Health and Human Services Policy and Financial Analyst
Estrada Consulting, Inc. | Public sector health and human services client | Remote, US based | $50 to $80 per hour
About the role
ECI is looking for a policy and financial analyst to help a state health and human services agency turn its Medicaid program data into findings its staff can act on. You will connect what the analytics show to program policy and budget: documenting the rules and procedures behind each analysis, explaining spending and utilization patterns in plain language, and helping program staff improve the processes behind them.
About the project
Estrada Consulting, Inc. (ECI) is assembling the team for a cloud-based data analytics capability for a state Medicaid-funded developmental disabilities program. The program holds claims, electronic visit verification, eligibility, provider, service plan and self-directed services fiscal data, and needs an integrated, explainable way to identify anomalies, emerging financial risk and opportunities for program improvement. The capability uses three tiers of analysis (rules-based checks, statistical comparison and relationship analysis), and every result is reviewed by State staff before any action. ECI has already built a working prototype on synthetic data.
Responsibilities
- Review program policies, waiver requirements and procedures, and document the business rules behind each analysis in plain language.
- Analyze spending, utilization and provider billing trends, and prepare budget and variance analysis for program and fiscal staff.
- Assess data readiness with the data team: what each source can and cannot support, and the limitations that affect conclusions.
- Help define, test and document rules and indicators with the Medicaid subject matter expert and State reviewers.
- Write recurring summaries, executive briefings and inputs for quarterly legislative reporting.
- Recommend operational and business process improvements based on findings, and document new or changed procedures.
- Support stakeholder sessions, interviews and knowledge transfer to State staff.
Required qualifications
- 1 to 2 or more years of policy analysis in a health and human services department or program (Medicaid, HCBS, developmental disabilities, public health or social services)
- Experience writing and reviewing policies and procedures
- Operational or business process improvement experience
- Proficiency in financial and budget analysis: spending trends, variance analysis, rates or cost reconciliation
- Advanced Excel; able to turn data into clear findings for program and executive audiences
- US based and able to pass a background check befor