Medicaid Financial Analyst Job at NTT DATA (Chicago)

Senior Analyst: Consulting - Growth & Innovation

ATI Advisory is seeking a high-performing Senior Analyst to join our Growth & In...

Location

United States , Washington, DC

Salary:

Not provided

ATI Advisory

Expiration Date

Until further notice

Requirements

3+ years of experience in strategy consulting, management consulting, corporate strategy, or equivalent roles
Expertise in healthcare (Medicaid and/or Medicare)
Demonstrated ability to perform market research, competitive analysis, financial modelling, business case development, and strategic growth planning
Strong quantitative and qualitative analytical skills
Excellent written and verbal communication skills
Confidence working with senior executives and contributing to proposals and thought leadership
Ability to manage multiple projects and priorities, work autonomously and cross-functionally
High level of professional maturity, initiative, resourcefulness, and growth orientation
Bachelor’s degree

Job Responsibility

Provide Direction & Build Company Assets
Collaborate with the VP of Strategic Initiatives and executive sponsors to define and drive the ATI’s growth agenda
Build and maintain market intelligence tools
Analyze Medicaid and Medicare ecosystems and map supporting services that operationalize healthcare
Lead market scans, competitive landscape analyses, and opportunity assessment for go-to-market insights
Map key stakeholders, regulatory and policy drivers, value chain shifts, and growth levers in target markets
Monitor ongoing market developments, regulatory changes, policy shifts, and competitive moves
Test & Evaluate Market Strategies
Partner with internal teams to support go-to-market strategy, product/solution ideation, and new business development
Develop recommendations and support implementation planning for new business initiatives, partnerships, offerings, or business models

Senior Analyst: Data Strategy - Healthcare

You will drive research and analytics from ideation → programming → insight → cl...

Location

United States , Washington, DC

Salary:

Not provided

ATI Advisory

Expiration Date

Until further notice

Requirements

5+ years applied analytics (or 3+ with an advanced degree) in healthcare, public policy, or adjacent fields
Hands-on R programming for data wrangling, analysis, and reproducible workflows
Financial modeling in Excel (structured models drawing from novel data analyses and academic literature)
Data visualization in the Microsoft Office suite (clear, executive-ready products)
Strong client communication: Ability to independently scope research, manage deadlines, and communicate complex findings simply
Growth mindset for tools: willingness to learn and use SAS, Python, and JavaScript for innovation projects
Strong attention to detail, including the ability to work efficiently to produce accurate and high-quality deliverables
Ability to solve problems independently, pivot quickly based on client needs, and work with incomplete information
Ability to communicate complex ideas and findings effectively into relevant insights – visually, verbally, and in writing
High-level of initiative, quick learning ability, and resourcefulness

Job Responsibility

Design and execute empirical research on Medicare & Medicaid topics (from methodology to code to client-ready presentations)
Build, QC, and automate datasets and models
turn results into clear stories for clients and internal stakeholders
Prototype creative solutions to technical problems (data linkage, feature engineering, performance, reproducibility)
Translate complex analyses into clear narratives and executive-ready exhibits (PowerPoint/Excel), present to client leadership
Collaborate across ATI teams to align methods and deliver high levels of efficiency and ownership
Lead client-facing analytics and set technical direction
Review code, establish standards, mentor other team members, and foster a high quality, high support culture

Analyst: Data Strategy - Healthcare

You will support research and analytics from ideation → programming → insight → ...

Location

United States , Washington, DC

Salary:

Not provided

ATI Advisory

Expiration Date

Until further notice

Requirements

2-5 years applied analytics (or 1+ with an advanced degree) in healthcare, public policy, or adjacent fields
Hands-on R programming for data wrangling, analysis, and reproducible workflows
Financial modeling in Excel (structured models drawing from novel data analyses and academic literature)
Data visualization in the Microsoft Office suite (clear, executive-ready products)
Strong client communication: Ability to independently scope research, manage deadlines, and communicate complex findings simply
Growth mindset for tools: willingness to learn and use SAS, Python, and JavaScript for innovation projects
Strong attention to detail, including the ability to work efficiently to produce accurate and high-quality deliverables
Ability to solve problems independently, pivot quickly based on client needs, and work with incomplete information
Ability to communicate complex ideas and findings effectively into relevant insights – visually, verbally, and in writing
High-level of initiative, quick learning ability, and resourcefulness

