Medi-Cal Cost Analyst

5 days ago

Reno, NV, United States Infotech Sourcing Full time
Job Description: Medi-Cal Cost Analyst

Location: Nevada
Employment Type: Full-time

About the Role

We are seeking a detail-oriented Medi-Cal Cost Analyst to support the financial oversight, cost analysis, and reporting of Medi-Cal programs in Nevada. The Cost Analyst will be responsible for evaluating program expenditures, identifying cost drivers, supporting audits, and ensuring compliance with both Nevada Medicaid and federal Medi-Cal requirements. This role will work closely with program managers, finance teams, and state regulatory agencies to drive fiscal accountability and efficiency.

Key Responsibilities
  • Perform financial and cost analysis of Medi-Cal programs, contracts, and service delivery models.
  • Prepare and analyze monthly, quarterly, and annual cost reports for internal and external stakeholders.
  • Support budget development, forecasting, and variance analysis to ensure accurate allocation of funds.
  • Monitor provider claims, reimbursements, and cost settlements for compliance with state and federal guidelines.
  • Assist with audits, rate reviews, and regulatory reporting for Nevada Medicaid.
  • Identify trends, inefficiencies, and opportunities for cost savings.
  • Provide decision-support data and cost models for program leadership.
  • Collaborate with program managers and compliance teams to ensure transparency and accountability in Medi-Cal financial management.
Qualifications

Education & Experience
  • Bachelor's degree in Accounting, Finance, Economics, Healthcare Administration, or related field (Master's preferred).
  • 3-5 years of financial analysis or cost accounting experience in healthcare, ideally with Medi-Cal/Medicaid or managed care programs.
  • Knowledge of Nevada Medicaid cost reporting requirements and CMS regulations preferred.
  • Strong proficiency in Excel, data analysis tools, and financial modeling.
  • Experience supporting audits and regulatory reviews.
Skills & Competencies
  • Exceptional analytical and problem-solving skills.
  • High attention to detail and accuracy.
  • Strong communication skills to present financial data clearly to technical and non-technical stakeholders.
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Why Join Us
  • Be part of a mission-driven team improving healthcare access and outcomes across Nevada.
  • Competitive salary and benefits.
  • Professional growth opportunities in healthcare finance and program administration.

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