Principal Analyst, Medicaid Policy Analysis

Arcadia

. Interpret state and federal Medicaid program rules, eligibility and aid-code structures, benefit and coverage design, and program guidance .

Posted 10/10/2026full-timeRemote • United StatesLead💰 $190,000 - $215,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in interpreting Medicaid program rules and translating policy into analytic logic, with proficiency in SQL and Python for data analysis and dashboard creation. Capable of mentoring analysts and delivering executive-ready presentations while managing complex data projects and stakeholder relationships.

Highest-signal resume keywords

Advanced SQLPython ProgrammingMedicaid Program KnowledgeData Visualization ToolsAnalytic Program Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ModelingClinical Code FluencyClaims Data AnalysisCohort DefinitionAnalytic Logic TranslationRisk StratificationRegistry DevelopmentData Quality AssessmentPerformance AnalysisPolicy Interpretation

Soft Skills

Analytical JudgmentStakeholder CommunicationMentoringPrioritizationCollaboration

Tools & Technologies

SQLPythonQuickSightPower BITableauAWS AthenaAWS RedshiftJiraConfluenceGitHub

Industry Keywords

MedicaidManaged CarePopulation HealthPHI ComplianceCalifornia Medi-Cal

Tech Stack

Tools & technologies

Amazon RedshiftAWSPythonSQLTableau

About the role

Key responsibilities & impact

Interpret state and federal Medicaid program rules, eligibility and aid-code structures, benefit and coverage design, and program guidance
Translate policy into precise, testable analytic logic, including cohort definitions, code sets, exclusions, and stratification criteria
Document interpretations so decisions are auditable
Advise senior customer leadership on data limitations, measurable definitions, volumes, thresholds, caseload, cost, and provider capacity
Anticipate how policy changes affect data and future questions
Build member and provider data marts, cohort and stratification logic, and registry extracts using SQL and Python on Foundry and Redshift/Athena
Deliver dashboards, recurring reports, Excel outputs, and leadership decks
Root-cause data-quality issues and reconcile counts across sources
Serve as the senior analytic voice for state program leadership, policy and data staff, prime contractors, and vendor partners
Set priorities, scope, and timelines with Customer Management
Create client-facing leadership summaries, methodology decks, decision memos, and technical explainers
Own the day-to-day analytic workstream, customer cadence, request prioritization, and ad hoc requests
Own production-grade registries, data marts, and dashboards with documented methodology and data dictionaries
Mentor and bring other analysts up to speed
Review major deliverables, codify playbooks, and establish methodology standards

Requirements

What you’ll need

Working knowledge of how health programs and managed care plans work
Ability to turn policy documents and program rules into analytic logic
Clinical code and claims fluency, including ICD-10, CPT/HCPCS, and revenue codes
Experience with claims, eligibility, and provider/NPI data, including NPPES and enrollment files
Hands-on fluency with AI coding and analysis tools such as Claude Code, Cursor, or similar
Advanced SQL, including CTEs, window functions, and performance on large claims and eligibility tables
Data modeling to an engineering standard
Hands-on experience building dashboards and reports in QuickSight, Power BI, Tableau, and Excel
Executive-ready presentation decks
Direct customer-facing experience with senior stakeholders
Experience scoping ambiguous requests, navigating competing priorities, and exercising analytical judgment
Track record of leading an analytic program end to end for senior customer or executive audiences
Sound judgment with sensitive data and PHI
Direct experience with a state Medicaid agency, Medicaid-serving prime contractor or consultancy, or Medicaid managed care plan is a plus
California Medi-Cal experience is a plus
Familiarity with population health concepts including risk stratification, registries, care management, network adequacy, and access and equity analysis
Experience with Python and dbt
Familiarity with AWS analytics tools such as Athena, Redshift, and QuickSight
Comfort with orchestration tooling, Jira, Confluence, and GitHub-based workflows
Experience mentoring less experienced analysts

Benefits

Comp & perks

Employee driven programs and initiatives for personal and professional development
Flexible, remote-friendly company
Unlimited FTO
Competitive compensation
Amazing benefits
Opportunity to work on a high-visibility state Medicaid program serving millions of members
Opportunity to build methodology standards, playbooks, and data assets