[Remote] Medicaid Payment Data Analyst

Note: The job is a remote job and is open to candidates in USA. Tharseo IT is a company focused on leveraging data to improve healthcare outcomes. The Medicaid Payment Data Analyst will analyze extensive datasets to extract insights that influence business decisions and enhance clinical outcomes for members. Responsibilities • Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends • Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools • Contribute to the planning and execution of large-scale projects with limited direction from leadership • Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation • Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers • Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment • Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks • Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products • Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners • Independently engage with customers and business partners to gather requirements and validate results • Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required • Provide technical guidance to junior analysts Skills • Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience • 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience • Working knowledge of SQL/querying languages • Master's degree • Healthcare analytics experience • Preferred knowledge of programmatic coding languages such as Python and R • Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis • Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI • Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation • Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government-sponsored healthcare Benefits • With benefits Company Overview • Tharseo IT is a software company providing cloud and cloud-related solutions serving federal, state, and local government agencies. It was founded in 2014, and is headquartered in Washington, District of Columbia, USA, with a workforce of 51-200 employees. Its website is Company H1B Sponsorship • Tharseo IT has a track record of offering H1B sponsorships, with 1 in 2025, 3 in 2024, 1 in 2023, 1 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job