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Medicaid Data Analyst

1 month ago

Indianapolis, Indiana, United States Skill Demand Full time
Job Overview

We are seeking a skilled Medicaid Data Analyst to join our team at Skill Demand Energy. As a key member of our data analysis team, you will play a critical role in analyzing and interpreting Medicaid data to support decision-making processes, improve healthcare outcomes, and ensure compliance with regulatory requirements.

Key Responsibilities:

  1. Data Collection and Management:
    • Collect, clean, and manage large datasets from various sources, including electronic health records (EHR), claims data, and other healthcare databases.
    • Ensure data integrity, accuracy, and completeness.
  2. Claims Management Data Processing:
    • Analyze claims data to identify trends, patterns, and anomalies in Medicaid claims.
    • Develop and implement processes for claims data validation and reconciliation.
    • Collaborate with claims management teams to streamline data processing workflows and ensure timely and accurate claims adjudication.
  3. Data Analysis and Modeling:
    • Conduct complex data analysis to identify trends, patterns, and insights related to Medicaid services and utilization.
    • Develop and implement analytical models using SQL, Databricks, and Python.
    • Utilize Azure and AWS for data storage, processing, and analysis.
  4. Reporting and Visualization:
    • Create comprehensive reports, dashboards, and visualizations to communicate findings to stakeholders.
    • Use tools such as Tableau, Power BI, and RShiny to develop interactive visualizations.
    • Present data insights and recommendations to healthcare providers, administrators, and policymakers.
  5. Compliance and Quality Assurance:
    • Ensure compliance with federal and state Medicaid regulations and reporting requirements.
    • Conduct quality assurance checks to ensure data accuracy and reliability.
  6. Collaboration and Support:
    • Work closely with Milliman business teams, including IT, clinical staff, and management, to support data-driven decision-making.
    • Provide training and support to staff on data-related tools and processes.
  7. Continuous Improvement:
    • Identify opportunities for process improvements and implement best practices in data analysis and management.
    • Stay updated with the latest trends and advancements in healthcare data analytics and Medicaid policies.
  8. Deliverables:
    • Deliver data artifacts post-analysis on a monthly, weekly, and ad-hoc basis to Milliman business teams.
    • Ensure timely and accurate delivery of data insights and recommendations.

Requirements:

  • Excellent analytical and problem-solving skills.
  • Strong attention to detail and accuracy.
  • Ability to interpret complex data and present findings in a clear and concise manner.
  • Strong communication and interpersonal skills.
  • Ability to work independently as well as part of a team.
  • Ability to support data analysis projects, develop reports and dashboards, and assist in data cleaning and preparation.
  • Knowledge of healthcare data standards and privacy regulations (e.g., HIPAA).

Preferred Qualifications:

  • Bachelor's degree in Data Science, Statistics, Public Health, Health Informatics, or a related field.
  • Minimum of 5 years of experience in data analysis, preferably in a healthcare or Medicaid environment.
  • Strong understanding of Medicaid policies, procedures, and regulations.
  • First-hand experience with SQL, Databricks, and Python.
  • Proficiency in 1 or more cloud platforms, such as, Azure and AWS.

Experience with one or more: SAS, R, and RShiny