Medicaid State Data Consultant

Company: Guidehouse
Location: Mc Lean
Posted on: July 1, 2025

Job Description:

Job Family: Strategy & Transformation Consulting Travel Required: Up to 10% Clearance Required: None Job Posting What You Will Do: We are seeking Consultants with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various states, public health entities and public data sources using SAS. These analyses will be leveraged to help inform work with state Medicaid, public health or state and local health and human services programs, including health benefits exchanges, Medicaid expansion, Medicaid managed care, Medicaid program operations, program improvement and state compliance requirements, and will be enhanced by a strong understanding about various state and local programs and policies across the country. The successful candidate will: - Assist state agencies, including Medicaid, Behavioral Health, Developmental and Intellectual Disabilities, State Units on Aging and/or Social/Human Services in the development of data analytics to support strategic plans - Assist clients in assessing business and technical requirements related to the implementation of program initiatives - Have an understanding of MMIS claims datasets and Medicaid reimbursement - Research and stay abreast of states’ healthcare transformation efforts - Perform data and qualitative research activities to address state research needs - Responsible for supporting financial planning, modeling, analysis, and forecasting, assisting in financial assessment, preparing financial and other reports, and researching financial trends - Document and communicate findings and support development of recommendations and follow-up steps to respond to findings - Identify and collaborate with broad range of healthcare stakeholders - Participate in analysis of client-identified issues or problems - Manage projects and engagements of various sizes and durations - Supervise and support the development of staff - Effectively manage client interaction and managing client expectations - Provide subject matter expertise, as requested and appropriate - Help develop business with new clients, as requested - Participate in non-client related firm-building activities What You Will Need: - A Bachelor’s degree from an accredited University - At least 3 (THREE) years of previous work experience - Experience in the health care data analytics industry specifically working with Base SAS - Medicaid claims data experience - experience in analyzing Medicaid claims data using Base SAS in a professional setting - Strong attention to detail and deliverable preparation - Strong interest in state health agencies and healthcare reform, e.g., Medicaid, public health, health insurance, and health reform organizations (legislative, executive, governor’s office) - Ability to travel to meet client needs (10-20%) as required What Would Be Nice To Have: - For specific roles, excellent quantitative analysis skills, with training in advanced data analytics, use of Power BI, Tableau or Spotfire - Proficient in SQL - Superior written and oral communication skills - A strategic problem solver - Demonstrated ability to self-manage task execution and manage discreet task / project / initiative functions. - Working knowledge of Word, Excel, PowerPoint, and Access as well as the ability to conduct research through use of the internet and other information sources - The ability to work overtime as necessary - Assure high-quality client work product The annual salary range for this position is $98,000.00-$163,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: - Medical, Rx, Dental & Vision Insurance - Personal and Family Sick Time & Company Paid Holidays - Position may be eligible for a discretionary variable incentive bonus - Parental Leave and Adoption Assistance - 401(k) Retirement Plan - Basic Life & Supplemental Life - Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts - Short-Term & Long-Term Disability - Student Loan PayDown - Tuition Reimbursement, Personal Development & Learning Opportunities - Skills Development & Certifications - Employee Referral Program - Corporate Sponsored Events & Community Outreach - Emergency Back-Up Childcare Program - Mobility Stipend About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Keywords: Guidehouse, Bethesda , Medicaid State Data Consultant, Executive , Mc Lean, Maryland