Medi-Cal Cost Analyst

Job Description

Job Description

Job Description : Medi-Cal Cost Analyst

Location : Nevada

Employment Type : Full-time

About the Role

We are seeking a detail-oriented Medi-Cal Cost Analyst to support the financial oversight, cost analysis, and reporting of Medi-Cal programs in Nevada. The Cost Analyst will be responsible for evaluating program expenditures, identifying cost drivers, supporting audits, and ensuring compliance with both Nevada Medicaid and federal Medi-Cal requirements . This role will work closely with program managers, finance teams, and state regulatory agencies to drive fiscal accountability and efficiency.

Key Responsibilities

Perform financial and cost analysis of Medi-Cal programs, contracts, and service delivery models.

Prepare and analyze monthly, quarterly, and annual cost reports for internal and external stakeholders.

Support budget development, forecasting, and variance analysis to ensure accurate allocation of funds.

Monitor provider claims, reimbursements, and cost settlements for compliance with state and federal guidelines.

Assist with audits, rate reviews, and regulatory reporting for Nevada Medicaid.

Identify trends, inefficiencies, and opportunities for cost savings.

Provide decision-support data and cost models for program leadership.

Collaborate with program managers and compliance teams to ensure transparency and accountability in Medi-Cal financial management.

Qualifications

Education & Experience

Bachelor's degree in Accounting, Finance, Economics, Healthcare Administration, or related field (Master's preferred).

3–5 years of financial analysis or cost accounting experience in healthcare, ideally with Medi-Cal / Medicaid or managed care programs .

Knowledge of Nevada Medicaid cost reporting requirements and CMS regulations preferred.

Strong proficiency in Excel, data analysis tools, and financial modeling .

Experience supporting audits and regulatory reviews.

Skills & Competencies

Exceptional analytical and problem-solving skills.

High attention to detail and accuracy.

Strong communication skills to present financial data clearly to technical and non-technical stakeholders.

Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Why Join Us

Be part of a mission-driven team improving healthcare access and outcomes across Nevada.

Competitive salary and benefits.

Professional growth opportunities in healthcare finance and program administration.