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Gainwell TechnologiesPosted 10/20/2026full-timeRemote • Wisconsin • United StatesSenior💰 $69,400 - $99,200 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in financial modeling, Medicaid policy analysis, and long-term care reimbursement methodologies. Proficient in translating complex data into actionable insights while collaborating with stakeholders to enhance rate-setting practices.
Highest-signal resume keywords
Financial ModelingMedicaid Policy AnalysisStatistical AnalysisData InterpretationRate-Setting Methodologies
Tech Stack
Tools & technologiesAbout the role
Key responsibilities & impact- Lead the development, enhancement, and documentation of rate-setting models for long-term care programs
- Use advanced analytical techniques and large datasets to evaluate costs, trends, and reimbursement outcomes
- Assess how rate changes, policy updates, and cost drivers affect Managed Care Organizations (MCOs)
- Translate business needs into clear data, system, and policy requirements
- Research reimbursement methodologies, program operations, and the long-term care ecosystem to recommend improvements
- Support the development and implementation of capitated rate-setting methodologies for contracted MCOs
- Validate the accuracy and sufficiency of rates produced by established models
- Monitor State and Federal policy changes, with emphasis on Wisconsin Medicaid, and assess operational and financial impact
- Partner with internal teams, business leaders, and external stakeholders to promote transparency and alignment in rate-setting practices
- Prepare written analyses, presentations, and recommendations for leadership, clients, and technical teams
Requirements
What you’ll need- 6+ years of experience in business analysis, financial modeling, health policy analysis, Medicaid policy analysis, public administration, or public sector program evaluation
- Strong data expertise, including understanding how rate-setting decisions impact Managed Care Organizations (MCOs)
- Experience interpreting public policy, preferably within healthcare and/or Wisconsin Medicaid
- Understanding of the Long-Term Care (LTC) ecosystem, including program structures and reimbursement models
- Advanced skills in Excel and/or R, SAS, STATA, or SPSS
- Strong statistical analysis, quantitative modeling, and data interpretation skills
- Strong communication skills to translate complex analytical work into clear, actionable insights
- Ability to work independently, manage timelines, and support multiple projects at once
- Bachelor's degree in Public Administration, Public Policy, Economics, Statistical Analysis, Healthcare Administration, Finance, or a related field; master's degree preferred
- Experience evaluating government, business, or healthcare policies
- Experience working with Medicaid programs, rate-setting methodologies, or capitated payment models
- Experience analyzing large datasets and developing quantitative or statistical models
- Ability to write and present comprehensive reports, analyses, and policy summaries
- Strong problem-solving skills
- Experience with SQL or data warehouse tools
- Education or training in public policy, economics, statistics, or a related field
- Familiarity with State/Federal regulations influencing long-term care and Medicaid operations
- Professional experience working within a state Medicaid agency, state policy office, healthcare policy organization, or government-funded healthcare program
- Experience working for or directly supporting Managed Care Organizations (MCOs), including understanding of managed care financing and oversight
- Knowledge of Medicaid policy, healthcare reimbursement methodologies, actuarial concepts, and capitation rate development
- Experience evaluating financial and operational impacts of capitation rates, rate adjustments, and value-based payment arrangements
Benefits
Comp & perks- Work flexibility
- Learning and career development
- Flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Quantitative ModelingData AnalysisExcelRSASSTATASPSSSQLStatistical AnalysisPolicy Evaluation
Soft Skills
Strong Communication SkillsProblem-Solving SkillsProject ManagementIndependent WorkCollaboration
Tools & Technologies
Data Warehouse ToolsAnalytical Software
Industry Keywords
Managed Care OrganizationsLong-Term Care EcosystemHealthcare ReimbursementCapitated Payment ModelsState/Federal RegulationsPublic PolicyHealthcare PolicyWisconsin Medicaid