GDR · 14 hours ago
Medicaid Economics Data Analyst - Full Time - Remote Role
United States
Full-time
Remote
Mid Level
$85K/yr - $95K/yr
4+ years expGDR is expanding its Medical Economics team and is seeking a Data Analyst III with strong managed care analytics experience. This role focuses on analyzing Medicare, Medicaid, and Marketplace data to support financial performance insights and reimbursement methodologies.
Information Technology & Services
No H1B
Responsibilities
Analyze Medicare, Medicaid, and Marketplace data to support medical cost, utilization, and reimbursement insights
Develop and maintain complex SQL queries to extract, validate, and analyze large datasets
Perform financial and medical cost analyses related to payment and reimbursement methodologies (DRG, APC, EAPG)
Build and maintain Power BI dashboards using DAX and Power Pivot to track KPIs, MLR, and QAI initiatives
Create advanced Excel models using Pivot Tables, Power Query, nested formulas, and lookups to support financial modeling
Collaborate with Medical Economics, Actuarial, Finance, and other cross-functional teams
Support evaluation of Quality & Affordability Initiatives (QAI) and Medical Loss Ratio (MLR) performance
Ensure data accuracy through validation, reconciliation, and documentation
Qualification
Required
Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related field
4+ years of experience working with large datasets, data management, and analytics
OR 2+ years of IT/data-focused experience with healthcare exposure
Strong experience in Managed Care / Medical Economics analytics
Demonstrated knowledge of payment and reimbursement methodologies (DRG, APC, EAPG)
Advanced SQL skills (complex SELECTs, multiple JOINs, subqueries)
Advanced Excel skills (Pivot Tables, Power Query, VLOOKUP/XLOOKUP, financial modeling)
Power BI experience, including DAX and Power Pivot
Preferred
Experience with actuarial or financial analytics in a healthcare setting
Exposure to Python and/or R
Consulting experience within managed care or medical economics
Company
GDR
GDR is a forward-thinking, Women Veteran-Owned firm specializing in Business Management, Information Technology, Professional and Staffing Services.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Joseph G.
Chief Operations Officer
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