Strategic Analyst, Medicaid Financial Performance
- Hiring from
- United States
- Work type
- Hybrid
- Posted
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- Initiative Driven Financial & Performance Analysis
- Conducts deep dive analyses in direct support of specific Medicaid financial performance initiatives (e.g., utilization management strategies, community program investments, benefit or operational changes).
- Evaluates financial impact, cost drivers, efficiency opportunities, and unintended consequences associated with initiatives led by the Strategic Program Manager.
- Develops initiative specific baselines, scenarios, and outcome measures to assess effectiveness over time.
- Partners with the Strategic Program Manager to refine analytical questions and translate findings into actionable recommendations.
- Performance Optimization Initiatives
- Designs and manages cross-functional initiatives that improve affordability, efficiency, and performance outcomes.
- Applies continuous improvement methods to streamline workflows, reduce administrative burden, and enhance program effectiveness
- External / Contract Alignment Support
- Ensures initiatives and investments align with CMS/DHS/MQD requirements and QUEST priorities; supports documentation for audits/reviews as needed.
- Mentorship & Capability Building
- Mentors analysts/PM resources, reinforcing standards for documentation, analysis quality, and accountability.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
- Bachelor's degree and six years of related experience in Medicaid/managed care, healthcare operations, program performance, finance, or analytics
- Demonstrated experience leading complex projects and developing business recommendations
- Strong analytical and project management skills; ability to communicate complex information clearly and concisely to leadership
- Working knowledge of regulated program requirements and documentation standards.
- Intermediate working knowledge of Microsoft Office applications to include Word, Excel, PowerPoint, and Outlook.
