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Medicare Data Analyst Jobs (NOW HIRING)

WellSky

Data Analyst

Overland Park, KS · On-site

The Data Analyst for Value-Based Insights (VBI) is responsible for transforming Medicare (CMS) claims data into metrics, benchmarks, and measures that power WellSky's VBI product for Home Health and ...

WellSky

Data Analyst

Overland Park, KS

$2.5K/yr

The Data Analyst for Value-Based Insights (VBI) is responsible for transforming Medicare (CMS) claims data into metrics, benchmarks, and measures that power WellSky's VBI product for Home Health and ...

CSpring

Data Analyst

Indianapolis, IN · On-site

Strategic, Hands-On Work - From data analysis and documentation to client workshops and solution ... Experience in healthcare, Medicaid/Medicare, government programs, or similarly regulated ...

Emendata

Data Analyst

San Francisco, CA · On-site

... data to analyzing the problem to turning the results into something actionable. We know that this ... like Medicare and Medicaid by preventing fraud, waste, and abuse. We are growing our team with ...

Oracle

Principal Consultant - Medicare

Kansas City, MO · On-site

You will partner with the strategy lead on Medicare-centered projects for health system, and state ... Create novel and standard insightful and "actionable" analytic designs * Partner with data ...

Astiva Health

Healthcare Data Analyst

Orange, CA

$85K - $115K/yr

The Healthcare Data Analyst is responsible for analyzing healthcare data to support clinical ... Investigate and resolve data discrepancies, anomalies, and reporting issues across Medicare ...

Emendata

Data Analyst

San Francisco, CA

... data to analyzing the problem to turning the results into something actionable. We know that this ... like Medicare and Medicaid by preventing fraud, waste, and abuse. We are growing our team with ...

Astiva Health

Healthcare Data Analyst

Orange, CA · On-site

$85K - $115K/yr

The Healthcare Data Analyst is responsible for analyzing healthcare data to support clinical ... Investigate and resolve data discrepancies, anomalies, and reporting issues across Medicare ...

Kodiak Community Health Center

Data Analyst

Kodiak, AK · On-site

$22 - $25/hr

The Data Analyst position is responsible for collecting, processing, validating, and performing ... Medicare reporting and insurance reporting. 11. Manage data in KCHC programs such as Epic, Acuere ...

American Institutes for Research

Data Analyst II

OR · On-site +1

AIR's Healthcare Transformation Program partners with Medicare, Medicaid, federal and state ... Analyze healthcare-related data, such as claims (e.g., CMS) and national surveys/databases (e.g.

Kodiak Community Health Center

Data Analyst

Kodiak, AK · On-site

The Data Analyst position is responsible for collecting, processing, validating, and performing ... Medicare reporting and insurance reporting. 11. Manage data in KCHC programs such as Epic, Acuere ...

LMI

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

He/She will use strong data analysis skills (e.g., SAS/SQL/Python/Excel) to produce reports and insights that inform Medicare and Medicare Advantage policy including related to risk adjustment.

LMI

Senior Health Data Analyst

Tysons, VA · On-site

$92K - $158K/yr

He/She will use strong data analysis skills (e.g., SAS/SQL/Python/Excel) to produce reports and insights that inform Medicare and Medicare Advantage policy including related to risk adjustment.

LMI

Senior Health Data Analyst

Tysons, VA

$92K - $158K/yr

He/She will use strong data analysis skills (e.g., SAS/SQL/Python/Excel) to produce reports and insights that inform Medicare and Medicare Advantage policy including related to risk adjustment.

Crystal Run Healthcare

BI Data Analyst

Middletown, NY · On-site

... the Centers for Medicare and Medicaid Services as one of the first 27 Accountable Care ... OB SUMMARY That Data Analyst will be responsible for developing database solutions in accordance ...

Wellvana

Sr. Analyst, Reporting Analytics

$90K - $119K/yr

The Senior Analyst, Reporting Analytics is responsible for analyzing and synthesizing large health ... Experience working with some of the following: claims, Medicare data, care management data, EHR or ...

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Medicare Data Analyst information

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$34K

$82.6K

$136K

How much do medicare data analyst jobs pay per year?

As of Jul 27, 2026, the average yearly pay for medicare data analyst in the United States is $82,640.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $97,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medicare Data Analyst, and why are they important?

To thrive as a Medicare Data Analyst, you need strong analytical skills, knowledge of healthcare regulations, and a background in statistics or data science, often supported by a relevant degree. Proficiency in tools like SQL, SAS, Python, and experience with Medicare claims databases or other healthcare data systems is typically required. Attention to detail, problem-solving abilities, and effective communication are essential soft skills for interpreting complex data and presenting insights to stakeholders. These skills and qualities are crucial for ensuring accurate analysis, compliance, and data-driven decision-making in the healthcare sector.

What does a Medicare Data Analyst do?

A Medicare Data Analyst is responsible for collecting, analyzing, and interpreting data related to Medicare claims, costs, and patient outcomes. They use statistical tools and healthcare databases to identify trends, patterns, and areas for improvement in Medicare services. Their work helps healthcare organizations optimize processes, ensure compliance with regulations, and improve patient care outcomes. Analysts may also create reports and present their findings to stakeholders to support data-driven decision-making.

