Principal Analyst, Medicaid Policy Analysis - Arcadia

About Arcadia

Arcadia is the most trusted healthcare platform powering outcomes. We transform complex healthcare data into trusted intelligence, helping providers, payers, and life sciences organizations act with clarity, make confident decisions, and achieve measurable clinical, operational, and financial outcomes.

Built on a comprehensive data foundation spanning tens of millions of patient lives, Arcadia combines advanced analytics and responsible AI to surface meaningful insights, coordinate action, and improve performance at scale.

Why This Role Is Important

Customer Insights takes on work that doesn't fit a one-size-fits-all product — custom data models, bespoke dashboards, registries, and long-running embedded programs — sitting between a platform and a plan.

This role is dedicated to Medicaid policy analysis on one of Arcadia's most visible accounts: a state Medicaid agency taking direct responsibility for a fee-for-service population. You will take the lead on policy-driven analytic work: interpreting program rules and policy documents into analytic logic, and building the registries, data marts, and dashboards that put it to use.

What Success Looks Like

In 3 months

• Get productive quickly with the team's AI-assisted workflow using modern AI coding and analysis tools to ramp into eligibility, claims, and provider data.
• Join customer and partner working sessions to answer in real time how proposed definitions, thresholds, or policy changes impact the data.
• Independently deliver your first piece of work end-to-end with documented policy interpretation and QA.

In 6 months

• Own the day-to-day analytic workstream, customer cadence, and ad hoc asks as a credible presence with state program staff and counterparts.
• Own production-grade registries, data marts, and dashboards, complete with documented methodology and data dictionaries.
• Bring other analysts up to speed to scale coverage and capacity.

In 12 months

• Serve as the recognized expert on Medicaid program policy and analytic implications across Arcadia's state program work.
• Hold the methodology standard, codifying playbooks and ensuring resilience as team scope grows.
• Extend work into the broader analytic roadmap, including cost, utilization, access, equity, and care management effectiveness.

What You'll Be Doing

Medicaid Policy Analysis

• Interpret state and federal Medicaid program rules, eligibility structures, and guidance to translate them into precise, testable analytic logic.
• Advise senior customer leadership on data feasibility, caseload impacts, cost implications, and provider capacity.

Technical Analytical Delivery

• Translate ambiguous policy questions into member and provider data marts, cohort logic, and registry extracts using SQL (and Python where needed) on Foundry and Redshift/Athena.
• Deliver outputs in customer-ready formats including dashboards (QuickSight, Power BI, Tableau), recurring reports, and executive decks.
• Perform root-cause analysis on data-quality issues and reconcile counts across disparate sources.

Customer Presence and Engagement

• Serve as the senior analytic voice for state program leadership, policy staff, and partner vendors.
• Set priorities and project scope while maintaining the authority to advise on feasibility.
• Produce client-facing deliverables such as leadership summaries, methodology decks, and decision memos.

What You'll Need To Have

• Working knowledge of healthcare programs, managed care plans, and translating policy documents into analytic logic.
• Clinical code and claims fluency (ICD-10, CPT/HCPCS, revenue codes, NPPES, enrollment files) and understanding of claims completeness.
• Hands-on, demonstrable fluency with AI coding and analysis tools (e.g., Claude Code, Cursor) as a core part of your daily workflow.
• Advanced SQL capabilities (CTEs, window functions, query optimization on large tables) and data modeling skills.
• Experience building dashboards in modern BI tools (QuickSight, Power BI, Tableau) and presenting to executive audiences.
• Proven track record leading an analytic program end-to-end and managing senior stakeholder relationships independently.
• Strong judgment handling sensitive healthcare data and PHI.

Nice To Have

• Direct experience with a state Medicaid agency, Medicaid prime contractor, or managed care plan (California Medi-Cal experience is a plus).
• Familiarity with population health concepts such as risk stratification, care management, and network adequacy.
• Experience with Python, dbt, AWS data tools (Athena, Redshift, QuickSight), Jira, and GitHub workflows.
• Experience mentoring junior analysts.