Medicaid database analyst

job summary : a. Job Duties

At a minimum, the position shall :

1) Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends, anomalies, and opportunities for improvement.

2) Support program evaluation, policy analysis, and operational decision-making through data insights.

3) Design and maintain dashboards and reports using tools like Power BI or Tableau. Present findings to stakeholders in a clear, actionable format.

4) Work with internal teams, external partners, and leadership to define data needs and deliver solutions. Present findings to stakeholders in a clear, actionable format.

5) Ensure all work aligns with Agency's regulations, including HIPAA and state data governance standards. Document methodologies, data sources, and assumptions for transparency and reproducibility.

6) Support special projects, audits, and federal reporting initiatives as needed.

7) Assist in the development of technical documentation for recurring reports, data pipelines, and reporting logic to ensure consistency and knowledge transfer.

8) Develop and validate data extracts for federal and state reporting requirements, including CMS submissions and performance metrics.

9) Apply machine learning methods where appropriate to improve forecasting and risk stratification models.

10) Perform other duties as required.

b. Required Knowledge, Skills & Abilities

1) Minimum Qualifications :

a) Bachelor's or Master's degree in Data Science, Statistics, Computer Science, or a related field.

b) Five (5) or more years of experience in data analysis, preferably in healthcare or Medicaid.

c) Strong proficiency in SQL / SAS, with working knowledge of Python for data manipulation, analysis, and automation tasks.

d) Three (3) years of experience with data visualization tools such as Power BI, Tableau, or similar platforms for building dashboards and reports.

e) Strong understanding of healthcare data, especially Medicaid or claims-based data.

f) Excellent communication skills and ability to present complex data to non- technical audiences.

2) Preferred Qualifications :

a) Experience working with state or federal healthcare programs.

b) Knowledge of Medicaid managed care, long-term services and supports (LTSS), or waiver programs.

c) Familiarity with cloud-based data platforms (e.g., Azure, AWS).

d) Experience with machine learning or advanced statistical modeling.

location : Tallahassee, Florida

job type : Contract

salary : $60 - 70 per hour

work hours : 8am to 5pm

education : No Degree Required

responsibilities :

1) Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends, anomalies, and opportunities for improvement.

2) Support program evaluation, policy analysis, and operational decision-making through data insights.

3) Design and maintain dashboards and reports using tools like Power BI or Tableau. Present findings to stakeholders in a clear, actionable format.

4) Work with internal teams, external partners, and leadership to define data needs and deliver solutions. Present findings to stakeholders in a clear, actionable format.

5) Ensure all work aligns with Agency's regulations, including HIPAA and state data governance standards. Document methodologies, data sources, and assumptions for transparency and reproducibility.

6) Support special projects, audits, and federal reporting initiatives as needed.

7) Assist in the development of technical documentation for recurring reports, data pipelines, and reporting logic to ensure consistency and knowledge transfer.

8) Develop and validate data extracts for federal and state reporting requirements, including CMS submissions and performance metrics.

9) Apply machine learning methods where appropriate to improve forecasting and risk stratification models.

10) Perform other duties as required.

qualifications :

Required Knowledge, Skills & Abilities

1) Minimum Qualifications :

a) Bachelor's or Master's degree in Data Science, Statistics, Computer Science, or a related field.

b) Five (5) or more years of experience in data analysis, preferably in healthcare or Medicaid.

c) Strong proficiency in SQL / SAS, with working knowledge of Python for data manipulation, analysis, and automation tasks.

d) Three (3) years of experience with data visualization tools such as Power BI, Tableau, or similar platforms for building dashboards and reports.

e) Strong understanding of healthcare data, especially Medicaid or claims-based data.

f) Excellent communication skills and ability to present complex data to non- technical audiences.

2) Preferred Qualifications :

a) Experience working with state or federal healthcare programs.

b) Knowledge of Medicaid managed care, long-term services and supports (LTSS), or waiver programs.

c) Familiarity with cloud-based data platforms (e.g., Azure, AWS).

d) Experience with machine learning or advanced statistical modeling.

Equal Opportunity Employer : Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad Digital, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad Digital offers a comprehensive benefits package, including : medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).

This posting is open for thirty (30) days.