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Medicare Data Analyst Jobs (NOW HIRING)

CSpring

Senior Data Analyst

Indianapolis, IN · On-site +1

$82K - $103K/yr

... Medicare systems (7%). * Coordinate with the State Board of Accounts (SBOA) to design and deliver ... data analysis, systems analysis, quality assurance, and CMS data reporting and compliance in the ...

Healthcare

MEDICARE POLICY ANALYST

New York, NY

Medicare Policy Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better ... Leading QA and analyses of data we build or acquire * Implementing solutions that help hospitals ...

WellSense Health Plan

Senior Pharmacy Data Analyst

... Medicare STAR measures and quality improvement initiatives. · Oversee PBM submission of all Part D ... analysis, and contribute to the design of systems to meet Pharmacy data needs. · Deliver ...

Solventum

MEDICARE POLICY ANALYST

Medicare Policy Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better ... Leading QA and analyses of data we build or acquire * Implementing solutions that help hospitals ...

Bellin

Accountable Care Data Analyst

Green Bay, WI · On-site

Emplify Health by Bellin is Hiring an Accountable Care Health Data Analyst for Value-Based Care and ... Experience with MSSP, Medicare Advantage, and commercial risk arrangements, to ensure a deeper ...

Blue Ridge Care

Healthcare Data Analyst

Winchester, VA · On-site +1

Healthcare Data Analyst - Join the Blue Ridge Care Team! Blue Ridge Care works to optimize the ... Familiarity with Medicaid and Medicare payment models and value-based care * Experience with health ...

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Medicare Data Analyst information

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$34K

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How much do medicare data analyst jobs pay per year?

As of Jun 16, 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 June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $82,640 per year, or $39.7 per hour.
Senior Data Analyst

Senior Data Analyst

CSpring

Indianapolis, IN • On-site, Remote

$82K - $103K/yr

Other

Posted 20 days ago

Job description

Description

At CSpring, we believe in the power of people and data to drive real-world impact. We're a purpose-driven consulting firm that helps organizations solve complex problems, gain insights, and achieve measurable results. Our clients span the public and private sectors, and our work - from data strategy and engineering to workforce transformation - improves lives across Indiana and beyond. We're seeking talented professionals who are collaborative, curious, and committed to making a difference.


What You'll Do

  • Engage with business and technical stakeholders to gather, analyze, document, define, and standardize business/data requirements (2%).
  • Perform or lead Gap Analysis between as-is and to-be systems to identify shortcomings (5%).
  • Develop and maintain documentation including requirement specifications, RTMs, acceptance criteria, process flows, and data mapping documents, using SharePoint and Confluence for version control and collaboration (2%).
  • Design, develop, and optimize complex data models and validation frameworks using SQL and Teradata (5%).
  • Perform/conduct comprehensive root cause analysis for data quality issues and develop/implement solutions or automated preventive controls (5%).
  • Represent the State/organization in interactions with the CMS federal team (alongside manager or as lead SME), addressing queries and serving as subject matter expert on CMS reporting standards (5%).
  • Oversee or ensure timely, accurate, error-free, and compliant submission of monthly extracts and quarterly CMS reports (claims, provider, eligibility, CMS-64.9 forms) (5%).
  • Lead enterprise level analytical initiatives supporting CMS reporting systems and Indiana healthcare programs (5%).
  • Conduct advanced data analysis, modeling, and automation using Excel (Power Query, Power Pivot, VBA macros, complex formulas, dynamic arrays, and scenario modeling) (10%).
  • Develop and maintain interactive dashboards and visualizations using Tableau and Power BI to identify trends, anomalies, compliance risks, and key performance metrics for executive and federal reporting (7%).
  • Define and implement enterprise data quality governance frameworks, KPIs, automated validation rules, and monitoring systems (5%).
  • Lead and coordinate complex testing/QA/UAT activities by establishing strategies, overseeing execution, and reviewing test cases prepared by junior analysts (5%).
  • Provide mentorship and technical leadership to junior analysts on advanced SQL, Informatica ETL, Power BI/Tableau development, and CMS processes (10%).
  • Recommend and drive implementation of process enhancements, tool upgrades, and automation initiatives for efficiency and compliance (10%).
  • Manage and analyze Treatment Episode Data Set (TEDS) Admission and Discharge data submissions for the Division of Mental Health and Addiction (DMHA) (4%).
  • Collaborate with the CMS State Support Team to analyze, document, and implement TMSIS (Transformed Medicaid Statistical Information System) updates and changes required by CMS (4%).
  • Research, interpret, and ensure application of HHS/CMS rules and regulations to maintain ongoing compliance with Indiana Medicaid/Medicare systems (7%).
  • Coordinate with the State Board of Accounts (SBOA) to design and deliver customized annual data extracts for audits and financial reporting, using automated workflows and secure transmission processes (4%).
  • Remote work requests will be considered consistent with company's remote work policy.
  • Domestic travel required less than 2% of the time.

Requirements

This position requires a:

  • Bachelor's degree in Computer Science, Information Systems, Systems Engineering, or a related field, or foreign equivalent
  • 7 years of relevant experience in data analysis, systems analysis, quality assurance, and CMS data reporting and compliance in the Business Systems Analyst or relevant position

This position also requires:

  • 7 years of experience with handling multiple projects/workstreams simultaneously
  • 7 years of experience defining and executing test strategies, UAT, and QA methodologies
  • 7 years of experience with Agile and Waterfall software development methodologies
  • 7 years of experience using JIRA, Zephyr, and comparable tools for project tracking and test management
  • 7 years of experience in SQL and Teradata for data extraction, modeling, and validation
  • 7 years of experience developing data dashboards and analytical reports using Tableau and comparable BI tools
  • 5 years of experience utilizing data quality frameworks and data governance best practices
  • 5 years of experience with Medicaid including CMS reporting compliance experience.
  • Will accept any suitable combination of education, training, and experience.

At CSpring, we unlock the potential of people and data. If you're ready to lead meaningful work, collaborate with passionate teams, and grow your career in a people-first consulting environment - apply today!

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