Principal Analyst, Medicaid Policy Analysis

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $190k - $215k / year

⏰ Full Time

🔴 Lead

🧐 Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 4%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Arcadia

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

💰 $29.5M Venture Round on 2020-01

Healthcare • Consulting

Arcadia is dedicated to happier, healthier days for all. We transform diverse data into a unified fabric for health. Our platform delivers actionable insights for our customers to advance care and research, drive strategic growth, and achieve financial success.

📋 Description

• Interpret state and federal Medicaid program rules, eligibility and aid-code structures, benefit and coverage design, and program guidance • Translate policy into precise, testable analytic logic, including cohort definitions, code sets, exclusions, and stratification criteria • Document interpretations so decisions are auditable • Advise senior customer leadership on data limitations, measurable definitions, volumes, thresholds, caseload, cost, and provider capacity • Anticipate how policy changes affect data and future questions • Build member and provider data marts, cohort and stratification logic, and registry extracts using SQL and Python on Foundry and Redshift/Athena • Deliver dashboards, recurring reports, Excel outputs, and leadership decks • Root-cause data-quality issues and reconcile counts across sources • Serve as the senior analytic voice for state program leadership, policy and data staff, prime contractors, and vendor partners • Set priorities, scope, and timelines with Customer Management • Create client-facing leadership summaries, methodology decks, decision memos, and technical explainers • Own the day-to-day analytic workstream, customer cadence, request prioritization, and ad hoc requests • Own production-grade registries, data marts, and dashboards with documented methodology and data dictionaries • Mentor and bring other analysts up to speed • Review major deliverables, codify playbooks, and establish methodology standards

🎯 Requirements

• Working knowledge of how health programs and managed care plans work • Ability to turn policy documents and program rules into analytic logic • Clinical code and claims fluency, including ICD-10, CPT/HCPCS, and revenue codes • Experience with claims, eligibility, and provider/NPI data, including NPPES and enrollment files • Hands-on fluency with AI coding and analysis tools such as Claude Code, Cursor, or similar • Advanced SQL, including CTEs, window functions, and performance on large claims and eligibility tables • Data modeling to an engineering standard • Hands-on experience building dashboards and reports in QuickSight, Power BI, Tableau, and Excel • Executive-ready presentation decks • Direct customer-facing experience with senior stakeholders • Experience scoping ambiguous requests, navigating competing priorities, and exercising analytical judgment • Track record of leading an analytic program end to end for senior customer or executive audiences • Sound judgment with sensitive data and PHI • Direct experience with a state Medicaid agency, Medicaid-serving prime contractor or consultancy, or Medicaid managed care plan is a plus • California Medi-Cal experience is a plus • Familiarity with population health concepts including risk stratification, registries, care management, network adequacy, and access and equity analysis • Experience with Python and dbt • Familiarity with AWS analytics tools such as Athena, Redshift, and QuickSight • Comfort with orchestration tooling, Jira, Confluence, and GitHub-based workflows • Experience mentoring less experienced analysts

🏖️ Benefits

• Employee driven programs and initiatives for personal and professional development • Flexible, remote-friendly company • Unlimited FTO • Competitive compensation • Amazing benefits • Opportunity to work on a high-visibility state Medicaid program serving millions of members • Opportunity to build methodology standards, playbooks, and data assets