Senior Medicaid Analyst: Program Integrity & Analytics

BerryDunn — Assurance, Tax and Consulting; United States; Hybrid; USD 80,000 - 120,000; Full time

Job summary

BerryDunn’s Health Analytics Practice Group is seeking a Senior Medicaid Analyst to apply Medicaid expertise and analytics to help public-sector clients strengthen program performance and accountability. You will analyze claims and program data, evaluate policies, and translate findings into practical recommendations for decision-makers.

The role focuses on program integrity initiatives including fraud, waste, and abuse, with opportunities to lead analyses, collaborate with multidisciplinary

Qualifications

• Master's degree preferred in public health, policy, administration, data analytics, or related field.
• Five+ years of Medicaid, health services, or related consulting experience.
• Knowledge of Medicaid program structure and operations with claims data experience.
• Experience analyzing healthcare data to identify trends and opportunities for improvement.
• Proficient in data analysis, reporting, or visualization tools (Excel, SQL, SAS, Power BI, Tableau).
• Ability to translate complex information into clear findings and recommendations.

Responsibilities

• Analyze Medicaid claims, encounters, provider, member, and eligibility data for trends and risk indicators.
• Support program integrity initiatives including fraud, waste, and abuse and payment integrity.
• Evaluate policies, operations, workflows, and controls to identify gaps and improvements.
• Develop performance measures, reports, dashboards, and decision-support materials for leadership.
• Translate complex policy and data information into clear findings for technical and non-technical audiences.
• Lead analyses and workstreams, mentor junior staff, and contribute to proposals and business development.

Skills

Analytical thinking

Problem-solving

Written communication

Documentation

Communication

Education

Master's degree in health policy/health administration/data analytics

Tools

Excel

SQL

SAS

Power BI

Tableau

Job description

BerryDunn’s Health Analytics Practice Group is seeking a Senior Medicaid Analyst to apply Medicaid expertise and analytics to help public-sector clients strengthen program performance and accountability. You will analyze claims and program data, evaluate policies, and translate findings into practical recommendations for decision-makers.

The role focuses on program integrity initiatives including fraud, waste, and abuse, with opportunities to lead analyses, collaborate with multidisciplinary