Medicaid Business Information Analyst
⭐ - Featured Role | Apply direct with Data Freelance Hub
This role is for a Medicaid Business Information Analyst in Philadelphia, PA, with a long-term contract. Pay rate is unspecified. Requires a BS/BA and 3 years of data analysis experience. Key skills include SQL, data manipulation, and knowledge of Medicaid data.
🌎 - Country
United States
💱 - Currency
$ USD
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💰 - Day rate
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🗓️ - Date discovered
September 2, 2025
🕒 - Project duration
Unknown
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🏝️ - Location type
On-site
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📄 - Contract type
Unknown
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🔒 - Security clearance
Unknown
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📍 - Location detailed
Philadelphia, PA
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🧠 - Skills detailed
#Compliance #Business Analysis #Microsoft Excel #Data Analysis #CMS (Content Management System) #SQL (Structured Query Language) #SAS #Data Quality
Role description
Role: Medicaid Business Analyst
Location: Philadelphia, PA
Duration: Long Term
Visa: Any
The Business Information Analyst Senior is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data, identifying trends, and providing insights to support decision-making and regulatory compliance.
How you will make an impact:
• Analyze and validate Medicaid encounter data submissions for accuracy, completeness, and compliance with CMS requirements.
• Collaborate with internal teams to gather requirements and determine data reporting needs.
• Identify trends, anomalies, and issues in encounter data and provide actionable insights.
• Assist in developing data quality management processes and procedures.
• Provide support for CMS audits and other regulatory reporting requirements.
• Develop and analyze business performance reports (e.g., for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
• Create and publish periodic reports, as well as any necessary ad hoc reports.
• Collaborate with IT and other departments to streamline data collection and reporting processes.
Minimum Requirements:
• Requires a BS/BA degree in a related field and a minimum of 3 years data analysis or related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
• Strong SQL skills are highly preferred.
• Ability to manipulate large sets of data is strongly preferred.
• Strong analytical, organizational, and problem-solving skills are strongly preferred.
• Knowledge of SAS.
• Knowledge of systems capabilities and Healthcare business operations.
• ASC X12 837 EDI experience.
• Intermediate Microsoft Excel experience.
• Facets systems knowledge considered a plus.
• Claims and/or Encounters experience preferred.
• Experience with Medicaid data preferred.
Role: Medicaid Business Analyst
Location: Philadelphia, PA
Duration: Long Term
Visa: Any
The Business Information Analyst Senior is responsible for analyzing and validating healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data, identifying trends, and providing insights to support decision-making and regulatory compliance.
How you will make an impact:
• Analyze and validate Medicaid encounter data submissions for accuracy, completeness, and compliance with CMS requirements.
• Collaborate with internal teams to gather requirements and determine data reporting needs.
• Identify trends, anomalies, and issues in encounter data and provide actionable insights.
• Assist in developing data quality management processes and procedures.
• Provide support for CMS audits and other regulatory reporting requirements.
• Develop and analyze business performance reports (e.g., for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
• Create and publish periodic reports, as well as any necessary ad hoc reports.
• Collaborate with IT and other departments to streamline data collection and reporting processes.
Minimum Requirements:
• Requires a BS/BA degree in a related field and a minimum of 3 years data analysis or related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
• Strong SQL skills are highly preferred.
• Ability to manipulate large sets of data is strongly preferred.
• Strong analytical, organizational, and problem-solving skills are strongly preferred.
• Knowledge of SAS.
• Knowledge of systems capabilities and Healthcare business operations.
• ASC X12 837 EDI experience.
• Intermediate Microsoft Excel experience.
• Facets systems knowledge considered a plus.
• Claims and/or Encounters experience preferred.
• Experience with Medicaid data preferred.
