Medicaid Data & Analytics Specialist

AlphaHire

. Analyze Medicaid claims, encounter, enrollment, eligibility, provider, or program data .

Posted 10/12/2026full-timeRemote • United StatesMid-LevelSenior💰 $85,000 - $115,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in analyzing Medicaid claims and healthcare data, with strong analytical skills and proficiency in tools such as SQL, R, and Power BI. Capable of presenting findings to diverse stakeholders while ensuring compliance with privacy and data-handling requirements.

Highest-signal resume keywords

Medicaid Claims AnalysisData Quality AssessmentSQL ProficiencyPower BI DevelopmentProgram Evaluation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisPerformance MeasurementData ValidationTrend IdentificationCost AnalysisRisk AdjustmentQuality MeasurementDocumentationUtilization AssessmentExpenditure Analysis

Soft Skills

Analytical SkillsAttention to DetailClear Communication

Tools & Technologies

ExcelSASRPythonPower BITableau

Industry Keywords

Medicaid DataHealthcare DataT-MSISManaged Care ReportingSecure Analytical Environments

Tech Stack

Tools & technologies

PythonSQLTableau

About the role

Key responsibilities & impact

Analyze Medicaid claims, encounter, enrollment, eligibility, provider, or program data
Assess utilization, expenditures, access to care, and program outcomes
Clean, validate, and document datasets
Develop performance measures, dashboards, and recurring reports
Identify trends, data quality issues, and opportunities for improvement
Support program evaluation and operational analysis
Explain analytical methods, assumptions, and limitations
Present findings clearly to technical and nontechnical stakeholders
Follow applicable privacy, security, and data-handling requirements

Requirements

What you’ll need

Experience analyzing Medicaid or closely related healthcare data
Strong analytical skills and attention to data quality
Proficiency with relevant tools such as Excel, SQL, SAS, R, Python, Power BI, or Tableau; proficiency in every tool is not required
Ability to communicate findings clearly and connect them to program decisions
Experience documenting analytical work so others can understand and review it
Preferred: Medicaid claims or encounter data analysis
Preferred: State Medicaid agency or managed care reporting
Preferred: Quality measurement, cost analysis, risk adjustment, or program evaluation
Preferred: Large healthcare datasets and secure analytical environments
Preferred: Familiarity with T-MSIS or other Medicaid data sources
Submit a résumé or professional profile highlighting relevant datasets, analytical projects, and tools
Do not include confidential client information or protected health information

Benefits

Comp & perks

Full-time employment or project-based engagement opportunities
Compensation and employment arrangement discussed based on the opportunity and skills
Current and anticipated opportunities