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Medicaid Analyst Jobs (NOW HIRING)

Analyze Medicaid eligibility and enrollment business processes, workflows, and system functionality. * Interpret federal and state Medicaid policies and translate requirements into functional ...

Medicaid Business Analyst Remote - Mountain View, CA Overview Salary Range $120,000.00 - $160,000.00 Salary/year Description About Vimo: Vimo ยฎ started as the "Expedia" of health insurance and has ...

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 ...

Analyze Medicaid eligibility and enrollment business processes, workflows, and system functionality. * Interpret federal and state Medicaid policies and translate requirements into functional ...

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 ...

Medicaid Business Analyst

Mountain View, CA ยท 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 ...

Job Posting Title Analyst, General Ledger Employee Type Regular Recruiting Start Date 05-06-2026 Job Exempt? Yes Recruiting End Date Open Until Filled Aloha mai! Mahalo for your interest in ...

The Weapons System Analyst will provide critical support in analyzing, evaluating, and integrating weapons systems into operational and strategic planning. This position requires expertise in Single ...

Medicaid Business Analyst Location: Austin, TX (Hybrid) Duration: 12+ Month The Department of Information Resources (DIR) requires the services of 1 Business Analyst 3, hereafter referred to as ...

The Weapons System Analyst will provide critical support in analyzing, evaluating, and integrating weapons systems into operational and strategic planning. This position requires expertise in Single ...

Closing Analyst I - Temporary

Fort Worth, TX ยท On-site

$13.38 - $20.36/hr

The Closing Analyst is responsible for closing client files and applying results into Scheck and CareMC systems to meet daily production expectation and standards. This is an onsite, temporary ...

The Weapons System Analyst will provide critical support in analyzing, evaluating, and integrating weapons systems into operational and strategic planning. This position requires expertise in Single ...

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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 Jul 5, 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, and why are they important?

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 Medicaid Analysts?

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:
Managing Director, Medicaid

Managing Director, Medicaid

American Institutes for Research

OR โ€ข On-site, Remote

Other

Posted 12 days ago


Job description

AIR's Healthcare Transformation Program is seeking an experienced Managing Director (MD) to lead and advance a portfolio of Medicaid policy and data analytics initiativesย policy priorities., with a focus on strategic growth and innovation. The MD will provide executive leadership across multi-year projects involving Medicaid program analysis, data infrastructure development, and policy-relevant insights derived from administrative and claims data, while identifying emerging analytic needs, shaping new methodological approaches, and expanding AIR's Medicaid analytics portfolio in response to evolving federal and state policy priorities.

In this role, the MD will set the technical and strategic direction for Medicaid data analytics work-overseeing analytic design and implementation, data acquisition and management, performance monitoring, and technical assistance (TA)-and will partner with senior leadership to pursue new opportunities and strengthen AIR's position as a leader in federal and state Medicaid analytics.

Candidates hired for the position may work remotely within the United States (U.S.) or from one of our U.S. office locations. This does not include U.S. territories.

About AIR:

Established in 1946, with headquarters in Arlington, Virginia, AIR is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance to solve some of the most urgent challenges in the U.S. and around the world. We generate evidence and apply data-driven solutions that expand opportunities and improve lives for all.ย  ย 

Responsibilities:

Project Leadership & Oversight

  • Set the strategic direction for a portfolio of federal and state Medicaid policy and data analytics initiatives, spanning analytic design, data infrastructure, performance monitoring, and reporting, and ensure alignment with evolving Medicaid program priorities and regulatory requirements.
  • Provide executive oversight across the full analytics lifecycle, guiding multidisciplinary teams on analytic conceptualization, data specification, methodology, validation, and policy-relevant reporting, while ensuring methodological rigor and consistency across projects.
  • Serve as a senior strategic advisor to federal and state clients, particularly CMS/CMCS and state Medicaid agencies, shaping analytic approaches, anticipating data and policy risks, and strengthening long-term partnerships.

Strategic Direction & Business Growth

  • Work with AIR's program area and functional leadership to create a business development strategy for established areas and specific new areas of growth and identify new opportunities, including:
  • Coordinating pursuit plans and pipelines for opportunities.
  • Supporting bid/no-bid decisions and ensuring alignment with AIR capabilities and priorities.
  • Leading or contributing to proposal pursuits: conceptualizing bid strategies, developing analytic and monitoring approaches, drafting proposal content, and conducting technical reviews
  • Cultivating and maintaining relationships with potential partners, funders, and clients.
  • Monitoring ongoing projects to understand client expectations, anticipate needs, and identify opportunities and challenges across the portfolio.
  • Assessing staff capacity and helping align resources to support both project delivery and new business pursuits.

