Medicaid Data Analytics Lead – Compliance & Audits

Health, Department of; City of Albany (NY); On-site; USD 95,000 - 130,000; Full time

Job summary

The New York Department of Health seeks a Data Analyst 3 to lead a unit within the Office of Health Insurance Programs. The role focuses on federal data compliance, Medicaid claims analysis, and pharmacy fraud detection, combining advanced SQL and business intelligence skills to identify billing irregularities and support CMS and OIG audits.

The incumbent oversees analytical staff, develops compliance monitoring frameworks and dashboards, and collaborates with stakeholders to ensure data

Qualifications

• Nine years of experience in data visualization, statistics, and data mining tools (or equivalent education substitution).
• Experience in healthcare information technology and Medicaid program administration.

Responsibilities

• Lead a unit focused on federal data compliance and Medicaid claims analysis.
• Identify billing irregularities and support CMS and OIG audits.
• Develop compliance monitoring dashboards and frameworks; ensure data accuracy for federal reporting.

Skills

SQL

Business Intelligence

Data Visualization

Statistical Models

Data Mining Tools

Leadership

Education

Nine years of experience in data visualization, statistics, and data mining tools (or equivalent education substitution)

Tools

Healthcare IT systems

CMS/OIG auditing tools

Job description

The New York Department of Health seeks a Data Analyst 3 to lead a unit within the Office of Health Insurance Programs. The role focuses on federal data compliance, Medicaid claims analysis, and pharmacy fraud detection, combining advanced SQL and business intelligence skills to identify billing irregularities and support CMS and OIG audits.

The incumbent oversees analytical staff, develops compliance monitoring frameworks and dashboards, and collaborates with stakeholders to ensure data