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Medicare Program Analyst Jobs (NOW HIRING)

ePATHUSA Inc

Senior Consultant

Clive, IA · Remote

$90 - $120/hr

Conduct analyses and manage analytical teams, including queries and summaries of Medicare claims data, review data, and program integrity operations data, to identify areas of improper payment, root ...

Mathematica, Inc.

$57K - $65K/yr

... programs, refine strategies, and enhance understanding using data science and analytics. Our work ... Teams within this portfolio facilitate Medicare incentivepayments to encourage high-quality care ...

Booz Allen Hamilton

Pharmacy Program Manager

Bethesda, MD · On-site

$99K - $225K/yr

... or Medicare Part D programs. Serves as a key leader overseeing an integrated team of payment policy specialists, clinical reviewers, statisticians, and data analysts to achieve CMS goals and ...

Booz Allen Hamilton

Pharmacy Program Manager

Bethesda, MD · On-site

$99K - $225K/yr

... or Medicare Part D programs. Serves as a key leader overseeing an integrated team of payment policy specialists, clinical reviewers, statisticians, and data analysts to achieve CMS goals and ...

CVS Health

Medicare Product Operations Analyst

Hartford, CT · On-site

$43K - $93K/yr

As an analyst in, Medicare Product Operations, you will play a critical role in conducting thorough ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in ...

CorroHealth, Inc.

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... Scalability is prioritized in the support of client program operations. As with most revenue cycle ...

Dana-Farber Cancer Institute

$77K - $90K/yr

The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols ... and design programs to promote public health particularly among high-risk and underserved ...

Elevate Patient Financial Solutions

Medicare Specialist

$22.75 - $28.50/hr

Develops a solid understanding of assigned client processes in order to review and analyze claims ... Employee referral bonus program * Teamwork: We believe in teamwork and having fun together * Career ...

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Medicare Program Analyst information

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$37K

$89.2K

$131.5K

How much do medicare program analyst jobs pay per year?

As of Sep 11, 2026, the average yearly pay for medicare program analyst in the United States is $89,153.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $116,000.00 per year, depending on experience, location, and employer.

What is a Medicare Program Analyst?

Medicare Program Analysts are professionals who evaluate, monitor, and help improve Medicare programs and policies. They analyze data related to Medicare services, assess program effectiveness, and recommend changes to ensure compliance with federal regulations. Their work often involves preparing reports, interpreting complex health care policies, and collaborating with other health care administrators and stakeholders. Medicare Program Analysts play a key role in ensuring Medicare programs are efficient and serve beneficiaries effectively.

How does a Medicare Program Analyst typically collaborate with other departments within a healthcare organization?

Medicare Program Analysts frequently work cross-functionally, partnering with compliance, finance, clinical, and IT teams to ensure Medicare programs are accurately implemented and maintained. They often serve as a bridge, translating regulatory requirements into actionable processes and communicating updates to relevant stakeholders. Regular meetings and project collaborations are common, requiring strong communication and teamwork skills. This collaborative environment helps ensure that all facets of the Medicare program operate efficiently and in compliance with federal guidelines.

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

To thrive as a Medicare Program Analyst, a solid background in healthcare policy, data analysis, and program evaluation is essential, often supported by a degree in public health, health administration, or a related field. Familiarity with Medicare regulations, data analytics tools like SAS or SQL, and experience with claims processing systems are typically required. Strong analytical thinking, attention to detail, and effective communication are valuable soft skills for this role. These competencies are crucial for accurately interpreting program data, ensuring regulatory compliance, and supporting effective decision-making within Medicare programs.

What is the difference between Medicare Program Analyst vs Medicaid Analyst?

AspectMedicare Program AnalystMedicaid Analyst
Required CredentialsBachelor's degree in healthcare, public health, or related field; certifications like CPC or CMS certificationsBachelor's degree in healthcare administration, public health, or related; similar certifications often preferred
Work EnvironmentGovernment agencies, healthcare organizations, insurance companiesState and federal Medicaid agencies, healthcare providers
Employer & Industry UsagePrimarily in Medicare-focused roles within government and private sectorsPrimarily in Medicaid programs at state and federal levels

The Medicare Program Analyst and Medicaid Analyst roles share similar educational backgrounds and work environments, often involving government agencies and healthcare organizations. The main difference lies in their focus: Medicare Program Analysts specialize in Medicare policies and programs, while Medicaid Analysts focus on Medicaid services and regulations. Both roles require knowledge of healthcare policies and data analysis, but their specific responsibilities align with their respective programs.

