Senior Long-Term Care Rate-Setting Analyst (Remote)

Gainwell Technologies; Northern (KY); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Generous vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is seeking a Senior Long-Term Care Rate Setting Analyst to lead the development and maintenance of rate-setting models for Medicaid LTC programs, with a Wisconsin focus. You will apply advanced data analysis to evaluate costs, trends, and reimbursement outcomes, translating policy impacts into actionable recommendations for MCOs and stakeholders.

You will collaborate cross-functionally to ensure rate-setting approaches meet program goals, monitor policy changes, and

Qualifications

• 6+ years of experience in health policy analysis, Medicaid policy, or public sector evaluation.
• Strong data and quantitative analysis skills for rate‑setting impacts.
• Experience interpreting public policy in healthcare, preferably Wisconsin Medicaid.
• Proficiency with SQL or data warehouse tools is desirable.
• Bachelor's degree; master's preferred in a related field.

Responsibilities

• Lead development, enhancement, and documentation of rate‑setting models for LTC programs.
• Use large datasets to evaluate costs, trends, and reimbursement outcomes.
• Assess impact of rate changes on MCOs and policy updates on operations.
• Translate business needs into data, system, and policy requirements.
• Support capitated rate‑setting methodologies for contracted MCOs.
• Prepare analyses and recommendations for leadership and technical teams.

Skills

Rate-setting analytics

Data interpretation

Public policy analysis

Medicaid policy analysis

Statistical modeling

Policy impact assessment

Communication of insights

Independent project management

MCO impact understanding

Capitation concepts

Education

Bachelor's degree in Public Administration/Policy/Economics/Statistics/Healthcare Administration/Finance

Tools

SQL

Excel

R

SAS

STATA

SPSS

Job description

Gainwell Technologies is seeking a Senior Long-Term Care Rate Setting Analyst to lead the development and maintenance of rate-setting models for Medicaid LTC programs, with a Wisconsin focus. You will apply advanced data analysis to evaluate costs, trends, and reimbursement outcomes, translating policy impacts into actionable recommendations for MCOs and stakeholders.

You will collaborate cross-functionally to ensure rate-setting approaches meet program goals, monitor policy changes, and