Milliman
Healthcare Data Analyst - Medicaid Finance & Policy (Experienced)
Milliman, Seattle, Washington, us, 98127
Description
Milliman's Medicaid Finance and Policy Practice is seeking individuals with interest and experience in providing analytical support for healthcare-related provider payment transformation engagements. Typical projects will include reimbursement methodology design, rate setting and program funding strategies for all types of provider services, including hospital, physician and other practitioner, nursing facility, behavioral health, and home and community-based services. Related experience specific to Medicaid program funding, including supplemental payment programs and federal compliance issues, would be considered a plus.Who We AreMilliman's Medicaid Finance and Policy Practice serves state Medicaid agencies, and a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including hospital associations, and safety net hospital systems. The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.ResponsibilitiesAnalyzing healthcare data, including:Service-related paid claims datasets, such as hospital and physician claims dataService utilization and trend dataProvider cost dataDesigning, developing, and using data modelsReviewing, evaluating, and summarizing data model outputAssisting with Medicaid policy research and analysisDrafting technical documentation of work performed and related client reports and PowerPoint presentationsReviewing the work of others to support Milliman's quality control processes
QualificationsBachelor's Degree or higher3+ years of full-time experience working with healthcare claims dataExperience using a computer programming language (e.g. SAS, SQL, R, or Python) for analysis of healthcare claims dataExperience providing consulting services to state Medicaid or other health and human services agencies, or other types of public or private healthcare-related entities, is a plus.Interest and aptitude for performing detail-oriented analytical workAbility to effectively communicate technical information and concepts, both verbally and in writingAbility to conduct and summarize research on Federal and state healthcare regulations and policies
To be considered for this position, please upload a resume and cover letter.No recruiters, please.LocationThis position is based out of the Milliman offices in Seattle or Chicago. It is preferred that this employee work in-office, but remote candidates anywhere in the US will be considered.CompensationThe salary range for this position is $54,000 - $106,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc. Employees are also eligible for a bonus under our practice's bonus policy, which can be a significant portion of total compensation.Milliman BenefitsAt Milliman, we focus on creating an environment that recognizes - and meets - the personal and professional needs of the individual. We offer a competitive benefits package, which includes:Medical, dental and vision coverage for employees and their dependents, including domestic partnersA 401(k) plan with matching program, and profit-sharing contributionEmployee Assistance Program (EAP)A discretionary bonus programPaid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours workedFamily building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month periodA minimum of 8 paid holidaysMilliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverageFlexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs
Who We AreIndependent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.Equal OpportunityAll qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.This job posting is expected to close on September 24, 2024.#LI-Remote#LI-RR1Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Milliman's Medicaid Finance and Policy Practice is seeking individuals with interest and experience in providing analytical support for healthcare-related provider payment transformation engagements. Typical projects will include reimbursement methodology design, rate setting and program funding strategies for all types of provider services, including hospital, physician and other practitioner, nursing facility, behavioral health, and home and community-based services. Related experience specific to Medicaid program funding, including supplemental payment programs and federal compliance issues, would be considered a plus.Who We AreMilliman's Medicaid Finance and Policy Practice serves state Medicaid agencies, and a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including hospital associations, and safety net hospital systems. The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.ResponsibilitiesAnalyzing healthcare data, including:Service-related paid claims datasets, such as hospital and physician claims dataService utilization and trend dataProvider cost dataDesigning, developing, and using data modelsReviewing, evaluating, and summarizing data model outputAssisting with Medicaid policy research and analysisDrafting technical documentation of work performed and related client reports and PowerPoint presentationsReviewing the work of others to support Milliman's quality control processes
QualificationsBachelor's Degree or higher3+ years of full-time experience working with healthcare claims dataExperience using a computer programming language (e.g. SAS, SQL, R, or Python) for analysis of healthcare claims dataExperience providing consulting services to state Medicaid or other health and human services agencies, or other types of public or private healthcare-related entities, is a plus.Interest and aptitude for performing detail-oriented analytical workAbility to effectively communicate technical information and concepts, both verbally and in writingAbility to conduct and summarize research on Federal and state healthcare regulations and policies
To be considered for this position, please upload a resume and cover letter.No recruiters, please.LocationThis position is based out of the Milliman offices in Seattle or Chicago. It is preferred that this employee work in-office, but remote candidates anywhere in the US will be considered.CompensationThe salary range for this position is $54,000 - $106,000, depending on a combination of factors, including but not limited to education, relevant work experience, qualifications, skills, certifications, location, etc. Employees are also eligible for a bonus under our practice's bonus policy, which can be a significant portion of total compensation.Milliman BenefitsAt Milliman, we focus on creating an environment that recognizes - and meets - the personal and professional needs of the individual. We offer a competitive benefits package, which includes:Medical, dental and vision coverage for employees and their dependents, including domestic partnersA 401(k) plan with matching program, and profit-sharing contributionEmployee Assistance Program (EAP)A discretionary bonus programPaid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours workedFamily building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month periodA minimum of 8 paid holidaysMilliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverageFlexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs
Who We AreIndependent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.Equal OpportunityAll qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.This job posting is expected to close on September 24, 2024.#LI-Remote#LI-RR1Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)