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Medicare Analyst Jobs (NOW HIRING)

Ascension

Medicare Coverage Senior Analyst

Austin, TX · Remote

$96K - $134K/yr

Review & analyze complex research protocols to draft a Medicare Coverage Analysis (MCA) and an internal research budget * Lead research operations meetings with the Research Director, Principal ...

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How much do medicare analyst jobs pay per year?

As of Jul 7, 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.

How much does an insurance analyst make?

A Medicare analyst's salary typically ranges from $50,000 to $80,000 annually, depending on experience, location, and certifications. Entry-level positions may start lower, while experienced analysts with specialized skills can earn higher salaries, often supplemented by benefits and bonuses.

What does a medicare analyst do?

A Medicare analyst reviews and analyzes Medicare data, policies, and claims to ensure compliance and optimize program efficiency. They often work with healthcare providers, insurance companies, and government agencies, using tools like Excel and healthcare management software to interpret complex information and support decision-making.

What does a medicare coverage analyst do?

A Medicare coverage analyst reviews and interprets Medicare policies and regulations to determine coverage eligibility and benefits. They analyze claims, ensure compliance with program rules, and assist in resolving coverage issues, often using healthcare data management tools and staying updated on policy changes.

Do you need a degree to be a healthcare data analyst?

A Medicare Analyst typically benefits from a bachelor's degree in fields like health informatics, statistics, or related areas, but some roles may accept relevant experience or certifications in data analysis tools such as Excel, SQL, or Tableau. While a degree can improve job prospects, practical skills and experience are also highly valued in the healthcare data analysis field.

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 July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.
Medicare Membership & Eligibility Analyst (Temporary)

Medicare Membership & Eligibility Analyst (Temporary)

Central California Alliance for Health (Remote)

Merced, CA • On-site, Remote

$36 - $48/hr

Full-time, Temporary

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Be an early applicant

Job description

OUR COMMITMENT TO A HUMAN HIRING PROCESS

We believe every candidate deserves thoughtful consideration. That's why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully.

SERVICE AREA PREFERENCE

While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.

ABOUT THIS TEMP POSITION

This is a temporary position and the length of assignment is estimated to go until December 31, 2026. The length of the assignment is always dependent on business need and dates may change. While the assignment would be at the Alliance, if selected, you would be an employee of a temporary employment agency that we would connect you with.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Medicare Operations Director, this position:

  • 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
  • Conducts complex research and analysis in support of Medicare Operations activities
  • Acts as a subject matter expert and liaison to internal and external stakeholders
WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description and list of requirements, click here.

  • Knowledge of:
    • CMS guidelines related to Medicare sales and enrollment
    • Medicare Advantage enrollment processes and financial reconciliation
    • Contents and interpretation of monthly membership reports
    • Research, analysis, and reporting methods
    • Data analysis tools, CRM/enrollment systems, and the use of databases
  • Ability to:
    • Analyze complex data sets and present actionable insights
    • Identify issues, gather and analyze information and data, reach logical and sound conclusions, and make recommendations for action
    • Interpret, explain and apply applicable policies, laws, codes, regulations, and contracts
    • Organize work, manage multiple projects, establish priorities, adjust to changing priorities, and meet deadlines
    • Assist with the development and implementation of projects, systems, programs, policies, and procedures
    • Develop and implement operational workflows
  • Education and Experience:
    • Bachelor's degree in Business Administration, Health Care Administration, Public Health, or a related field
    • Minimum of five years of progressively responsible experience related to Medicare membership operations and/or enrollment eligibility
    • Master's degree may substitute for two years of the required experience; or an equivalent combination of education and experience may be qualifying
OTHER INFORMATION
  • We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
  • While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
  • In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
  • This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.

COMPENSATION INFORMATION

  • Zone 1 Pay Range: $36.00 - $48.00
    Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas
  • Zone 2 Pay Range: $34.00 - $45.00
    Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)

The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to answer any questions that you have or share the applicable pay zone for your location if it's not one of the typical areas listed. You can reach out to careers@thealliance.health, and a member from our Talent Acquisition team will be in touch.

The posted hiring ranges represent a good‑faith estimate of what a temporary employee would be paid on this assignment. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location).

OUR BENEFITS
  • Medical, Dental and Vision Plans
  • Ample Paid Time Off
  • 12 Paid Holidays per year
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Robust Health and Wellness Program
  • Onsite EV Charging Stations
  • And many more
ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer

Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet.

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.