Senior LTC Rate-Setting Analyst - Remote

Gainwell Technologies LLC; Oregon; Hybrid; USD 69,000 - 99,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Educational assistance

Job summary

Gainwell Technologies LLC is seeking a Senior Long-Term Care - Rate Setting Analyst to lead rate‑setting methodologies for Medicaid LTC programs. You will apply advanced data expertise to interpret policy impacts and understand how rate decisions affect MCOs and the broader long‑term care ecosystem.

The role involves developing rate‑setting models, analyzing large datasets, and translating complex findings into actionable recommendations for leadership and clients.

Qualifications

• Strong data expertise with rate-setting decisions across Medicaid/MCOs.
• Experience interpreting public policy in healthcare or Medicaid context.
• Understanding LTC ecosystem, program structures, and reimbursement models.
• Proficiency in Excel and statistical tools for modeling and analysis.

Responsibilities

• Lead development and documentation of rate-setting models for long-term care programs.
• Use large datasets to evaluate costs, trends, and reimbursement outcomes.
• Assess impact of rate changes and policy updates on MCOs.
• Translate business needs into data, system, and policy requirements.

Skills

Rate-setting impact on MCOs

Data analysis

Excel

R/SAS/STATA/SPSS

Education

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

Master's degree preferred

Tools

SQL

Data warehouse

Job description

Gainwell Technologies LLC is seeking a Senior Long-Term Care - Rate Setting Analyst to lead rate‑setting methodologies for Medicaid LTC programs. You will apply advanced data expertise to interpret policy impacts and understand how rate decisions affect MCOs and the broader long‑term care ecosystem.

The role involves developing rate‑setting models, analyzing large datasets, and translating complex findings into actionable recommendations for leadership and clients.