills in Excel and/or analytical tools such as R, SAS, STATA, or SPSS
• Experience with Medicaid programs, rate-setting methodologies, or capitated payment models