Job Responsibility

Design and execute empirical research on Medicare & Medicaid topics (from methodology to code to client-ready presentations)
Build, QC, and automate datasets and models
turn results into clear stories for clients and internal stakeholders
Prototype creative solutions to technical problems (data linkage, feature engineering, performance, reproducibility)
Translate complex analyses into clear narratives and executive-ready exhibits (PowerPoint/Excel), present to client leadership
Collaborate across ATI teams to align methods and deliver high levels of efficiency and ownership
Lead client-facing analytics and set technical direction
Review code, establish standards, mentor other team members, and foster a high quality, high support culture

Reimbursement Senior Analyst

The Senior Reimbursement Analyst plays a key role in supporting the financial su...

Location

United States , Hollywood

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

Bachelors (Required)
Minimum of five (5) years of progressively responsible experience overseeing reimbursement operations, audit, or consulting projects related to reimbursement
Bachelor's degree in Accounting, Finance, Business Administration, or related field required
Essential to have thorough knowledge of Medicare, Medicaid and Champus rules and regulations and third party audit techniques
Strong command of regulatory reporting requirements
Proficient in Microsoft Office products and Cost Reporting Software
Exceptional analytical skills
Ability to collaborate across departments to drive operational excellence and maximize reimbursement opportunities
Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision
Must be able to work in a stressful environment and take appropriate timely action

Job Responsibility

Extracts required data from MHS systems and prepares schedules supporting reimbursement activities
Participate in the monthly close and annual financial statement preparation related to net revenue and supports annual accounting audit of same
Function as primary backup to the Directors in the monthly close process
Compile data for Medicaid DSH and Low Income Pool (LIP) supporting schedules
Other duties, as assigned
Obtaining supporting materials from other MHS departments and external sources
Maintains registration for access to all state and federal databases
Participate in the preparation of the annual Medicare, Medicaid and Champus cost reports
Compile data and supporting schedules for the cost reports
Monitor and maintain various cost report statistics such as time studies, meal count and square footage

Fulltime

Senior Business Analyst

The successful candidate will work as part of a team providing Business Operatio...

Location

United States , Little Rock

Salary:

70000.00 - 130000.00 USD / Year

NTT DATA

Expiration Date

Until further notice

Requirements

Minimum 8 years of experience supporting or developing Health Care systems
Minimum 6 years of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations in a multi-vendor environment
Minimum 3 years of experience supporting one or more state Medicaid Programs / MMIS, including benefit plan administration or claims or financial reporting, to include MAR or CMS64 or TMSIS
Minimum 3 years of experience working with Medicaid Enterprise Systems (MES) vendors, specifically MMIS solutioning vendor experience
and verification of business and technical requirements
Minimum 1 year of experience with system development methodology and project management principles
Undergraduate degree or 4 years relevant experience

Job Responsibility

Review project artifacts/deliverables throughout the system development life cycle for quality, compliance, and completeness, document observations and findings using project team processes and standards
Interface with state business users and vendors
Analyze technical, business and user needs, developing requirements documentation
Identify and report project issues and risks
Research and provide recommendations to the client on business problems/decisions
Collaborate with team members in a fluid environment to provide subject matter expertise and assistance
Ensure project identified processes and methodologies are executed and followed
Develop and execute test cases
Develop and present formal presentations to business leaders, vendors, and team members, making applicable recommendations
Participate and/or lead in the creation of presentations and other materials for end user training

What we offer

Medical, dental, and vision insurance with an employer contribution
Flexible spending or health savings account
Life and AD&D insurance
Short and long term disability coverage
Paid time off
Employee assistance
Participation in a 401k program with company match
Additional voluntary or legally-required benefits

Fulltime

New

Policy Analyst, State Government Programs – Cardiology

As the State Government Programs Policy Analyst for Bardy Diagnostics, you will ...