Team Leadership, Staff Development & Collaborationย 

  • Supervise and mentor task leads, analysts, researchers, TA specialists, and operational staff to build strong, high-performing project teams.
  • Foster cross-functional collaboration across analytics, communications, data management, TA, and operations teams to ensure integrated, high-quality project delivery.
  • Provide coaching and support to rising project leaders in effective project management, quality assurance, client communication, and staff supervision.

Thought Leadership & External Engagement

  • Represent AIR in stakeholder meetings, technical discussions, and conferences related to Medicaid data, policy, and program analytics.
  • Collaborate with AIR's communications teams to translate Medicaid analytic findings into publications, briefs, and presentations for policy and technical audiences.
  • Contribute to AIR's visibility and reputation in Medicaid data analytics, federal health program monitoring, and TA.

Qualifications:

Education, Knowledge, and Experience

  • PhD or MA in health economics, public health, public policy, biostatistics, or a related social science or quantitative discipline.ย 
  • 10-15 years of leadership or management experience in Medicaid policy, health data analytics, or federal health program work. ย 
  • Successful experience serving as a Managing Director or equivalent on complex contracts involving Medicaid data analysis, program evaluation, performance monitoring, TA, and/or policy research. ย 
  • Experience working with or for CMS/CMCS, state Medicaid agencies, or similar federal and state health agencies.
  • Demonstrated success leading federal proposal development and contributing to winning bids in Medicaid or related health policy domains.
  • Expert knowledge of Medicaid program structures, financing, policy priorities, and federal-state partnership requirements, including managed care, fee-for-service, waiver programs (1115), and value-based payment models.
  • Experience overseeing large, complex contracts and portfolios, including fiscal stewardship, risk management, staffing strategies, and operational systems consistent with federal contracting requirements. ย 
  • Proven record leading large-scale Medicaid analytics or applied policy research initiatives, including authorship and review of technical deliverables and presentation of findings to policy and technical audiences.
  • Demonstrated success leading multidisciplinary, mission-driven teams, including staff, subcontractors, and consultants, and aligning technical work with broader Medicaid program objectives.

Skills

  • Deep technical expertise in Medicaid data systems and analytics, including T-MSIS (Transformed Medicaid Statistical Information System), MAX data, encounter data, and state-level administrative data-with the ability to design and oversee complex analytic workflows, data linkages, and quality assurance processes.ย 
  • Proficiency in analytic methods applicable to Medicaid populations and programs, such as risk adjustment, propensity scoring, difference-in-differences, interrupted time series, and predictive modeling, with the ability to set methodological standards across a portfolio.
  • Ability to provide executive-level technical leadership, translating complex data and analytic methodologies into clear strategic guidance for federal and state clients, senior stakeholders, and internal leadership ย 
  • Strategic, forward-looking thinker with the ability to identify emerging Medicaid data and analytic needs, shape new approaches, and maintain a long-term view of portfolio growth and sustainability.
  • Strong organizational and leadership skills, with experience managing multiple workstreams and setting priorities across complex, interrelated analytics efforts.
  • Collaborative leadership style and commitment to mentorship and talent development, building depth, continuity, and excellence in Medicaid data analytics capabilities.

Disclosures:ย Applicants must be currently authorized to work in the U.S. on a full-time basis. Employment-based visa sponsorship (including H-1B sponsorship) is not available for this position. Depending on project work, qualified candidates may need to meet certain residency requirements.

American Institutes for Research is an equal employment opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without discrimination on the basisย of any characteristic protected by applicable federal, state or local law, including, but not limited to, actual or perceived race (including traits historically associated with race, such as hair texture, hair type, and protective hairstyles such as braid, locks, and twists), creed, color, religion, alienage or national origin, ancestry, citizenship status, age, physical or mental disability, medical condition (e.g., cancer), sex, gender,ย gender identity or expression (including transgender status), sexual orientation, marital status, civil union status, pregnancy, childbirth or related medical conditions, genetic information, or military or veteran status.ย AIR adheres to strict child safeguarding principles. All selected candidates will be expected to adhere to these standards and principles and will therefore undergo reference and background checks. AIR maintains a drug-free work environment.ย 

ACCESSIBILITY NOTICE:ย If you need a reasonable accommodation for any part of the employment process due to a physical or mental disability, please send an email to Taliba Boone atย tboone@air.orgย or call 202.403.5000.

Fraudulent Job Scams Warning & Disclaimer:ย AIR is aware of individuals falsely presenting themselves as AIR representatives. Fraudulent job scams seek to extract sensitive information or money from victims. To protect yourself, please be aware that AIR recruitment will only email you from an "@air.org" domain. Please take extra caution while examining the email address, for example jdoe@air.org is correct and jdoe@aircareers.org is not a legitimate AIR email address. If you are unsure of the legitimacy of a communication you have received, please reach out to recruitment@air.org. If you see a job scam, or lose money to one, report it to the Federal Trade Commission (FTC) at ReportFraud.ftc.gov. You can also report it to your state attorney general. Find out more about how to avoid scams atftc.gov/scams.

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