What states have the most Medicare Program Analyst jobs?

States with the most job openings for Medicare Program Analyst jobs include:

What are popular job titles related to Medicare Program Analyst jobs?

For Medicare Program Analyst jobs, the most frequently searched job titles are:

Infographic showing various Medicare Program Analyst job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 1% As Needed, 74% Full Time, 20% Part Time, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $89,153 per year, or $42.9 per hour.

Medicare Products Analyst

Cleveland, OH • On-site

Medical Mutual of Ohio
See more jobs at Medical Mutual of Ohioexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Medical Mutual of Ohio rating

8.6

Company rating: 8.6 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

Job description

Medical Mutual employees must submit their applications through MySource.
Note: This is a hybrid role requiring 3 days per week on-site in our Brooklyn, Ohio office. Seeking applicants that reside within a 50-mile radius of the Brooklyn, Ohio office.
Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.
Supports Medicare product management by evaluating data trend experience, creating data analytics on supplemental benefits for the Medicare Advantage. Evaluates all benefits, including supplemental, SSBCI, and VBID. Supports the development and execution of Medicare Advantage product strategy and corresponding benefits. Builds PBPs, balancing market competitiveness and financial viability with product and market leaders. Supports analysis of market dynamics and creation of data-driven recommendations for market leadership to facilitate strategic decision-making. Analyzes market trends; supports product assessment, CMS bid cycle design, and regulatory document development (EOC, ANOC, SOB).
Responsibilities:
  • Utilizes data mining and analytical expertise to understand large data sets. Develops and implements data analytics and reporting for Medicare Advantage Supplemental Benefits. Utilizes advanced statistical methodology including conjoint, max diff, regression analysis to provide data-driven conclusions.
  • Collaborates with other team members and market teams to develop and support product portfolios, benefits, and programs that drive membership growth, improve member satisfaction, enhance revenue & profitability.
  • Plays a key role in the annual CMS Bid development in partnership with the Product Managers, ensuring the products are competitive, compliant, accurate, and positioned to achieve plan goals.
  • Leads and executes complex data-related analytical projects to drive business decisions and efficiencies; ensures timely and accurate reporting, corrects issues and errors, implements best practices. Provides clear and precise summary documents and reports for all levels of management.
  • Develops and presents in-depth analysis on industry wide Medicare Advantage formularies. Creates modeling, develops analysis, and presents insights to management. Collaborates with Product Management and Pharmacy to evaluate formulary analysis for product benefit design changes.
  • Evaluates membership and utilization by plan and acquisition channel for Medicare Advantage and Medicare Supplement product lines. Performs data analysis of trend experience used by management in making benefit decisions and changes for pricing and annual bid submission.
  • Act as a key member of the regulatory document development team to ensure accurate Evidence of Coverage (EOC), Annual Notice of Change (ANOC), Summary of Benefits (SOB), etc.
  • Gather and analyze quantitative and qualitative data and research on existing and potential markets, as well as support the creation of market assessment deliverables.
  • Performs other duties as assigned.

Qualifications:
Education and Experience:
  • Bachelor's degree in Business, Healthcare or other quantitative field, or equivalent combination of education and experience.
  • 3 years' experience in statistical analysis or data analysis.
  • 2 years are in a Medicare Advantage organization preferred.

Technical Skills and Knowledge:
  • Demonstrated ability to pull large data sets and perform data manipulations/analysis.
  • Knowledge of various data mining, reporting, and reconciliation tools and methodologies.
  • Highly proficient in Microsoft Office, SAS, SQL, Tableau.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:
A Great Place to Work:
  • We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
  • Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
  • On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
  • Discounts at many places in and around town, just for being a Medical Mutual team member.
  • The opportunity to earn cash rewards for shopping with our customers.
  • Business casual attire, including jeans.

Excellent Benefits and Compensation:
  • Employee bonus program.
  • 401(k) with company match up to 4% and an additional company contribution.
  • Health Savings Account with a company matching contribution.
  • Excellent medical, dental, vision, life and disability insurance - insurance is what we do best, and we make affordable coverage for our team a priority.
  • Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
  • Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
  • After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:
  • Career development programs and classes.
  • Mentoring and coaching to help you advance in your career.
  • Tuition reimbursement up to $5,250 per year, the IRS maximum.
  • Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:
Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.
There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.
We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.
We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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