Location

United States , Houston

Salary:

88000.00 - 121000.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

Associate degree required
bachelor's degree preferred
Minimum 4 years of experience in healthcare reimbursement, payer policy, or health plan administration
Strong knowledge of state and federal healthcare laws, rules, and regulations
Understanding of database integrity standards
familiarity with Current Procedural Terminology codes and independent diagnostic testing facility operations preferred
Working knowledge of Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children's Health Insurance Program, disability waivers, and other state government programs
General understanding of provider credentialing and enrollment requirements
Familiarity with payer policy databases and third‑party billing tools preferred
Strong analytical skills, exceptional communication, attention to detail, and the ability to manage multiple projects in a dynamic regulatory environment

Job Responsibility

Research, analyze, and interpret state Medicaid and government program policies, including Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children's Health Insurance Program, and state waiver programs
Monitor state and payer documentation such as provider manuals, State Plan Amendments, bulletins, and regulatory communications
Track legislative and regulatory developments across states and identify trends, risks, and opportunities affecting cardiology services
Evaluate operational, financial, and compliance impacts of payer policy changes and prepare summaries and briefs for leadership
Partner with internal teams to embed payer policy requirements into billing, coding, credentialing, and reimbursement workflows
Identify compliance risks related to policy changes and recommend mitigation strategies
Serve as a resource for interpreting payer rules related to coverage, coding, reimbursement methodologies, and documentation standards
Support audits, appeals, payer disputes, and policy‑driven operational initiatives as needed

What we offer

medical and dental coverage that start on day one
insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
Flexible Spending Accounts
educational assistance programs
time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
commuting benefits
Employee Discount Program
Employee Assistance Program (EAP)

Fulltime

Medical Claims Analyst

We are looking for a Medical Claims Analyst to join our team in Raleigh, North C...

Location

United States , Raleigh

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

2–5 years of experience in Medicaid, medical claims, healthcare auditing, or a closely related field
Working knowledge of Medicaid claims processing, medical billing, denials management, and rejected claims review
Experience conducting audit testing, provider reviews, or payment validation activities within a healthcare environment
Ability to interpret regulatory requirements and apply them accurately to audits, claim reviews, and documentation
Strong analytical skills with the ability to identify variances, research issues, and present clear findings
Effective written documentation skills for preparing audit support materials, findings, and review summaries
Proficiency in handling sensitive healthcare information with a high level of accuracy, organization, and professionalism

Job Responsibility

Review provider records and claims activity to assess payment accuracy and identify discrepancies requiring follow-up
Perform audit procedures tied to Medicaid claims, billing practices, denials, and rejected claims to support program integrity efforts
Interpret Medicaid rules and applicable federal guidance when evaluating findings and determining compliance outcomes
Prepare organized workpapers, summaries, and preliminary reports that clearly document testing results and supporting analysis
Investigate claim issues and collaborate with stakeholders to address exceptions, recommend corrective actions, and support resolution plans
Analyze medical billing and reimbursement data to detect trends, payment concerns, and areas of potential financial risk
Support compliance reviews involving provider activity, claim adjudication, and payment validation across assigned cases

What we offer

medical insurance
vision insurance
dental insurance
life insurance
disability insurance
401(k) plan

Fulltime

Director, Value-Based Care

This strategic and hands-on leadership role will drive Medicare ACO performance ...

Location

United States , New York City

Salary:

150000.00 - 170000.00 USD / Year

Carex Consulting Group

Expiration Date

Until further notice

Requirements

7+ years of experience in value-based care, population health, Medicare ACOs, or risk-based contracting
Direct experience managing or operating Medicare ACO programs and/or Medicare risk arrangements
Strong understanding of value-based care performance drivers, including quality measures, utilization, and shared savings models
Experience working closely with primary care practices and clinical teams
Proven ability to lead, mentor, and develop high-performing teams
Strong analytical skills with the ability to translate data into actionable strategies
Experience collaborating with product and data teams in healthcare or health tech environments
Comfort operating in a fast-paced, high-growth or startup environment
Excellent communication skills with the ability to influence diverse stakeholders
Bachelor’s degree required

Job Responsibility

Lead day-to-day oversight and performance of Medicare ACO programs, ensuring strong outcomes across quality, utilization, and financial metrics
Drive performance across Medicare Advantage, Medicaid, and commercial value-based care contracts
Monitor and communicate contract performance trends, risks, and opportunities to stakeholders and leadership
Develop and execute strategies to improve cost performance, quality scores, and shared savings outcomes
Partner with primary care practices to support care model transformation, workflow optimization, and population health initiatives
Translate complex data into actionable insights for clinicians and practice teams
Collaborate with product and data teams to define key metrics, dashboards, and reporting tools
Identify performance gaps, test interventions, and iterate quickly using data-driven approaches
Manage and mentor a team of analysts and practice transformation specialists while contributing individually
Build strong cross-functional partnerships across clinical, operations, product, data, and finance teams

What we offer

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Medicaid Financial Analyst

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