Senior Research Analyst

Summary

Join Analytica as a Senior Research Analyst and contribute to a crucial initiative combating fraud, waste, and abuse in CMS programs. You will leverage your Medicaid policy expertise to identify vulnerabilities and ensure compliance with federal and state regulations. This role demands significant client engagement with state agencies and CMS representatives. Analytica, a fast-growing company, offers competitive compensation, including bonuses, employer-paid healthcare, training funds, and a 401k match. Your responsibilities include analyzing information, identifying risks, recommending corrective actions, and preparing technical reports. The ideal candidate possesses a strong understanding of Medicare, Medicaid, and CHIP programs and proven analytical skills.

Requirements

• Bachelor’s Degree in any subject
• At least five years of experience required in Medicare, Medicaid, and CHIP programs with an expert level of understanding of the regulations in the programs along with direct supervision of staff
• Expertise in managing complex research and analysis
• Sound analytical skills and ability to perform research activities
• Knowledge of CMS program integrity processes
• Strong Microsoft Office skills

Responsibilities

• Analyze gathered information and documentation to evaluate compliance with state and federal regulations, summarizing findings in briefing documents for CMS in collaboration with policy analysts and subject matter experts (SMEs)
• Identifying potential risks, fraud, and inefficiencies in Medicaid services
• Recommending corrective actions to improve program integrity
• Provide subject matter expertise on Medicaid and CHIP compliance, ensuring adherence to applicable policies, procedures, and state and federal regulations
• Collaborate with state agencies to collect necessary documentation and understand processes required to assess program compliance
• Prepare and deliver technical reports summarizing findings and recommendations following completion of audit reviews

Preferred Qualifications

Master’s Degree in Public Policy or Public Health or related field

Benefits

• Opportunities for bonuses
• Employer paid health care
• Training and development funds
• 401k match