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Medicaid Analyst Jobs (NOW HIRING)

MEDICAID ELIGIBILITY ANALYST Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Medicaid Eligibility Analyst who will embrace our mission of Advancing Health ...

MEDICAID ELIGIBILITY ANALYST Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Medicaid Eligibility Analyst who will embrace our mission of Advancing Health ...

MEDICAID ELIGIBILITY ANALYST Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Medicaid Eligibility Analyst who will embrace our mission of Advancing Health ...

The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful completion of pending Medicaid applications for prospective admissions and current residents across assigned ...

MEDICAID LTC SPECIALIST

Baton Rouge, LA · On-site

$3.9K - $7.1K/mo

This opportunity offers career growth within the Medicaid Analyst series, with advanced-level positions providing opportunities to lead, mentor, and support staff. If you're ready to build your ...

MEDICAID LTC SPECIALIST

Baton Rouge, LA · On-site

$3.9K - $7.1K/mo

The ability to analyze information objectively, identify connections across sources, and form ... Medicaid LTC Specialist - $24.35 hourly / $1,948.00 bi-weekly How To Apply: No Civil Service test ...

Medicaid Business Analyst

Mountain View, CA · On-site +1

$120K - $160K/yr

You will perform gap analysis on XML schemas, define field-level mapping, and coordinate directly with Medicaid partners to ensure seamless data flow in production. Key Responsibilities: * XML Data ...

You will perform gap analysis on XML schemas, define field-level mapping, and coordinate directly with Medicaid partners to ensure seamless data flow in production. Key Responsibilities: * XML Data ...

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Medicaid Analyst information

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$18

$33

$50

How much do medicaid analyst jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for medicaid analyst in the United States is $33.09, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $37.26 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medicaid analyst?

To thrive as a Medicaid Analyst, you need strong analytical skills, attention to detail, and a solid understanding of Medicaid policies and regulations, often supported by a degree in public health, social work, or a related field. Familiarity with eligibility determination systems, data management tools, and case management software is typically required. Excellent communication, problem-solving abilities, and organizational skills help distinguish top performers in this role. These competencies are crucial for ensuring accurate program administration, compliance, and effective service delivery to eligible populations.

What is a Medicaid analyst?

Medicaid Analysts are professionals responsible for reviewing and processing applications for Medicaid benefits, ensuring applicants meet eligibility requirements set by federal and state regulations. They analyze personal and financial information, interpret policy guidelines, and communicate with applicants or other agencies to verify data. Medicaid Analysts play a vital role in helping individuals and families access healthcare services by determining their eligibility for state-sponsored health coverage programs.

What are some common challenges Medicaid analysts face when verifying eligibility cases, and how can these be managed?

Medicaid Analysts often encounter challenges such as incomplete documentation, frequent policy updates, and handling high caseloads. Staying organized, maintaining up-to-date knowledge of state and federal regulations, and communicating clearly with applicants can help manage these issues. Collaborating with supervisors and participating in regular training sessions also ensures accuracy and efficiency in processing eligibility cases.

What is the difference between Medicaid Analyst vs Medicaid Coordinator?

AspectMedicaid AnalystMedicaid Coordinator
Required CredentialsBachelor's degree in health administration, public health, or related field; knowledge of Medicaid policiesBachelor's degree often preferred; experience with Medicaid programs and administrative tasks
Work EnvironmentOffice setting, analyzing data, preparing reportsOffice or field setting, coordinating Medicaid services and outreach
Employer & Industry UsageGovernment agencies, healthcare organizations, insurance companiesState Medicaid offices, healthcare providers, community organizations
Common Search & Comparison IntentUnderstanding roles, job requirements, and differencesClarifying responsibilities and career paths

Medicaid Analysts primarily focus on analyzing data, policy compliance, and reporting related to Medicaid programs. Medicaid Coordinators handle the administration, outreach, and coordination of Medicaid services. While both roles require knowledge of Medicaid policies, analysts are more data-driven, whereas coordinators focus on program implementation and client interaction.

More about Medicaid Analyst jobs

What cities are hiring for Medicaid Analyst jobs?

Cities with the most Medicaid Analyst job openings:

What states have the most Medicaid Analyst jobs?

States with the most job openings for Medicaid Analyst jobs include:

Infographic showing various Medicaid Analyst job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 6% Part Time, and 7% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $68,831 per year, or $33.1 per hour.

Full-time

Re-posted 16 days ago


Job description

Company Description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

Job Title: Medicare Analyst

Duration: 4+ Months

Location: Newark, NJ

Summary:

  • This position is responsible for the ability to understand and abide by Federal Centers for Medicare and Medicaid Services guidance.
  • Fast-paced environment with frequent priority changes.
  • Organization and follow-up abilities will be critical.
  • Policy and reconciles daily systemic eligibility discrepancies.

Responsibilities:

  • Reconciliation of all daily, weekly and monthly Medicare reports generated from CMS as well as researching where required.
  • Deadline sensitive information processing, including Quality Audit.
  • Review and analysis of reporting to dictate daily/weekly priorities.
  • Working within comprehensive understanding of several databases.
  • Directly respond or support a response that is rapid and professional to internal and external customers, not limited to Medicare Beneficiaries, Federal
  • Regulators, Executives and Congress persons.
  • Generating and ensuring compliance and accuracy of various types of member correspondence.
  • Reconciling eligibility discrepancies relying on your ability to arrive at a consistently compliant disposition after the analysis of information from several reference-guidance, Call Center notes, multiple databases, and telephone outreach.
  • Inventory control responsibility.
  • Identification and communication of processing performance opportunities.
  • Performs other duties assigned by management.
  • Demonstrates knowledge and understanding of the laws, regulations and policies that pertain to the organizational unit's business and conforms with these laws, regulations and policies in carrying out the accountabilities of the job.
  • Responsible for successful administration of the delinquency outreach program for assigned members who are not current in their premium payment
  • Responsible for review, reconciliation to member premium bills and financial accounts.

Qualifications:

  • High School diploma or GED required, Bachelor's degree from an accredited college or university preferred.
  • Requires a minimum of three (3) years' experience in Health Insurance, or a related Medicare experience.

Knowledge:

  • Requires detailed knowledge of system development life cycle and implementation methodologies.
  • Requires excellent proficiency in structured query languages, analysis techniques and Access database.
  • Has played a key role in major company initiatives and demonstrated some leadership experience.
  • Has proven knowledge and experience with to translate CMS regulatory guidance.

Skills and Abilities:

  • Requires excellent written and oral communication skills.
  • Requires the ability to communicate in a clear and concise manner.
  • Require strong PC skills including spreadsheets and word documents.
  • Requires excellent organizational skills.
  • Requires working knowledge of programming, development, and technical architecture.
  • Requires conflict resolution and problem solving skills.
Additional Information

We do have referral bonus of $500 per candidate, if you refer any of your friends or colleague who are looking out for the same job.

Thanks!!
With Regards,
Nagesh 

732-844-8712



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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996