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Medicaid Analyst Jobs in Delaware (NOW HIRING)

Ra

Health Care Analyst (Medicare)

Wilmington, DE · Remote

Who is currently in Medicare/ Medicaid! Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience! Who holds 2 years experience with Medicare systems and ...

CAI

Product Support Specialist

Newark, DE · On-site

Process Medicaid renewal applications for clients renewing their medical benefits * Analyze financial data and perform calculations for accurate input into the eligibility system * Conduct interviews ...

CAI

Product Support Specialist

Newark, DE · On-site

$18 - $20/hr

Process Medicaid renewal applications for clients renewing their medical benefits * Analyze financial data and perform calculations for accurate input into the eligibility system * Conduct interviews ...

ClifyX

MDM BA or Techno functional PM

Wilmington, DE · On-site

Job Summary : ClifyX is a company seeking an MDM BA or Techno functional PM who can manage teams and coordinate across multiple teams. The role involves leading end-to-end testing and requires both ...

Bayhealth

Facilities Compliance Analyst

Dover, DE · On-site

... Medicaid Services (CMS), and other state agencies. 4. Collaborate with departmental leadership to develop and implement staff training and in-services related to safety and regulatory compliance. 5. ...

State of Delaware

C/S Project Manager II

New Castle, DE · On-site

$29.73/hr

Summary Statement The Division of Medicaid and Medical Assistance (DMMA) is seeking a Casual ... Measures project performance and conducts statistical and other analyses such as risk analysis and ...

SUN Behavioral Delaware

Registrar

Georgetown, DE · On-site

Verify all active clients Medicaid and Medicaid MCO on the first of each month. * Assist patients with filing for financial assistance. * Analyze patient data, from admission through discharge, to ...

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All JobsMedicaid Analyst JobsMedicaid Analyst Jobs in Delaware

Medicaid Analyst information

See Delaware salary details

$19

$33

$50

How much do medicaid analyst jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medicaid analyst in Delaware is $33.12, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $37.31 per hour, depending on experience, location, and employer.

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 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 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.

What are popular job titles related to Medicaid Analyst jobs in Delaware?

For Medicaid Analyst jobs in Delaware, the most frequently searched job titles are:

What job categories do people searching Medicaid Analyst jobs in Delaware look for?

The top searched job categories for Medicaid Analyst jobs in Delaware are:

What cities in Delaware are hiring for Medicaid Analyst jobs?

Cities in Delaware with the most Medicaid Analyst job openings:

What are popular job titles related to Medicaid Analyst jobs in DE?

For Medicaid Analyst jobs in DE, the most frequently searched job titles are:

Medicaid Analyst jobs near you
Infographic showing various Medicaid Analyst job openings in Delaware as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $68,890 per year, or $33.1 per hour.

Manager, Medicaid Provider Compliance

CVS Pharmacy

Dover, DE • On-site

$54 - $159/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago

New

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

About the Role

We are seeking a strategic compliance leader to drive Medicaid provider compliance, audit readiness, regulatory integrity, and enterprise risk management across the organization. This role serves as a senior subject matter expert responsible for shaping compliance strategy, leading complex cross-functional initiatives, influencing business decisions, and advancing sustainable solutions that strengthen regulatory performance and operational excellence. The successful candidate will partner with executive leadership, health plan stakeholders, compliance, legal, provider operations, and external auditors to proactively identify compliance risks, develop enterprise-wide mitigation strategies, and establish best-in-class audit and compliance practices. This position requires an influential leader who can navigate complex regulatory environments, drive organizational change, and deliver measurable business outcomes.

Position Summary

Provides enterprise leadership for Medicaid provider compliance, audit management, and regulatory oversight activities. Leads the development and execution of compliance strategies that support contractual, regulatory, and business objectives while promoting a culture of accountability, continuous improvement, and risk awareness. Serves as a recognized subject matter expert for provider compliance and audit readiness, driving initiatives that improve data integrity, strengthen internal controls, standardize processes, and enhance organizational performance. Partners across business areas to influence strategic decisions, manage emerging compliance risks, and ensure successful execution of high-impact compliance initiatives. The ideal candidate combines deep regulatory expertise, exceptional analytical capabilities, executive-level communication skills, and proven success leading complex initiatives that drive sustainable compliance outcomes.

Key Responsibilities
  • Lead enterprise-wide provider compliance, audit preparedness, and regulatory initiatives that support organizational objectives and reduce compliance risk.
  • Serve as the primary subject matter expert for complex provider compliance matters, providing strategic guidance to leadership and business partners.
  • Develop and execute audit response and remediation strategies that address root causes, improve controls, and drive long-term compliance improvements.
  • Influence cross-functional stakeholders and senior leadership to align priorities, resolve challenges, and implement effective compliance solutions.
  • Assess emerging regulatory requirements, contractual obligations, and business risks; develop proactive strategies to ensure compliance and operational readiness.
  • Lead complex, high-visibility projects spanning multiple departments, ensuring effective governance, accountability, risk management, and successful execution.
  • Establish and maintain compliance monitoring frameworks, key performance indicators, and reporting mechanisms to measure compliance effectiveness and identify opportunities for improvement.
  • Drive continuous improvement efforts through process redesign, automation opportunities, control optimization, and best practice implementation.
  • Provide mentorship, guidance, and technical leadership to analysts and compliance professionals, fostering organizational capability and knowledge development.
  • Build and maintain strong working relationships with regulators, auditors, health plans, provider relations teams, legal, compliance, and operational leadership.
  • Present audit outcomes, compliance risks, trends, and recommendations to senior leadership and executive stakeholders.
Required Qualifications
  • 7+ years of healthcare compliance, audit, or provider operations experience
  • Proven ability to lead complex projects and compliance initiatives
  • Experience managing audits, CAPs, and regulatory responses
  • Strong analytical, risk assessment, and problem-solving skills
  • Knowledge of Medicaid regulations and provider compliance requirements
  • Excellent communication and stakeholder influence skills
  • Ability to drive results across teams and manage competing priorities
  • Advanced Excel and data analysis proficiency
Preferred Qualifications
  • Experience with Medicaid provider compliance, provider data management, and healthcare network operations
  • Proven success leading audits, compliance programs, and process improvement initiatives
  • Experience developing compliance frameworks, controls, and governance programs
  • Strong partnership experience with regulators, auditors, and senior leadership
  • Knowledge of provider data systems, reporting tools, and compliance monitoring
Leadership Competencies
  • Strategic Leadership & Business Acumen – Drives enterprise priorities, manages risk, and translates regulatory requirements into business solutions.
  • Influence & Stakeholder Engagement – Builds trusted partnerships, communicates effectively with senior leaders, and influences outcomes across functions.
  • Operational Excellence & Continuous Improvement – Uses data and compliance expertise to optimize processes, strengthen controls, and deliver sustainable results.
Education
  • Bachelor's degree.
  • Master's degree in Healthcare Administration, Business Administration, Public Health, Compliance, or related field preferred.
  • Equivalent combination of education, specialized training, and relevant experience may be considered.
Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Great benefits for great people
  • This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/01/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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