Staff Analyst

#LI-Hybrid #LI-MM3

Myers and Stauffer is seeking a Staff Analyst (entry level to a few years of experience) to join our multi-disciplinary team of analysts and clinical staff. In this role, you will analyze Medicaid provider claims and payments, support the design and calculation of hospital, physician, and other reimbursement systems, and contribute to meaningful work that helps state Medicaid programs operate efficiently, accurately, and compliantly.

This position is ideal for candidates who are analytical, curious, detail-oriented, and interested in the intersection of healthcare, policy, and data. With training and support, you will be responsible for the following job duties:

Essential Functions and Primary Duties

• Use SQL, Alteryx, PowerBI, or similar tools to analyze large datasets and develop actionable recommendations
• Prepare, interpret, and distribute analytical reports and written summaries
• Build SQL queries, build data extraction logic, and validate data used in reimbursement calculations
• Conduct research to determine billing and reimbursement compliance with Medicaid or other government regulations
• Assist in designing and maintaining Medicaid payment methodologies for hospitals, physicians, and other healthcare providers
• Review Federal and State policies, regulations, and statutory language and apply them to analytical work
• Participate in evaluating client-identified issues or problems and contribute to development of solutions
• Work iteratively by incorporating team feedback, validating assumptions, and refining analyses
• Maintain accurate, organized electronic documentation
• Maintain strict confidentiality and security of protected health information
• Receive structured training and hands-on mentorship in Medicaid reimbursement concepts
• Assist in developing and documenting Medicaid reimbursement models (e.g., hospital DRG/EAPG/APC, outpatient fee schedules, ACR-based methodologies, UPL demonstrations)
• Support analysis of large Medicaid claims datasets and Medicare/Medicaid cost reports to calculate rates and evaluate fiscal impacts
• Help review and contribute to State Plan Amendments (SPAs), CMS RAIs, and related regulatory submissions
• Participate in preparing technical documentation, methodology descriptions, and client deliverables
• Participate in structured problem-solving sessions to diagnose data issues, interpret policy requirements, and refine analytic approaches

• Perform additional responsibilities as assigned

   

Preferred Qualifications

• Experience in SQL and large-dataset analysis
• Strong problem-solving ability with a willingness to break down complex issues and propose solutions
• Interest or Experience in Alteryx, PowerBI, or other data visualization programs
• Ability to incorporate feedback, refine work, and continuously improve
• Excellent written and verbal communication skills
• Strong analytical and critical-thinking skills
• High attention to detail and strong organizational skills
• Ability to manage multiple deadlines and prioritize assignments
• Familiarity with healthcare data, provider reimbursement, policy interpretation, or auditing (internships welcome)
• Interest in learning Medicaid concepts such as DRG, ACR, UPL, DSH, GME, and directed payments (to name a few)

Minimum Qualifications

• Bachelor's degree in accounting, finance, health policy, health care administration, health information, criminal justice or related field