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Medicare Analyst Jobs (NOW HIRING)

Barrow Wise Consulting

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 ...

Ovation Healthcare

Specialist, 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 ...

Wipro Limited

Medicare BPO

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.

Couvillier Advisors

Medicare Sales Agent

Nashville, TN · 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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$73.3K

$130K

How much do medicare analyst jobs pay per year?

As of Jun 9, 2026, the average yearly pay for medicare analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What is a Medicare Analyst job?

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.

What are the key skills and qualifications needed to thrive in the Medicare Analyst position, and why are they important?

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.

What does a medicare coverage analyst do?

A Medicare coverage analyst reviews and interprets Medicare policies and regulations to determine coverage eligibility for patients. They analyze claims, ensure compliance with guidelines, and assist in resolving coverage issues, often using healthcare data management tools. Strong knowledge of Medicare rules and attention to detail are essential for this role.

What are the main responsibilities of a Medicare Analyst in a typical workweek?

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.

More about Medicare Analyst jobs
What cities are hiring for Medicare Analyst jobs? Cities with the most Medicare Analyst job openings:
What are the most commonly searched types of Medicare Analyst jobs? The most popular types of Medicare Analyst jobs are:
What states have the most Medicare Analyst jobs? States with the most job openings for Medicare Analyst jobs include:
What job categories do people searching Medicare Analyst jobs look for? The top searched job categories for Medicare Analyst jobs are:
Medicare Analyst jobs near you
Infographic showing various Medicare Analyst job openings in the United States as of May 2026, with employment types broken down into 2% Locum Tenens, 76% Full Time, 14% Part Time, and 8% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Medicare Analyst

Medicare Analyst

Barrow Wise Consulting

MD • On-site

$70K - $90K/yr

Full-time

Posted 9 days ago

Job description

Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today.
Responsibilities:
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 and revenue and develop visually-appealling reports
  • Enhance claims management accuracy and compliance
  • Review and assess the current Medicare Part A & B, claiming policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities
  • Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and frequency
  • Assist the State in the completion of annual Medicare cost reports by reviewing Medicare cost report schedules to ensure reports are completed appropriately and maximize Medicare and Medicaid cost reimbursement
  • Implement processes to improve billing and claiming with the transition to State staff
  • Provide recommendations as to the level and expertise necessary for individuals to conduct billing and claim to achieve optimal revenue
  • Develop and deliver training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs
  • Identify additional revenue maximization opportunities for IDHS
  • Develop project reports and present data to the State

An ideal candidate has the following:
  • U.S. Citizenship
  • Bachelor's degree
  • 5 years of experience with Medicare claims processing systems and revenue maximization services
  • Knowledge of automation in healthcare claims
  • Proficient in Project Management and Business Analysis practices, principles, and tools
  • Excellent written and verbal communication skills

Join the team at Barrow Wise Consulting, LLC, for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply.
Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed.

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