Claims Analyst
San Antonio, TX · On-site
We are looking for an experienced Claims Analyst for our Claims department with Community First ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Quick apply
Claims Analyst
San Antonio, TX · On-site
We are looking for an experienced Claims Analyst for our Claims department with Community First ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Query and analyze Medicaid claims and encounter data from the Medicaid Data Warehouse (MDW). * Write, optimize, and troubleshoot complex SQL queries to extract meaningful data. * Interpret data ...
Query and analyze Medicaid claims and encounter data from the Medicaid Data Warehouse (MDW). * Write, optimize, and troubleshoot complex SQL queries to extract meaningful data. * Interpret data ...
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.
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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.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Medicaid Specialist
Boston, MA · On-site
$50 - $75/hr
Claims Processing and Billing: You will be responsible for processing and billing Medicaid claims ... Strong analytical and problem-solving skills * Excellent communication and customer service skills
Medicaid Specialist
Boston, MA · On-site
$50 - $75/hr
Claims Processing and Billing: You will be responsible for processing and billing Medicaid claims ... Strong analytical and problem-solving skills * Excellent communication and customer service skills
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Senior Data Analyst - Medicaid Exp Must - W2
Frisco, TX · Remote
$88K - $111K/yr
Analyze large volumes of Medicaid healthcare data, including claims, enrollment, provider, eligibility, encounter, and pharmacy data. * Gather, analyze, and document business and data requirements ...
Quick apply
Senior Data Analyst - Medicaid Exp Must - W2
Frisco, TX · Remote
$88K - $111K/yr
Analyze large volumes of Medicaid healthcare data, including claims, enrollment, provider, eligibility, encounter, and pharmacy data. * Gather, analyze, and document business and data requirements ...
Indiana Medicaid Team Lead
Greenwood, IN · On-site
Ensure claims are submitted correctly and that denials, rejections, underpayments, no-response ... Analyze denial and payment trends, identify root causes, and partner with clients, CBS leadership ...
Indiana Medicaid Team Lead
Greenwood, IN · On-site
Ensure claims are submitted correctly and that denials, rejections, underpayments, no-response ... Analyze denial and payment trends, identify root causes, and partner with clients, CBS leadership ...
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Indiana Medicaid Team Lead
Greenwood, IN · On-site
Ensure claims are submitted correctly and that denials, rejections, underpayments, no-response ... Analyze denial and payment trends, identify root causes, and partner with clients, CBS leadership ...
Indiana Medicaid Team Lead
Greenwood, IN · On-site
Ensure claims are submitted correctly and that denials, rejections, underpayments, no-response ... Analyze denial and payment trends, identify root causes, and partner with clients, CBS leadership ...
Ability to conduct research and analysis related to Medicaid policies, claims, provider oversight, payment integrity, and program integrity requirements. * Ability to handle sensitive program ...
Ability to conduct research and analysis related to Medicaid policies, claims, provider oversight, payment integrity, and program integrity requirements. * Ability to handle sensitive program ...
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Claims Analyst
San Antonio, TX · On-site
$20.30 - $33/hr
POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
Medicaid Claims Analyst information
See salary details
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
How much do medicaid claims analyst jobs pay per hour?
As of Sep 3, 2026, the average hourly pay for medicaid claims analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.
What does a Medicaid claims analyst do?
A Medicaid Claims Analyst is responsible for reviewing, processing, and analyzing medical claims submitted to Medicaid to ensure they are accurate, complete, and comply with state and federal regulations. They verify patient eligibility, check for proper coding, identify discrepancies or fraud, and communicate with healthcare providers to resolve issues. Their work helps ensure that Medicaid funds are used appropriately and that providers are reimbursed correctly for services rendered.
What are the key skills and qualifications needed to thrive as a Medicaid claims analyst?
To thrive as a Medicaid Claims Analyst, you need strong analytical skills, attention to detail, and a solid understanding of Medicaid regulations and claims processes, often supported by a degree in healthcare administration or a related field. Familiarity with claims management software, electronic health record (EHR) systems, and regulatory coding (such as ICD-10 and CPT codes) is typically required. Excellent communication, problem-solving abilities, and organizational skills help analysts navigate complex cases and collaborate with providers and payers. These competencies are crucial for ensuring accurate claims processing, regulatory compliance, and minimizing errors or fraud in Medicaid reimbursements.
What are some common challenges faced by Medicaid claims analysts, and how can they be managed on the job?
Medicaid Claims Analysts often encounter challenges such as navigating complex and frequently changing regulations, managing large volumes of claims data, and ensuring accuracy while meeting tight deadlines. Staying organized and detail-oriented is essential to prevent errors that could lead to claim denials or delays. Collaborating closely with other departments, such as billing and compliance, and participating in ongoing training can help analysts stay up-to-date on policy changes and best practices, leading to more efficient and accurate claim processing.
What is the difference between Medicaid Claims Analyst vs Medical Billing Specialist?
| Aspect | Medicaid Claims Analyst | Medical Billing Specialist |
|---|---|---|
| Credentials | High school diploma; some roles may require certification in healthcare reimbursement | High school diploma; certification preferred but not always required |
| Work Environment | Healthcare facilities, insurance companies, government agencies | Medical offices, clinics, healthcare billing companies |
| Job Focus | Analyzing Medicaid claims, ensuring compliance, resolving claim issues | Processing patient bills, submitting claims, managing accounts receivable |
While both roles involve handling healthcare claims, Medicaid Claims Analysts focus on analyzing and resolving Medicaid-specific claims, ensuring compliance with regulations. Medical Billing Specialists primarily handle the billing process for various healthcare services. Both roles require knowledge of healthcare billing procedures, but Medicaid Claims Analysts typically work more with claims review and compliance within Medicaid programs.
How much do Medicaid Claims Analysts make in the US?
Medicaid Claims Analysts in the US typically earn an average salary ranging from $45,000 to $65,000 per year, depending on experience, location, and employer. Entry-level positions may start lower, while experienced analysts with certifications can earn higher salaries. The role often requires knowledge of healthcare billing systems and claims processing software.
How much does a Medicaid Claims Analyst make?
The average salary for a Medicaid Claims Analyst is around $45,000 to $55,000 per year, depending on experience, location, and employer. In Louisiana, salaries tend to be in this range, with some positions offering additional benefits or bonuses based on certifications and skills in claims processing and healthcare regulations.
How to become a Medicaid Claims Analyst?
To become a Medicaid Claims Analyst, candidates typically need a bachelor's degree in health administration, finance, or a related field. Relevant skills include knowledge of healthcare billing, claims processing, and familiarity with Medicaid policies, often supported by certifications such as the Certified Professional Coder (CPC) or similar credentials. Gaining experience through internships or entry-level roles in healthcare or insurance companies can also improve job prospects.
More about Medicaid Claims Analyst jobs
What states have the most Medicaid Claims Analyst jobs?
States with the most job openings for Medicaid Claims Analyst jobs include:
What job categories do people searching Medicaid Claims Analyst jobs look for?
The top searched job categories for Medicaid Claims Analyst jobs are:
University Health System (San Antonio) rating
8.0
Based on 64 frontline employees who took The Breakroom Quiz
89th of 898 rated healthcare providers
Job description
We are looking for an experienced Claims Analyst for our Claims department with Community First Health Plans!
POSITION SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
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