Medicare Analyst
MD · 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 · 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 · 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 ...
Newark, NJ · On-site
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 ...
Newark, NJ · On-site
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 · 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 · 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 ...
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 ...
Jefferson City, MO · 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 · 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.
Boca Raton, FL · On-site
$86K - $125K/yr
Conduct compliant Medicare needs analyses * Educate beneficiaries on Medicare coverage options * Submit accurate and compliant enrollments * Meet production and quality expectations * Maintain CMS ...
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Boca Raton, FL · On-site
$86K - $125K/yr
Conduct compliant Medicare needs analyses * Educate beneficiaries on Medicare coverage options * Submit accurate and compliant enrollments * Meet production and quality expectations * Maintain CMS ...
Louisville, KY · Remote
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills
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Louisville, KY · Remote
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills
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 ...
$77K - $90K/yr
The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a ...
$77K - $90K/yr
The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a ...
Hartford, CT · On-site
$43K - $93K/yr
As an analyst in, Medicare Product Operations, you will play a critical role in conducting thorough and timely reviews of member requests related to Medicare Advantage supplemental benefit coverage ...
Hartford, CT · On-site
$43K - $93K/yr
As an analyst in, Medicare Product Operations, you will play a critical role in conducting thorough and timely reviews of member requests related to Medicare Advantage supplemental benefit coverage ...
Boston, MA · On-site
$77K - $90K/yr
The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a ...
Boston, MA · On-site
$77K - $90K/yr
The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a ...
Be Seen First
Erie, PA · On-site
$24 - $26/hr
This position is responsible for collecting and analyzing information to evaluate program ... Medicare Fraud Education Specialist Responsibilities Administrative: * Research and analyze program ...
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Be Seen First
Erie, PA · On-site
$24 - $26/hr
This position is responsible for collecting and analyzing information to evaluate program ... Medicare Fraud Education Specialist Responsibilities Administrative: * Research and analyze program ...
Louisville, KY · On-site +1
$19.58/hr
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills About our Line of Business PharMerica ...
Louisville, KY · On-site +1
$19.58/hr
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills About our Line of Business PharMerica ...
Louisville, KY · Remote
$25/hr
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills About our Line of Business PharMerica ...
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Louisville, KY · Remote
$25/hr
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills About our Line of Business PharMerica ...
$22.75 - $28.50/hr
Job Summary As a Medicare Specialist, you will be instrumental in helping resolve aged medical ... Develops a solid understanding of assigned client processes in order to review and analyze claims ...
$22.75 - $28.50/hr
Job Summary As a Medicare Specialist, you will be instrumental in helping resolve aged medical ... Develops a solid understanding of assigned client processes in order to review and analyze claims ...
Camp Hill, PA · On-site
Medicare Exhaust Specialist ON-SITE BONUS ELIGIBLE Are you results-oriented? Our dynamic team has ... Utilize data analytics tools to identify trends and patterns in claim denials, overpayments, and ...
Camp Hill, PA · On-site
Medicare Exhaust Specialist ON-SITE BONUS ELIGIBLE Are you results-oriented? Our dynamic team has ... Utilize data analytics tools to identify trends and patterns in claim denials, overpayments, and ...
Camp Hill, PA · On-site
Overview Medicare Exhaust Specialist ON-SITE BONUS ELIGIBLE Are you results-oriented? Our dynamic ... Utilize data analytics tools to identify trends and patterns in claim denials, overpayments, and ...
Camp Hill, PA · On-site
Overview Medicare Exhaust Specialist ON-SITE BONUS ELIGIBLE Are you results-oriented? Our dynamic ... Utilize data analytics tools to identify trends and patterns in claim denials, overpayments, and ...
Louisville, KY · On-site +1
$19.58 - $25/hr
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills About our Line of BusinessPharMerica, an ...
Louisville, KY · On-site +1
$19.58 - $25/hr
The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution ... Strong analytical, communication, and interpersonal skills About our Line of BusinessPharMerica, an ...
New Brunswick, NJ · Remote
$75K - $100K/yr
THE ROLE We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Medicare Coverage Analyst in a fully remote capacity, supporting Vitalief's client, a leading ...
New
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New Brunswick, NJ · Remote
$75K - $100K/yr
THE ROLE We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Medicare Coverage Analyst in a fully remote capacity, supporting Vitalief's client, a leading ...
New
$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
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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.
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.
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.
Cities with the most Medicare Analyst job openings:
The most popular types of Medicare Analyst jobs are:
States with the most job openings for Medicare Analyst jobs include:
The top searched job categories for Medicare Analyst jobs are:

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11 - 50 Employees
Rockville, MD, US
2012