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Cms Reporting Analyst Jobs (NOW HIRING)

VIVA Health

Senior Provider Data Analyst

Birmingham, AL · On-site

$80K - $101K/yr

The Senior Provider Data Analyst is responsible for supporting and developing VIVA HEALTH ... Familiarity with HEDIS, Stars, CMS reporting, provider quality measures or provider performance ...

Viva Health

Senior Provider Data Analyst

Birmingham, AL · On-site

$80K - $101K/yr

The Senior Provider Data Analyst is responsible for supporting and developing VIVA HEALTH ... Familiarity with HEDIS, Stars, CMS reporting, provider quality measures or provider performance ...

Viva Health

Senior Provider Data Analyst

Birmingham, AL · On-site

$80K - $101K/yr

The Senior Provider Data Analyst is responsible for supporting and developing VIVA HEALTH ... Familiarity with HEDIS, Stars, CMS reporting, provider quality measures or provider performance ...

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Cms Reporting Analyst information

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$80.9K

$129.5K

How much do cms reporting analyst jobs pay per year?

As of Sep 14, 2026, the average yearly pay for cms reporting analyst in the United States is $80,862.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,000.00 and $99,000.00 per year, depending on experience, location, and employer.

What is a CMS Reporting Analyst?

A CMS Reporting Analyst is a professional responsible for analyzing, preparing, and submitting data reports related to the Centers for Medicare & Medicaid Services (CMS) requirements. They ensure healthcare organizations comply with CMS regulations by collecting and validating medical data, monitoring performance metrics, and generating accurate reports. This role often involves working with large datasets, utilizing reporting tools, and collaborating with compliance teams to maintain data integrity and support decision-making processes.

What are the key skills and qualifications needed to thrive as a CMS Reporting Analyst?

To thrive as a CMS Reporting Analyst, you need a strong background in data analysis, report generation, and knowledge of healthcare CMS regulations, often supported by a degree in information systems, statistics, or related fields. Familiarity with data visualization tools (such as Tableau or Power BI), SQL, and experience using CMS reporting systems is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for interpreting data and collaborating with stakeholders. These abilities ensure accurate, compliant reporting and actionable insights that drive organizational decision-making in healthcare settings.

What are some common challenges a CMS Reporting Analyst might face when working with large-scale healthcare data?

A CMS Reporting Analyst often encounters challenges such as managing and validating vast amounts of complex healthcare data, ensuring compliance with ever-evolving CMS reporting requirements, and maintaining data accuracy for regulatory submissions. Another common difficulty is collaborating with cross-functional teams to interpret data and translate findings into actionable insights, all while meeting tight deadlines. Staying updated with changes in CMS regulations and adapting data reporting processes accordingly is also a key part of the role.

What are popular job titles related to Cms Reporting Analyst jobs?

For Cms Reporting Analyst jobs, the most frequently searched job titles are:

Infographic showing various Cms Reporting Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, 1% Temporary, and 4% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $80,862 per year, or $38.9 per hour.

Business Analyst III as 100% Remote

Woonsocket, RI • Remote

Amicis Global
See more jobs at Amicis Globalexternal

$51/hr

Contractor

Re-posted 26 days ago

Job description

Job Title: Business Analyst III
Location: Remote
Duration: 05 Months
 
Pay Rate: $45.00 - $50.00/- on W2
 
 
Kindly share your most updated resume.
 
 
Roles and Responsibilities:
The Technical Medicaid Business Analyst serves as a critical bridge between Medicaid business operations and technical delivery teams. This role is responsible for translating federal and state Medicaid requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance. The analyst partners closely with business stakeholders, IT teams, vendors, and external partners to ensure Medicaid systems and solutions meet contractual, regulatory, and operational expectations.
Medicaid Business & Regulatory Analysis
Analyze federal and state Medicaid regulations, contract requirements, and policy guidance and translate them into clear business and functional requirements.
Support Medicaid program areas such as eligibility, enrollment, claims, encounters, care management, provider management, quality, and compliance.
Interpret CMS, state agency, and contractual changes and assess operational and system impacts.
Technical Requirements & Solution Design
Develop detailed functional and technical requirements, including use cases, process flows, data mappings, interface specifications, and system configuration needs.
Collaborate with IT, data, and vendor teams to design and validate technical solutions that align with Medicaid business needs.
Support system enhancements, defect resolution, and new implementations across core Medicaid platforms (e.g., claims, encounters, care management, data warehouse).
Data & Integration Support
Analyze data flows between Medicaid systems, vendors, and external entities (state agencies, CMS, providers).
Support reporting, analytics, and regulatory submissions (e.g., encounter data, quality measures, financial reporting).
Assist with data validation, reconciliation, and root‑cause analysis for Medicaid data issues.
Stakeholder & Cross‑Functional Collaboration
Serve as a liaison between Medicaid business teams, IT, finance, compliance, and external vendors.
Facilitate requirements workshops, design sessions, and stakeholder reviews.
Clearly communicate complex technical concepts to non‑technical stakeholders and business priorities to technical teams.
Testing & Implementation Support
Support system testing activities, including test planning, test case development, and user acceptance testing (UAT).
Validate that solutions meet Medicaid business and regulatory requirements prior to deployment.
Support go‑live activities and post‑implementation issue resolution.
Documentation & Governance
Maintain clear, audit‑ready documentation of requirements, decisions, and approvals.
Ensure alignment with Medicaid governance, SDLC, and change management processes.
Support audits, regulatory reviews, and compliance inquiries as needed.
REQUIREMENTS
Experience in business operations, with the ability to understand and address complex business challenges.
Strong verbal and written communication skills, with a demonstrated ability to explain complex topics to diverse audiences.
Proven ability to collaborate effectively with both business units and IT teams, acting as a bridge between technical and non‑technical stakeholders.
Experience translating business needs into clear, actionable inputs for technical partners.
Bachelor’s degree in Business, Information Systems, Health Administration, Public Health, or a related field (or equivalent experience).
5+ years of experience as a Business Analyst, with direct Medicaid or healthcare payer experience.
Strong understanding of Medicaid programs, managed care operations, and state/federal compliance requirements.
Experience translating business requirements into technical specifications.
Experience working with IT teams, system vendors, and data/reporting teams.
Strong analytical, documentation, and problem‑solving skills.
 
Preferred Qualifications
Experience supporting Medicaid managed care organizations (MCOs) or state Medicaid programs.
Familiarity with Medicaid healthcare payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms.
Experience with data analysis, SQL, or data warehouse concepts.
Knowledge of CMS reporting, state encounter submissions, or quality programs.
Experience with Agile, SAFe, or traditional SDLC methodologies.
 
Core Competencies
Medicaid subject matter expertise
Technical and systems thinking
Requirements elicitation and documentation
Data analysis and validation
Stakeholder communication
Regulatory and compliance awareness
Attention to detail and audit readiness
 
 
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