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Medicare Analyst Jobs (NOW HIRING)

Ennoble Care

Sr. Medical Economics Analyst

Arlington, VA · Remote

$120K - $140K/yr

Key Responsibilities Risk Assessment & Medicare Analytics * Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC methodology. * Analyze VBC performance ...

Ennoble Care

Sr. Medical Economics Analyst

Marlton, NJ · Remote

$120K - $140K/yr

Key Responsibilities Risk Assessment & Medicare Analytics * Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC methodology. * Analyze VBC performance ...

CoventBridge Integrity

$70K - $77K/yr

Overview Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to ...

Wider Circle

Medicare Sales Representative

Dallas, TX · On-site

$45K - $50K/yr

... analytics platform. We are on a mission to make the world a better place for older adults and ... Minimum two (2) years of successful Medicare telesales, telemarketing, or customer service ...

Wider Circle

Medicare Sales Representative

Dallas, TX · On-site

$45K - $50K/yr

... analytics platform. We are on a mission to make the world a better place for older adults and ... Minimum two (2) years of successful Medicare telesales, telemarketing, or customer service ...

Wider Circle

Medicare Sales Representative

$45K - $50K/yr

... analytics platform. We are on a mission to make the world a better place for older adults and ... Minimum two (2) years of successful Medicare telesales, telemarketing, or customer service ...

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Medicare Analyst information

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How much do medicare analyst jobs pay per year?

As of Sep 15, 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 cities are hiring for Medicare Analyst jobs?

Cities with the most Medicare Analyst job openings:

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The most popular types of Medicare Analyst jobs are:

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Medicare Analyst jobs near you
Infographic showing various Medicare Analyst job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 89% Full Time, 6% Part Time, and 4% Contract. Highlights an 79% Physical, 7% Hybrid, and 14% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

Sr. Medical Economics Analyst

Arlington, VA • Remote

Ennoble Care
Health Care and Social Assistance • 201 - 500 employees
Learn more about Ennoble Careexternal

$120K - $140K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Ennoble Care rating

4.2

Company rating: 4.2 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

About Us

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today!

Position Overview 

We are seeking an experienced Sr. Medical Economics Analyst to join our value-based care (VBC) team in our Accountable Care Organization (ACO). This role requires a seasoned professional with 3-5 years of data analytics experience who can navigate the complex landscape of Medicare risk models, value-based care arrangements, and population health analytics. The ideal candidate will play a critical role in optimizing our organization's performance under CMS total cost of care models while ensuring sustainable financial outcomes. 

Key Responsibilities 

Risk Assessment & Medicare Analytics 

  • Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC methodology.
  • Analyze VBC performance under various CMS and CMMI total cost-of-care models.
  • Monitor and forecast financial performance across assigned patient populations.
  • Conduct comprehensive claims analysis using CCLF (Claims and Claims Line Feed) and BCDA (Beneficiary Claims Data API) datasets, including simulating CMS-HCC risk adjustment. 

Data Management & Analytics 

  • Process and analyze large healthcare datasets, combining multiple data sources including EHR systems and Medicare claims data.
  • Ensure data quality and integrity across all analytical processes. 

Business Intelligence & Reporting 

  • Create fit-for-purpose analytical reports that translate complex actuarial findings into actionable business insights.
  • Develop executive dashboards and performance metrics aligned with organizational strategic goals.
  • Present findings and recommendations to leadership teams and clinical stakeholders.
  • Support budget planning and financial forecasting processes. 

Regulatory Compliance & Process Improvement 

  • Stay current with evolving CMS and CMMI program requirements and quality measures.
  • Collaborate with revenue cycle and coding teams to optimize documentation and billing accuracy. 
Required Qualifications 

Education & Certification 

  • Bachelor's degree in Data Science, Statistics, Mathematics, Economics, Business Administration or related quantitative field 

Experience Requirements 

  • 3-5 years of data analytics experience, preferably in healthcare or Medicare-focused environments
  • Thorough understanding of and hands-on experience with Medicare risk adjustment and CMS-HCC models
  • Demonstrated experience working with CMS and CMMI total cost of care (ACO) programs
  • Proven track record analyzing Medicare claims data, specifically CCLF and BCDA datasets
  • In-depth knowledge of healthcare billing processes from both provider and CMS perspectives 

Technical Proficiency 

  • Advanced proficiency in Microsoft Excel (pivot tables, complex formulas, VBA preferred)
  • Strong SQL skills with ability to write complex queries and optimize database performance
  • Experience with Microsoft Azure cloud platform and related analytics tools
  • Proven ability to work with very large datasets (multi-million row files) and combine data from multiple sources
  • Experience integrating EHR data with claims datasets for comprehensive population health analysis 

Core Competencies 

  • Exceptional analytical and problem-solving capabilities
  • Strong business acumen with the ability to translate technical findings into strategic recommendations
  • Excellent written and verbal communication skills for both technical and non-technical audiences
  • Proven team player with a collaborative approach to cross-functional projects
  • Demonstrated capability to understand and respond to evolving business needs 

Location:  Fully Remote (with up to 10% travel) 

Salary Range: $120,000- $140,000

This position requires the ability to work with sensitive healthcare information and maintain strict confidentiality in accordance with HIPAA and other applicable regulations. 

Full-time employees qualify for the following benefits:

  • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. 
  • Paid Time Off
  • Paid Office Holidays 

All employees qualify for these benefits:

  • Paid Sick Time
  • 401(k) with up to 3% company match
  • Referral Program
  • Payactiv: pay-on-demand. Cash out earned money when and where you need it!

Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. 

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