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Medicaid Data Analyst
Medicaid Data AnalystEmergiTel • Tallahassee, FL, United States
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Medicaid Data Analyst

Medicaid Data Analyst

EmergiTel • Tallahassee, FL, United States
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  • [job_card.full_time]
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Job Description

Role Overview : The Medicaid Database Analyst will be responsible for analyzing, interpreting, and reporting on Medicaid-related healthcare data to support policy, operational decision-making, and program evaluation within the State of Florida's Agency for Health Care Administration (AHCA).

What You Will Do :

  • Analyze Medicaid claims, eligibility, provider, and encounter data to identify trends, anomalies, and opportunities for improvement.
  • Develop and maintain dashboards and reports using Power BI or Tableau to deliver actionable insights to stakeholders.
  • Write complex SQL and SAS queries, and use Python for data manipulation, analysis, and automation.
  • Ensure all work complies with HIPAA regulations and state / federal data governance standards.
  • Collaborate with internal teams, external partners, and leadership to define data needs and deliver analytics solutions.
  • Support special projects, audits, and federal reporting initiatives, including CMS submissions and performance metrics.

What You Will Bring :

  • Minimum of 5 years of experience in data analysis, preferably with Medicaid or healthcare claims data
  • Strong hands-on experience with SQL and SAS (data querying, cleansing, and transformation)
  • Proficiency in Python for data manipulation and automation
  • Minimum of 3 years of experience using Power BI or Tableau for building dashboards and reports
  • Deep understanding of Medicaid data, claims processing, eligibility, and encounter data
  • Knowledge of HIPAA regulations , data governance, and federal / state healthcare reporting standards
  • Excellent data storytelling and presentation skills (ability to translate analytics into actionable insights)
  • Bachelor's or Master's degree in Data Science, Statistics, Computer Science , or a related field
  • Experience working with state or federal healthcare agencies (e.g., AHCA, CMS, Medicaid )
  • Preferred / Good-to-Have Skills :

  • Experience with Medicaid Managed Care, LTSS , or Waiver Programs
  • Knowledge of cloud platforms ( Azure, AWS, or Google Cloud ) for data storage / analytics
  • Exposure to machine learning models or predictive analytics for forecasting and risk stratification
  • Familiarity with federal reporting requirements (e.g., CMS submissions, performance metrics)
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