MediCal Cost Analyst

Overview

Job Description: Medi-Cal Cost Analyst

Location: Nevada
Employment Type: Full-time

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.

• 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.

• 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.

• 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.

• 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.