Medicaid Data & Analytics Specialist

AlphaGov; United States; On-site; USD 70,000 - 110,000; Full time

Job summary

AlphaGov is seeking a Medicaid Data & Analytics Specialist to analyze claims, enrollment, and program data. The role involves developing dashboards, performance measures, and reports to inform policy decisions. You will work with Excel, SQL, SAS, Python, Power BI, and Tableau to deliver clear insights.

Collaboration with stakeholders and adherence to privacy requirements are essential. We welcome candidates with experience in Medicaid data analysis and a strong focus on data quality,

Qualifications

• Experience analyzing Medicaid or related healthcare data.
• Strong analytical skills with focus on data quality.
• Familiar with Excel, SQL, SAS, R, Python, Power BI, or Tableau.
• Able to communicate findings to technical and nontechnical stakeholders.
• Experience documenting analytical work for review.

Responsibilities

• Analyze Medicaid claims, enrollment, and related data.
• Assess utilization, expenditures, and access to care.
• Clean, validate, and document datasets.
• Develop performance measures, dashboards, and reports.
• Identify trends and data quality issues.
• Support program evaluation and operational analysis.
• Explain analytical methods, assumptions, and limitations.
• Present findings to stakeholders.
• Ensure privacy and data-handling compliance.

Skills

Analytical skills

Data quality

Communication

Tools

Excel

SQL

SAS

Python

Power BI

Tableau

Job description

About Us

AlphaGov supports government and public-sector organizations with analytics, program evaluation, operational improvement, and data-informed decision-making. We are seeking professionals who can turn Medicaid and healthcare data into useful insights and practical recommendations.

About The Role

The Medicaid Data & Analytics Specialist will support analysis of program performance, utilization, costs, access, quality, eligibility, or enrollment. We welcome data analysts, healthcare analysts, researchers, statisticians, informatics professionals, and experienced Medicaid reporting specialists. Technical requirements will vary by opportunity.

Responsibilities

• Analyze Medicaid claims, encounter, enrollment, eligibility, provider, or program data
• Assess utilization, expenditures, access to care, and program outcomes
• Clean, validate, and document datasets
• Develop performance measures, dashboards, and recurring reports
• Identify trends, data quality issues, and opportunities for improvement
• Support program evaluation and operational analysis
• Explain analytical methods, assumptions, and limitations
• Present findings clearly to technical and nontechnical stakeholders
• Follow applicable privacy, security, and data-handling requirements

Qualifications

• Experience analyzing Medicaid or closely related healthcare data
• Strong analytical skills and attention to data quality
• Proficiency with relevant tools such as Excel, SQL, SAS, R, Python, Power BI, or Tableau; proficiency in every tool is not required
• Ability to communicate findings clearly and connect them to program decisions
• Experience documenting analytical work so others can understand and review it

Preferred Experience

• Medicaid claims or encounter data analysis
• State Medicaid agency or managed care reporting
• Quality measurement, cost analysis, risk adjustment, or program evaluation
• Large healthcare datasets and secure analytical environments
• Familiarity with T-MSIS or other Medicaid data sources

Opportunity Details

We welcome candidates interested in full-time employment or project-based engagements. We are recruiting for current and anticipated opportunities; immediate placement is not guaranteed. Responsibilities, compensation, employment arrangement, and start date will be discussed based on the opportunity and your skills.