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Medicaid Analyst Jobs in Raleigh, NC (NOW HIRING)

Elevance Health

Sr Test Analyst PBM

Durham, NC · Hybrid

Significant experience working in the Medicaid line of business is highly desired, with additional experience in Commercial or Medicare being a plus. * Proficiency in Data Analysis. * Strong ...

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All JobsMedicaid Analyst JobsMedicaid Analyst Jobs in Raleigh, NC

Medicaid Analyst information

See Raleigh, NC salary details

$18

$32

$49

How much do medicaid analyst jobs pay per hour?

As of Aug 14, 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 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.

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:

Medicaid Analyst jobs near you
Infographic showing various Medicaid Analyst job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 57% In-person, 29% Hybrid, and 14% Remote job distribution, with an average salary of $66,909 per year, or $32.2 per hour.

Income Maintenance Caseworker II - Medicaid Division

Johnston County

Smithfield, NC

$47K - $80K/yr

Full-time

Re-posted 7 days ago

Job description

Johnston County is an Equal Opportunity Employer. Description The Johnston County DSS mission is to serve, aid and protect needy and vulnerable children and adults in ways that strengthen and preserve families. We provide human services programs that are intended to promote the health, well-being, self-sufficiency and protection of families, children and adults within our community.

Johnston County Department of Social Services has immediate openings for an Income Maintenance Caseworker II in the Medicaid Unit. Please Note: Johnston County DSS will accept Work Against candidates if fully qualified applicants are not located, salary for work against candidates will be determined and discussed with Human Resources at time of offer. Duties and Responsibilities The primary purpose of this position is to process or re-determine eligibility for Medicaid recipients.

This position obtains all necessary third party verifications and communicates with the Medicaid recipient in order to obtain all information necessary to determine or re-determine eligibility. This position is also responsible for completing necessary certification & recertification in the NC FAST system to ensure timely benefits are issued to the recipient upon completion of the certification or recertification process. Knowledge, Skills and Abilities Considerable knowledge of the program/areas of assignment.

General knowledge of all agency and community programs and services which could affect the client/applicant. Good knowledge of all agency and community programs and services which could affect the client/applicant. Good mathematical reasoning and computational skills.

Ability to read, analyze, and interpret rules, regulations and procedures. Ability to communicate with clients/applicants, the public at large, and public officials to obtain data, and to explain and interpret rules, regulations and procedures. Ability to instruct and to evaluate the work of lower level employees.

Ability to perform casework functions with structured time frames. Desired Education and Experience One year of experience as an Income Maintenance Caseworker I. *Will accept the following qualifications as a work-against* Graduation from high school and three years of paraprofessional, clerical, or other public contact experience which included negotiating, interviewing, explaining information, gathering and compiling of data, the analysis of data and/or the performance of mathematical or legal tasks; or an equivalent combination of training and experience.

*Please document all work history relevant to the position for which you are applying. Determination of qualifying for the position and salary may be based on years of experience. Failure to document complete work history may affect qualification determination and salary.

Electronic applications cannot be amended once submitted.* NOTE: This job description is not intended to be an exhaustive list of all duties, responsibilities or qualifications associated with the job. Other duties may be assigned. Important Pre-Employment Information: If the position requires a degree, official transcripts must be submitted within 30 days of hire

A pre-employment reference check will be conducted. A background check may be required and may include criminal history, motor vehicle records, sex offender registry checks, pre-employment drug screening, SBI fingerprinting, and, if applicable, a National Practitioner Data Bank (NPDB) check. A conviction record does not automatically disqualify you from employment, unless otherwise required by state law.

Each situation is reviewed on a case-by-case basis.

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