Medicare Analyst
MD ยท On-site
$70K - $90K/yr
The Medicare Analyst will support Barrow Wise's Illinois DHS project and perform the following duties: * Document all processes and procedures and develop policies * Perform data analytics on claims ...
MD ยท On-site
$70K - $90K/yr
The Medicare Analyst will support Barrow Wise's Illinois DHS project and perform the following duties: * Document all processes and procedures and develop policies * Perform data analytics on claims ...
MD ยท On-site
$70K - $90K/yr
The Medicare Analyst will support Barrow Wise's Illinois DHS project and perform the following duties: * Document all processes and procedures and develop policies * Perform data analytics on claims ...
Sacramento, CA ยท On-site
$3.8K - $6.2K/mo
Medicare Analyst Classification: ANALYST I $3,861.00 - $4,839.00 A $4,181.00 - $5,233.00 B $5,014.00 - $6,276.00 C New to State candidates will be hired into the minimum salary of the classification ...
Sacramento, CA ยท On-site
$3.8K - $6.2K/mo
Medicare Analyst Classification: ANALYST I $3,861.00 - $4,839.00 A $4,181.00 - $5,233.00 B $5,014.00 - $6,276.00 C New to State candidates will be hired into the minimum salary of the classification ...
Medicare Analyst Duration: 4+ Months Location: Newark, NJ Summary: * This position is responsible for the ability to understand and abide by Federal Centers for Medicare and Medicaid Services ...
Medicare Analyst Duration: 4+ Months Location: Newark, NJ Summary: * This position is responsible for the ability to understand and abide by Federal Centers for Medicare and Medicaid Services ...
Monitor and analyze aging reports to prioritize follow-up actions for overdue Medicare accounts, ensuring timely resolution. Ensure all billing and collection practices are compliant with Medicare ...
Monitor and analyze aging reports to prioritize follow-up actions for overdue Medicare accounts, ensuring timely resolution. Ensure all billing and collection practices are compliant with Medicare ...
Cleveland, OH ยท On-site
Supports Medicare product management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage. Evaluates all benefits, including supplemental ...
Cleveland, OH ยท On-site
Supports Medicare product management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage. Evaluates all benefits, including supplemental ...
Jefferson City, MO ยท On-site
Analyze and reconcile rejected claims daily, determining root causes and applying appropriate solutions. * Manually correct claims data when necessary to ensure compliance with Medicare requirements.
Jefferson City, MO ยท On-site
Analyze and reconcile rejected claims daily, determining root causes and applying appropriate solutions. * Manually correct claims data when necessary to ensure compliance with Medicare requirements.
Business System Analyst - Medicare Operations Category: Business Analysis (functional and technical) Main location: United States, Massachusetts, Canton Position ID:J0526-1351 Employment Type ...
Business System Analyst - Medicare Operations Category: Business Analysis (functional and technical) Main location: United States, Massachusetts, Canton Position ID:J0526-1351 Employment Type ...
Hartford, CT ยท On-site
$46K - $102K/yr
Position Summary The Senior Analyst is a compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and develop and execute Medicare ...
Hartford, CT ยท On-site
$46K - $102K/yr
Position Summary The Senior Analyst is a compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and develop and execute Medicare ...
Scottsdale, AZ ยท On-site
$46K - $102K/yr
Position Summary The Senior Analyst is a compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and develop and execute Medicare ...
Scottsdale, AZ ยท On-site
$46K - $102K/yr
Position Summary The Senior Analyst is a compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and develop and execute Medicare ...
Downers Grove, IL ยท On-site
$46K - $102K/yr
Position Summary The Senior Analyst is a compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and develop and execute Medicare ...
Downers Grove, IL ยท On-site
$46K - $102K/yr
Position Summary The Senior Analyst is a compliance position that applies compliance, regulatory, business, analytical and communication skills to support, manage and develop and execute Medicare ...
Long Beach, CA ยท On-site
$80K - $116K/yr
The Job A Medicare Compliance Analyst is responsible for ensuring that an organization complies with regulatory requirements and internal policies. They develop, implement, and monitor compliance ...
Long Beach, CA ยท On-site
$80K - $116K/yr
The Job A Medicare Compliance Analyst is responsible for ensuring that an organization complies with regulatory requirements and internal policies. They develop, implement, and monitor compliance ...
