Senior Rate-Setting Analyst — Remote Medicaid LTC

Gainwell Technologies; Madison (WI); Remote; USD 69,000 - 99,000; Full time

Benefits offered by this job

401(k) employer match

Flexible vacation policy

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is seeking a Senior Long-Term Care - Rate Setting Analyst in Madison, WI. You will lead rate-setting model development and maintain methodologies for Wisconsin Medicaid, translating policy changes into actionable data requirements for MCOs and LTC programs.

You will apply advanced analytics to large datasets, evaluate costs and reimbursement outcomes, and communicate insights to leadership and stakeholders.

Qualifications

• 6+ years in business analysis, financial modeling, or Medicaid policy analysis.
• Strong data expertise and understanding of rate-setting impacts on MCOs.
• Experience interpreting public policy, ideally Wisconsin Medicaid.
• Advanced Excel and analytics tools (R, SAS, STATA, SPSS).
• Strong statistical analysis and data interpretation skills.
• Excellent written and verbal communication.
• Ability to manage multiple projects independently.
• Bachelor's degree in related field; master's preferred.

Responsibilities

• Lead development and enhancement of rate-setting models for LTC programs.
• Analyze costs, trends, and reimbursement outcomes using large datasets.
• Assess effects of rate changes and policy updates on MCOs.
• Translate business needs into data, system, and policy requirements.
• Support capitated rate-setting methodologies for contracted MCOs.
• Prepare analyses and recommendations for leadership and clients.

Skills

Data analysis

Excel

Statistical modeling

Communication skills

Independent working

Education

Bachelor's degree

Master's degree preferred

Tools

SQL

SAS

SPSS

Job description

Gainwell Technologies is seeking a Senior Long-Term Care - Rate Setting Analyst in Madison, WI. You will lead rate-setting model development and maintain methodologies for Wisconsin Medicaid, translating policy changes into actionable data requirements for MCOs and LTC programs.

You will apply advanced analytics to large datasets, evaluate costs and reimbursement outcomes, and communicate insights to leadership and stakeholders.