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Arcadia
Arcadia
201 – 500 Angajați
Sponsor pentru viza H1BAsistență medicalăConsultanță
Arcadia dezvoltă o platformă de date medicale care reunește informații din surse diverse într-o imagine unitară. Perspectivele obținute îi ajută pe clienți să îmbunătățească îngrijirea și cercetarea, să orienteze creșterea strategică și să susțină deciziile financiare. Compania activează în domeniul sănătății și al consultanței și are o echipă de 201 până la 500 de angajați.
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Locurile de muncă ale companiei

Principal Medicaid Policy Analyst

Turn Medicaid program rules into analytics, registries, and dashboards using Arcadia’s healthcare data platform. Advise state healthcare stakeholders on policy interpretation and data-driven decisions.

USStatele Unite ale Americii
190.000 $ – 215.000 $ / an
RemoteNormă întreagăLiderLimbă Obligatorie: englezăAnalist
Amazon RedshiftAWSPythonSQLTableau

Descriere

  • Interpret state and federal Medicaid rules, eligibility and aid codes, benefit design, coverage, and program guidance.
  • Convert policy into testable analytics, including cohorts, code sets, exclusions, and stratification criteria.
  • Document policy interpretations to support auditable decisions.
  • Advise senior customer leaders on data limitations, definitions, volumes, thresholds, caseloads, costs, and provider capacity.
  • Assess how policy changes affect available data and future analytical questions.
  • Build member and provider data marts, cohort and stratification logic, and registry extracts with SQL and Python on Foundry, Redshift, and Athena.
  • Produce dashboards, recurring reports, Excel deliverables, and leadership presentations.
  • Investigate data-quality issues and reconcile counts across sources.
  • Provide senior analytical guidance to state program leaders, policy and data teams, prime contractors, and vendor partners.
  • Agree on priorities, scope, and timelines with Customer Management.
  • Prepare client-facing leadership summaries, methodology presentations, decision memos, and technical explainers.
  • Manage the daily analytics workstream, customer cadence, request priorities, and ad hoc requests.
  • Maintain production-ready registries, data marts, and dashboards with documented methods and data dictionaries.
  • Mentor and onboard other analysts.
  • Review major deliverables, document playbooks, and set methodology standards.

Cerințe

  • Working knowledge of health programs and managed care plans.
  • Ability to translate policy documents and program rules into analytical logic.
  • Clinical coding and claims knowledge, including ICD-10, CPT/HCPCS, and revenue codes.
  • Experience with claims, eligibility, and provider/NPI data, including NPPES and enrollment files.
  • Practical experience with AI coding and analysis tools such as Claude Code, Cursor, or similar.
  • Advanced SQL skills, including CTEs, window functions, and performance tuning on large claims and eligibility tables.
  • Ability to model data to engineering standards.
  • Hands-on experience creating dashboards and reports in QuickSight, Power BI, Tableau, and Excel.
  • Ability to create presentation decks for executive audiences.
  • Direct experience working with customers and senior stakeholders.
  • Experience scoping ambiguous requests, balancing competing priorities, and applying analytical judgment.
  • Record of leading an analytics program end to end for senior customers or executives.
  • Sound judgment when handling sensitive data and PHI.
  • Experience with a state Medicaid agency, a Medicaid-serving prime contractor or consultancy, or a Medicaid managed care plan is a plus.
  • California Medi-Cal experience is a plus.
  • Familiarity with population health, including risk stratification, registries, care management, network adequacy, and access and equity analysis.
  • Experience with Python and dbt.
  • Familiarity with AWS analytics tools such as Athena, Redshift, and QuickSight.
  • Comfort with orchestration tools and Jira, Confluence, and GitHub workflows.
  • Experience mentoring less experienced analysts.

Beneficii

  • Employee-led programs and initiatives supporting personal and professional development.
  • Flexible, remote-friendly workplace.
  • Unlimited FTO.
  • Competitive compensation.
  • Benefits package.
  • Chance to contribute to a high-visibility state Medicaid program serving millions of members.
  • Opportunity to develop methodology standards, playbooks, and data assets.

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