Nashville, TN ยท On-site
$60K - $120K/yr
Perform needs analysis and recommend the most suitable Medicare plans * Represent a wide range of Medicare Advantage, PDP, and top Medigap providers in your licensed states What We're Looking For
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Nashville, TN ยท On-site
$60K - $120K/yr
Perform needs analysis and recommend the most suitable Medicare plans * Represent a wide range of Medicare Advantage, PDP, and top Medigap providers in your licensed states What We're Looking For
Apply Early
Medicare Policy Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating ...
Medicare Policy Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating ...
New York, NY ยท On-site
Medicare Policy Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating ...
New York, NY ยท On-site
Medicare Policy Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating ...
Business Analyst With Medicare Location: Newark, NJ Duration: Contract Rate: DOE Work Authorization: USC, GC, GC-EAD, H4EAD, TN, L2EAD This position is responsible for the ability to understand and ...
Business Analyst With Medicare Location: Newark, NJ Duration: Contract Rate: DOE Work Authorization: USC, GC, GC-EAD, H4EAD, TN, L2EAD This position is responsible for the ability to understand and ...
Schaumburg, IL ยท Remote
$91K - $163K/yr
Support Stars reporting and analytics for Medicare clients, including recurring reporting deliverables and ad hoc data requests * Collaborate with cross-functional teams to define business needs and ...
Schaumburg, IL ยท Remote
$91K - $163K/yr
Support Stars reporting and analytics for Medicare clients, including recurring reporting deliverables and ad hoc data requests * Collaborate with cross-functional teams to define business needs and ...
Piscataway, NJ ยท On-site
$94K - $121K/yr
Lead/Senior Business Analyst - Medicare insurance domain Location: Piscataway, NJ Position type: W2 contract Role: We are seeking an experienced Lead / Senior Business Analyst with strong expertise ...
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Piscataway, NJ ยท On-site
$94K - $121K/yr
Lead/Senior Business Analyst - Medicare insurance domain Location: Piscataway, NJ Position type: W2 contract Role: We are seeking an experienced Lead / Senior Business Analyst with strong expertise ...
Mariposa, CA ยท On-site +1
$36 - $48/hr
Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
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Apply Early
Mariposa, CA ยท On-site +1
$36 - $48/hr
Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
Apply Early
Grizzly Flats, CA ยท On-site
$36 - $48/hr
Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
Grizzly Flats, CA ยท On-site
$36 - $48/hr
Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
Sonoma, CA ยท On-site +1
$36 - $48/hr
Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
Quick apply
Apply Early
Sonoma, CA ยท On-site +1
$36 - $48/hr
Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
Apply Early
$31K - $40K
11% of jobs
$40K - $49K
9% of jobs
$52.1K is the 25th percentile. Wages below this are outliers.
$49K - $58K
15% of jobs
$58K - $67K
15% of jobs
The median wage is $67.3K / yr.
$67K - $76K
18% of jobs
$82.5K is the 75th percentile. Wages above this are outliers.
$76K - $85K
11% of jobs
$85K - $94K
7% of jobs
$94K - $103K
5% of jobs
$103K - $112K
4% of jobs
$112K - $121K
2% of jobs
$121K - $130K
3% of jobs
$31K
$73.3K
$130K
A Medicare Analyst is responsible for reviewing and analyzing Medicare claims, policies, and compliance to ensure alignment with federal and state regulations. They assess claims for accuracy, identify potential billing discrepancies, and work to optimize reimbursement processes. Additionally, they may assist in policy development, reporting, and collaboration with healthcare providers to improve efficiency and compliance in Medicare-related operations.
To thrive as a Medicare Analyst, you need strong analytical skills, attention to detail, and a solid understanding of Medicare regulations, often backed by a degree in healthcare administration, public health, or a related field. Experience with claims processing software, data analysis tools like Excel or SAS, and familiarity with CMS (Centers for Medicare & Medicaid Services) guidelines are typically important. Excellent problem-solving, communication, and time management skills enable effective collaboration and reporting. These competencies are crucial for accurately interpreting complex policies, identifying compliance issues, and supporting organizational decision-making within the evolving Medicare landscape.
As a Medicare Analyst, your main responsibilities include reviewing and analyzing Medicare claims for accuracy, ensuring compliance with government regulations, and identifying opportunities for process improvement. You might collaborate closely with billing, compliance, and clinical teams to clarify regulations and resolve discrepancies. Regular tasks also involve preparing reports, monitoring policy updates from CMS, and assisting with audits or internal reviews. The role requires balancing independent research with cross-functional teamwork to ensure the organization meets all Medicare requirements.

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11 - 50 Employees
Rockville, MD, US
2012