What are the most common challenges Medicare Data Analysts face when working with large healthcare datasets?

Medicare Data Analysts often encounter challenges related to the complexity and volume of healthcare data, such as ensuring data accuracy, managing incomplete or inconsistent records, and maintaining compliance with privacy regulations like HIPAA. Analysts must also adapt to evolving data formats and work closely with cross-functional teams—including IT, clinicians, and compliance officers—to interpret findings and implement data-driven solutions. Staying current with regulatory changes and mastering various analytical tools are crucial for overcoming these challenges and delivering actionable insights.
More about Medicare Data Analyst jobs
What cities are hiring for Medicare Data Analyst jobs? Cities with the most Medicare Data Analyst job openings:
What states have the most Medicare Data Analyst jobs? States with the most job openings for Medicare Data Analyst jobs include:
What job categories do people searching Medicare Data Analyst jobs look for? The top searched job categories for Medicare Data Analyst jobs are:
Medicare Data Analyst jobs near you
Infographic showing various Medicare Data Analyst job openings in the United States as of July 2026, with employment types broken down into 87% Full Time, 2% Part Time, and 11% Contract. Highlights an 83% In-person, 2% Hybrid, and 15% Remote job distribution, with an average salary of $82,640 per year, or $39.7 per hour.
Data Analyst

Data Analyst

WellSky

Overland Park, KS • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago

WellSky rating

7.3

Company rating: 7.3 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

180th of 245 rated software companies

Job description

The Data Analyst for Value-Based Insights (VBI) is responsible for transforming Medicare (CMS) claims data into metrics, benchmarks, and measures that power WellSky's VBI product for Home Health and Hospice providers and payers. This role builds and maintains claims-based data extracts and performance measures, translates CMS methodologies and regulatory rules into production analytics, and partners with product and engineering to deliver trusted, data-driven insights. The work is retrospective, methodology-driven, and directly tied to how agencies measure and improve value-based performance.
Key Responsibilities:
  • Build and maintain claims-based data extracts and measures from CMS data sources, including the Chronic Conditions Warehouse (CCW) and Limited Data Set (LDS), to support VBI Home Health and Hospice solutions.
  • Develop and maintain performance measures such as HHVBP claims-based measures, MSPB-PAC, Functional Items, hospitalization/ER/PPH/DTC rates, utilization and efficiency metrics, length of stay, and composite/percentile scores.
  • Interpret CMS regulations and annual Final Rules (e.g., HHVBP methodology, eTPS calculations) and translate measure specifications into accurate, reproducible SQL logic.
  • Write and optimize SQL against large claims datasets in BigQuery; contribute to data pipelines, quarterly lookup-table refreshes, and extract automation.
  • Produce referral pattern, competitive analysis, market/benchmark extracts, and validate outputs against CMS public benchmarks (e.g., Home Health Compare) and client expectations.
  • Investigate data quality issues and metric discrepancies, and document methodology, data sources, and assumptions so results are auditable and repeatable.
  • Prepare data for downstream BI/visualization layers (e.g., Sisense) and collaborate with product managers and engineers to define technical requirements and analytical interpretations.
  • Perform other job duties as assigned.

Required Qualifications:
  • Bachelor's degree in quantitative, health-informatics, or related field, or equivalent work experience.
  • 2-4 years of experience in data analysis, with demonstrated proficiency in SQL against large, complex datasets.
  • Direct experience working with Medicare/CMS claims data (e.g., CCW, LDS, LDS/RIF files, or comparable claims sources).
  • Comfort with healthcare claims coding structures (e.g., ICD, HCPCS/CPT, revenue codes, DRGs).
  • Ability to translate written specifications or methodologies into analytical logic and validate results for accuracy.

Preferred Qualifications:
  • Knowledge of Home Health and/or Hospice operations, post-acute care, or value-based care programs (e.g., HHVBP, HHVBP eTPS, hospice HIS/HOPE).
  • Experience with CMS quality/value-based program methodologies and familiarity with reading CMS regulations/Final Rules.
  • Hands-on experience with BigQuery (or a comparable cloud data warehouse such as Snowflake) and a BI tool such as Sisense, Tableau, or Power BI.
  • Familiarity with risk adjustment or benchmarking concepts.
  • Scripting experience (e.g., Python) for data transformation and automation.

Job Expectations:
  • Willing to work additional or irregular hours as needed, particularly around quarterly CMS data refreshes and annual Final Rule cycles.
  • Must work in accordance with applicable security and HIPAA policies to safeguard company and client protected health information.
  • Must be able to sit and view a computer screen for extended periods of time.

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WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.
WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.
Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.
Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:
  • Excellent medical with Rx, dental, and vision benefits
  • Mental Health support through EAP
  • Generous paid time off, plus 13 paid holidays
  • 100% vested 401(K) retirement plans
  • Educational assistance up to $2500 per year

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