Data Analyst – Medicaid / Claims

Irow9; Tallahassee (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

iROW9 Inc. seeks an experienced Data Analyst with strong SQL/SAS and healthcare data expertise, especially Medicaid or claims data. You will analyze healthcare data, develop dashboards, and support program evaluation and data-driven decision-making.

Responsibilities include building dashboards, creating data extracts for CMS submissions, and presenting insights to stakeholders while ensuring HIPAA compliance and data governance.

Qualifications

• 5+ years of data analysis experience, preferably in healthcare or Medicaid.
• Bachelor’s or master’s degree in Data Science, Statistics, Computer Science, or a related field.
• Strong proficiency in SQL/SAS and working knowledge of Python.
• 3+ years of experience with Power BI, Tableau, or similar data visualization tools.
• Strong understanding of healthcare data, especially Medicaid or claims-based data.
• Excellent communication and stakeholder presentation skills.

Responsibilities

• Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends and anomalies.
• Build and maintain dashboards and reports using Power BI, Tableau, or similar tools.
• Develop and validate data extracts for state and federal reporting, including CMS submissions.
• Support program evaluation, policy analysis, audits, and performance reporting.
• Collaborate with stakeholders and present actionable insights to non-technical audiences.
• Ensure HIPAA compliance and follow data governance standards.
• Document reporting logic, data pipelines, methodologies, and assumptions.
• Apply machine learning and statistical methods for forecasting and risk stratification where appropriate.

Skills

Data analysis

Communication

Stakeholder engagement

Education

Bachelor’s or Master’s degree in Data Science, Statistics, CS, or related field

Tools

SQL

SAS

Python

Power BI

Tableau

Job description

Seeking an experienced Data Analyst with strong SQL/SAS skills and healthcare data expertise, preferably in Medicaid or claims-based data. The role involves analyzing healthcare data, developing dashboards and reports, and supporting program evaluation, reporting, and data-driven decision‑making.

Responsibilities:

• Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends and anomalies.
• Build and maintain dashboards and reports using Power BI, Tableau, or similar tools.
• Develop and validate data extracts for state and federal reporting, including CMS submissions.
• Support program evaluation, policy analysis, audits, and performance reporting.
• Collaborate with stakeholders and present actionable insights to non-technical audiences.
• Ensure HIPAA compliance and follow data governance standards.
• Document reporting logic, data pipelines, methodologies, and assumptions.
• Apply machine learning and statistical methods for forecasting and risk stratification where appropriate.

Required Skills:

• Bachelor’s or master’s degree in Data Science, Statistics, Computer Science, or a related field.
• 5+ years of data analysis experience, preferably in healthcare or Medicaid.
• Strong proficiency in SQL/SAS and working knowledge of Python.
• 3+ years of experience with Power BI, Tableau, or similar data visualization tools.
• Strong understanding of healthcare data, especially Medicaid or claims-based data.
• Excellent communication and stakeholder presentation skills.

Preferred Skills:

• Experience with state or federal healthcare programs.
• Knowledge of Medicaid managed care, LTSS, or waiver programs.
• Familiarity with Azure, AWS, or other cloud data platforms.
• Experience with machine learning or advanced statistical modeling.

iROW9 Inc.

6045 Kimberly Lane N, Plymouth, MN USA 55446

[phone]