[Remote] Senior Public Policy / Long-Term Care - Rate Setting Analyst

Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is a company focused on solving business challenges and enhancing operations. The Senior Public Policy / Long-Term Care - Rate Setting Analyst will lead the development and maintenance of rate-setting methodologies for Medicaid long-term care programs, utilizing data expertise to interpret policy impacts and improve program outcomes.ResponsibilitiesLead the development, enhancement, and documentation of rate‑setting models for long‑term care programsUse advanced analytical techniques and large datasets to evaluate costs, trends, and reimbursement outcomesAssess how rate changes, policy updates, and cost drivers affect Managed Care Organizations (MCOs)Translate business needs into clear data, system, and policy requirementsResearch reimbursement methodologies, program operations, and the long‑term care ecosystem to recommend improvementsSupport the development and implementation of capitated rate‑setting methodologies for contracted MCOsValidate the accuracy and sufficiency of rates produced by established modelsMonitor State and Federal policy changes — with emphasis on Wisconsin Medicaid — and assess their operational and financial impactPartner with internal teams, business leaders, and external stakeholders to promote transparency and alignment in rate‑setting practicesPrepare written analyses, presentations, and recommendations for leadership, clients, and technical teamsSkills6+ years of experience in business analysis, financial modeling, or health policy analysisMaster's degree in Public Administration or Public PolicyStrong data expertise, including understanding how rate-setting decisions impact Managed Care Organizations (MCO's)Experience interpreting public policy, preferably within healthcare and/or Wisconsin MedicaidUnderstanding of the Long‑Term Care (LTC) ecosystem, including program structures and reimbursement modelsAdvanced skills in Excel and/or analytical tools such as R, SAS, STATA, or SPSSStrong communication skills to translate complex analytical work into clear, actionable insightsAbility to work independently, manage timelines, and support multiple projects at onceWork History in State Policy or with a Managed Care OrganizationExperience evaluating government, business, or healthcare policies that affect internal and external partnersExperience working with Medicaid programs, rate‑setting methodologies, or capitated payment modelsExperience analyzing large datasets and developing quantitative or statistical modelsAbility to write and present comprehensive reports, analyses, and policy summariesStrong problem‑solving skills and a track record of recommending improvements to business or technical processesExperience with SQL or data warehouse toolsBenefitsAll salaried, full-time candidates are eligible for our generous, flexible vacation policyA [401(k) employer match, comprehensive health benefits](https://jobs.gainwelltechnologies.com/content/benefits/?locale=en_US)Educational assistanceA variety of leadership and technical development academies to help build your skills and capabilitiesFully remote options from Contiguous US locations onlyCompany OverviewGainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital. It was founded in 2009, and is headquartered in Irving, Texas, USA, with a workforce of 10001+ employees. Its website is https://www.gainwelltechnologies.com/.