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Medicaid Analyst Jobs in Raleigh, NC (NOW HIRING)

Senior Financial Analyst, Reimbursement

Raleigh, NC ยท On-site

$83K - $103K/yr

Overview Provides analytical and technical expertise for finance activities for the health system ... Oversees the Contract Modeling process for all Medicare and Medicaid plans and ensures expected ...

Government Rebate Analyst I

Durham, NC ยท On-site

$70 - $100/hr

The Government Rebate Analyst is responsible for the end-to-end Medicaid drug rebate process which includes, but is not limited to, processing invoices, validating data, disputing when necessary ...

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Medicaid Analyst information

See Raleigh, NC salary details

$18

$32

$49

How much do medicaid analyst jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for medicaid analyst in Raleigh, NC is $32.17, according to ZipRecruiter salary data. Most workers in this role earn between $25.00 and $36.20 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 Raleigh, NC?

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

What job categories do people searching Medicaid Analyst jobs in Raleigh, NC look for?

The top searched job categories for Medicaid Analyst jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Medicaid Analyst jobs?

Cities near Raleigh, NC with the most Medicaid Analyst job openings:

Infographic showing various Medicaid Analyst job openings in Raleigh, NC as of August 2026, with employment types broken down into 87% Full Time, 7% Part Time, and 6% Contract. Highlights an 82% Physical, 8% Hybrid, and 10% Remote job distribution, with an average salary of $66,909 per year, or $32.2 per hour.

Medicaid APD Writer (Advanced Planning Document)

InstantServe Healthcare

Garner, NC โ€ข On-site

$60/hr

Other

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Position: Medicaid APD Writer (Advanced Planning Document)

Location: Remote; Raleigh, North Carolina-based project

Duration: 12+ months

Employment Type: Contract


Compensation: $50/hour on W-2 or $60/hour on 1099


Required Qualifications

Minimum 3 years of experience developing Advanced Planning Documents (APDs) or closely related government documentation, such as RFPs, RFIs, contracts, grant proposals, project plans, or formal federal/state submissions.

Minimum 3 years of experience with government regulations and processes related to grant proposals, federal funding, APD development, or public-sector documentation.

Minimum 5 years of experience managing and delivering work across multiple projects, deadlines, and competing priorities.

Minimum 5 years of experience using project collaboration and tracking tools, including Microsoft Project, Microsoft Teams, Zoom, and Microsoft Office tools.

Strong knowledge of Medicaid programs, Medicaid Enterprise Systems (MES), CMS expectations, or public-sector healthcare technology initiatives.

Excellent technical writing, editing, proofreading, research, document organization, and stakeholder communication skills.

Ability to convert complex business, policy, technical, financial, and operational information into clear and accessible written materials.

Experience working with cross-functional teams that may include business analysts, project managers, technical teams, vendors, program leadership, finance/budget teams, and government stakeholders.

Strong attention to detail, document-quality standards, and compliance requirements.


Preferred Qualifications

Previous experience supporting state Medicaid agencies, public-sector healthcare organizations, health information exchanges, or government Health IT programs.

Experience developing APDs for CMS review and approval.

Familiarity with federal Medicaid funding processes, planning documentation, procurement documentation, and budget-related materials.

Experience supporting MES modernization, Medicaid transformation, eligibility systems, claims systems, provider systems, data initiatives, interoperability, or HIE programs.

Prior experience in a government consulting, healthcare technology, Medicaid operations, or public-sector project environment.



InstantServe logo

About InstantServe

Sourced by ZipRecruiter

InstantServe provides a one-stop solution to all Healthcare, IT/Non-IT Staffing needs. Established in 2016, InstantServe is a strong workforce of over 100+ go-getters with a demonstrated background in IT/Non-IT service. We are a nationally certified SBE from the Department of Administration (State of PA). As a proud Minority Woman Owned Small Business Enterprise (M/WBE), InstantServe boasts of a strong team of professionals who have extensive experience catering to several Federal, Public, Commercial, and Healthcare Clients which includes 26 States and 46 government agencies. InstantServe is a client-centric organization that offers cost-effective and reliable solutions. Client satisfaction is sacrosanct! Our team strives to provide the best staffing and IT solutions to take your business to the next level.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Wayne, PA, US

Year founded

2016

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