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Medicare Analyst Jobs (NOW HIRING)

Corrohealth

Medicare Specialist

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... Edit and perform maintenance on Medicare claims. * Follow-up on billed claims in a timely and ...

CorroHealth

Medicare Specialist

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... Edit and perform maintenance on Medicare claims. * Follow-up on billed claims in a timely and ...

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

The Juris Agency

Director of Medicare

Wichita, KS · On-site

$120 - $180/hr

Analyze our sales performance and adjust our outreach efforts to ensure we are consistently meeting ... Five or more years of experience in Medicare insurance sales and policy management. * Deep ...

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Medicare Analyst information

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$31K

$73.3K

$130K

How much do medicare analyst jobs pay per year?

As of Aug 19, 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?

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 main responsibilities of a Medicare Analyst?

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.

What are the key skills and qualifications needed to thrive as a Medicare Analyst?

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.

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What are the most commonly searched types of Medicare Analyst jobs?

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What states have the most Medicare Analyst jobs?

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Medicare Analyst jobs near you
Infographic showing various Medicare Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 5% Part Time, and 6% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Medicare B Specialist

BrightSpring Health Services

Louisville, KY • Remote

$19.58 - $25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 19 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

219th of 242 rated social care providers

Job description

PharMerica


PharMerica, a part of Brightspring Health Services, is a longterm care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.

The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution of an assigned account portfolio in accordance with PharMerica’s policies.

The position requires a high level of attention to detail when initiating, processing, and tracking prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests.

The ideal candiate will be a Certified Pharmacy Technician (desired) and have two years billing and/or collections experience; Medicare B preferred

Remote: May reside anywhere with the Continental USA.

Schedule: Monday - Friday, 8:00am - 4:30pm eastern time zone

Benefits and perks for You! 

  • Medical, Dental, Vision insurance
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
  • Tuition discounts & reimbursement
  • 401(k) 
  • Company Paid Time Off*
  • Shift Differential 
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs 

  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, policies and procedures, Corporate Compliance Agreement, applicable federal and state laws, and professional standards
  • Investigates Medicare B eligibility such as diagnosis, place of service, and medication for payment
  • Prepares assignment of benefits, written orders, and obtains signatures from responsible parties
  • Collects refill requests and dated manifest for each dispense
  • Transmits electronic claim to Medicare B and after primary payment is received, prepares claim for secondary payer when applicable
  • Responds to Medicare payer audits
  • Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements

  • High School Diploma or GED; Associate degree desired
  • Two years billing and/or collections experience; Medicare B preferred
  • Familiarity with standard concepts, practices, and procedures with discipline
  • Certified Pharmacy Technician
  • Strong analytical, communication, and interpersonal skills

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
USD $19.58 - $25.00 / Hour

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