Job Title: Senior Data Analyst – Medicaid Exp Must
Experience : 10+ Years
Key Responsibilities:
• Analyze large volumes of Medicaid healthcare data, including claims, enrollment, provider, eligibility, encounter, and pharmacy data.
• Gather, analyze, and document business and data requirements from Medicaid business stakeholders.
• Develop and maintain complex SQL queries, stored procedures, and data validation scripts for data extraction and analysis.
• Perform detailed analysis of Medicaid claims adjudication, member eligibility, provider networks, and reimbursement processes.
• Design, develop, and maintain dashboards, scorecards, and reports using BI tools such as Tableau, Power BI, or Cognos.
• Conduct data profiling, data quality assessments, and root cause analysis to ensure accuracy and completeness of Medicaid data.
• Collaborate with business teams to support Medicaid regulatory reporting, including CMS, state-specific mandates,...