Senior LTC Rate Policy & Analytics Lead (Remote)

Gainwell Technologies; Wisconsin; On-site; USD 69,000 - 99,000; Full time

Benefits offered by this job

401(k) match

Generous vacation policy

Educational assistance

Professional development academies

Job summary

Gainwell Technologies is seeking a Senior Long-Term Care - Rate Setting Analyst to lead rate-setting methodologies for Medicaid LTC programs in Wisconsin. You will analyze data, interpret policy impacts on MCOs, and drive improvements in rate decisions while collaborating with cross-functional teams.

The role emphasizes advanced analytics, documentation, and ability to translate complex findings into actionable recommendations, with fully remote options for contiguous US locations.

Qualifications

• 6+ years in business analysis, financial modeling, health policy analysis or public sector evaluation.
• Strong data expertise and impact on MCOs within Medicaid contexts.
• Experience interpreting public policy in healthcare settings.

Responsibilities

• Lead development and documentation of rate-setting models for LTC programs.
• Use large datasets to evaluate costs, trends, and reimbursement outcomes.
• Translate business needs into data, system and policy requirements.
• Support capitation rate-setting methodologies for contracted MCOs.
• Prepare analyses and recommendations for leadership and technical teams.

Skills

Medicaid policy analysis

Public administration

Data analytics

MCO impact analysis

Excel

R/SAS/STATA/SPSS

SQL

Data warehousing

Policy interpretation

Communication of insights

Education

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

Master's degree preferred

Tools

SQL

Excel

Data warehouse tools

Job description

Gainwell Technologies is seeking a Senior Long-Term Care - Rate Setting Analyst to lead rate-setting methodologies for Medicaid LTC programs in Wisconsin. You will analyze data, interpret policy impacts on MCOs, and drive improvements in rate decisions while collaborating with cross-functional teams.

The role emphasizes advanced analytics, documentation, and ability to translate complex findings into actionable recommendations, with fully remote options for contiguous US locations.