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Medicaid Analyst Jobs (NOW HIRING)

System One

Medicaid Senior Analyst

East Windsor, NJ · On-site

$75K - $90K/yr

Medicaid Senior Analyst Location: East Windsor, New Jersey Type: Direct Hire Compensation: $75,000.00 - $90,000.00 Work Model: Onsite Hours: 9 a.m. - 6 p.m. Overview: This role owns end-to-end ...

Sweetwater Care

Medicaid Specialist

Boston, MA

Medicaid Specialist Join the Sweetwater Care Team in Boston, MA! As a Medicaid Specialist at ... Strong analytical and problem-solving skills * Excellent communication and customer service skills

Mb Staffing Services LLC

Be Seen First

Medicaid Coder and Reimbursement Analyst

Washington, DC · On-site

$60K - $70K/yr

Review and analyze Medicaid claims, billing, and reimbursement data. * Perform data entry and validate coding information for accuracy. * Utilize ICD-10, CPT, HCPCS, and Medicaid-specific codes.

Miller Law Office, PLLC

Medicaid Specialist

Plano, TX

$65K/yr

The Medicaid Specialist manages the full qualification process -- from initial eligibility analysis to application submission and annual renewals -- so families get the benefits they need, and our ...

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Medicaid Analyst information

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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:

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

The top searched job categories for Medicaid Analyst jobs are:

What are popular job titles related to Medicaid Analyst jobs?

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

Medicaid Analyst jobs near you
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.

Medicaid Senior Analyst

System One

East Windsor, NJ • On-site

$75K - $90K/yr

Contractor

Medical, Retirement, PTO

Re-posted 7 days ago

Job description

Job Title: Medicaid Senior Analyst Location: East Windsor, New Jersey Type: Direct Hire Compensation: $75,000.00 - $90,000.00 Work Model: Onsite Hours: 9 a.m. - 6 p.m. Overview: This role owns end-to-end Medicaid rebate operations across all 50 states and territories, including invoice validation, payment processing, and discrepancy resolution. You’ll lead dispute management and analytics, build dashboards and KPIs for leadership, and partner closely with Government Pricing and Finance on URA changes, restatements, accruals, and gross-to-net impacts. Ideal candidates bring 3–6 years of pharma Medicaid rebate experience, strong Excel and large-dataset skills, and hands-on experience with Medicaid rebate platforms (such as iContracts or Model N) plus an ERP (such as Oracle or NetSuite). Responsibilities:

  • Manage the full invoice lifecycle for Medicaid rebate operations across all 50 states and territories, including receipt, validation, eligibility checks, unit/URA alignment, and timely payments in line with policy.
  • Investigate and resolve invoice discrepancies such as NDC/labeler mismatches, utilization anomalies, packaging conversions, dual-eligible rejections, and duplicate claims.
  • Maintain accurate Unit Rebate Amount (URA) usage and coordinate with Government Pricing for restatements and retroactive adjustments.
  • Track and report weekly/monthly status updates including open disputes, credits taken, average resolution days, and aging.
  • Lead structured dispute packages with data, rationale, precedent, and correspondence; monitor outcomes and escalate when necessary.
  • Build dashboards and KPIs for leadership, including claims volume, acceptance rate, dispute success rate, recovery dollars, cycle time, and resolution aging.
  • Administer state supplemental rebate programs by maintaining contract repositories, pricing terms, product addenda, and renewal calendars.
  • Ensure invoice adherence to rebate terms and coordinate accruals and true-ups with Finance.
  • Collaborate with the Government Pricing team on pricing changes impacting URA, NDC updates, product launches, and restatements.
  • Support CMS reporting and coordinate impacts to Medicaid rebates and GTN, monitor 340B interactions, and address duplicate discount risks.
  • Maintain SOPs for rebate processing, disputes, supplemental rebates, and documentation for audits.
  • Own day-to-day utilization of Medicaid rebate systems such as iContracts, interfaces with ERP/BI tools, and drive automation and process standardization.
  • Partner with IT and Data teams to improve data quality and reporting capabilities.
  • Work closely with Commercial Finance on accruals, true-ups, cash forecasting, and provide Medicaid insights for business initiatives like product launches and pricing.
Requirements:
  • Bachelor’s degree in Accounting, Finance, Business, Supply Chain, Data/Analytics, or related field
  • 3–6 years of relevant pharma experience, including Medicaid rebates
  • Hands-on experience with Medicaid rebate processing platforms (e.g., iContract, Model N, Vistex/Revitas/Revenue Cloud) and ERP systems (Oracle, NetSuite)
  • Strong Excel and data analysis skills; comfortable working with large datasets and reconciliations
  • Understanding of MDRP fundamentals (AMP, Best Price, URA, invoicing cycles) and dispute methodologies
  • Proven ability to manage deadlines across multiple states with high accuracy and controls
  • Preferred: experience with 340B, VA/FSS, TRICARE, and state supplemental rebate programs
  • Knowledge of Government Pricing calculations (AMP, BP, NFAMP, PHS Ceiling Price) and GTN accounting concepts (accruals, true-ups, reserves)

Benefits: Health insurance, paid time off, 401(k)

#M1 Ref: #562-Joule Staffing - Edison