Medicaid State Data Consultant
: Job Details :


Medicaid State Data Consultant

Guidehouse

Job Location : Mc Lean,VA, USA

Posted on : 2025-09-08T20:30:54Z

Job Description :

We are seeking Consultants with experience and knowledge of validating, loading, processing, and analyzing Medicaid data and detailed member data across various states, public health entities, and public data sources using SAS. These analyses will inform work with state Medicaid, public health, or state and local health and human services programs, including health benefits exchanges, Medicaid expansion, Medicaid managed care, Medicaid program operations, program improvement, and state compliance requirements. A strong understanding of various state and local programs and policies across the country is essential.

The successful candidate will:

  • Assist state agencies, including Medicaid, Behavioral Health, Developmental and Intellectual Disabilities, State Units on Aging, and/or Social/Human Services, in developing data analytics to support strategic plans;
  • Assess business and technical requirements related to implementing program initiatives;
  • Understand MMIS claims datasets and Medicaid reimbursement processes;
  • Research and stay updated on states' healthcare transformation efforts;
  • Perform data and qualitative research activities to address state research needs;
  • Support financial planning, modeling, analysis, forecasting, and financial assessments;
  • Prepare reports and research financial trends;
  • Document findings and develop recommendations and follow-up steps;
  • Collaborate with healthcare stakeholders;
  • Analyze client-identified issues or problems;
  • Manage projects and engagements of various sizes and durations;
  • Supervise and support staff development;
  • Manage client interactions and expectations;
  • Provide subject matter expertise as needed;
  • Contribute to business development with new clients;
  • Participate in firm-building activities.

    • Requirements include a Bachelor's degree from an accredited university, at least 3+ years of relevant experience, proficiency in Base SAS and Medicaid claims data analysis, strong attention to detail, interest in healthcare reform, and ability to travel 10-20%. Nice-to-have skills include advanced data analytics training, Power BI, Tableau, Spotfire, SQL, excellent communication skills, strategic problem solving, and proficiency in MS Office. Overtime flexibility is also preferred.

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