Medicaid Claims Analytics & Insights Analyst

BerryDunn — Assurance, Tax and Consulting; Kapolei (HI); On-site; USD 95,000 - 120,000; Full time

Job summary

BerryDunn seeks a Claims Data Analyst in Hawaii to support MQD's FWA, program integrity, audit, and TPL initiatives. You will analyze Medicaid claims and related data, develop dashboards, validate data quality, and document findings for leadership and stakeholders.

Travel up to 25% may be required as part of supporting operations, vendor management, and the future Program Integrity Unit. You will collaborate with the SME and other teams to produce reports and monitoring tools, ensuring accuracy

Qualifications

• Experience collecting, analyzing, validating, and interpreting healthcare data.
• Experience analyzing Medicaid/healthcare claims, billing, audit, or government program data.
• Strong data analysis, reporting, dashboarding, SQL, statistics, and visualization skills.

Responsibilities

• Analyze Medicaid claims, provider, member, utilization, financial, and program integrity data.
• Prepare data summaries, dashboards, reports, and decision-support products.
• Validate data quality, completeness, and alignment with policies and priorities.
• Collaborate with cross-functional teams for reporting, monitoring, and data validation.
• Document findings and communicate results to leadership and stakeholders.
• Support QA reviews of reports, dashboards, and analyses.
• Stay current with Medicaid payment integrity and program trends.

Skills

Data analysis

Reporting

Dashboards

SQL

Statistics

Visualization

Education

Bachelor's degree preferred

Tools

Jira

Excel

AI tools

Data analysis tools

Job description

BerryDunn seeks a Claims Data Analyst in Hawaii to support MQD's FWA, program integrity, audit, and TPL initiatives. You will analyze Medicaid claims and related data, develop dashboards, validate data quality, and document findings for leadership and stakeholders.

Travel up to 25% may be required as part of supporting operations, vendor management, and the future Program Integrity Unit. You will collaborate with the SME and other teams to produce reports and monitoring tools, ensuring accuracy