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.