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Senior Medicare Analyst Jobs (NOW HIRING)

Dana-Farber Cancer Institute

$77K - $90K/yr

The Senior Medicare Coverage Analyst applies subject matter expertise to complex protocols and mentors/trains junior team member. Located in Boston and the surrounding communities, Dana-Farber Cancer ...

Ennoble Care

Sr. Medical Economics Analyst

Marlton, NJ · Remote

Position Overview We are seeking an experienced Sr. Medical Economics Analyst to join our value ... Key Responsibilities Risk Assessment & Medicare Analytics * Develop and maintain sophisticated risk ...

Posted today

Ennoble Care

Sr. Medical Economics Analyst

Arlington, VA · Remote

Position Overview We are seeking an experienced Sr. Medical Economics Analyst to join our value ... Key Responsibilities Risk Assessment & Medicare Analytics * Develop and maintain sophisticated risk ...

Posted today

PharMerica

Medicare B Specialist

Louisville, KY · On-site +1

$19.58/hr

Strong analytical, communication, and interpersonal skills About our Line of Business PharMerica ... senior living communities, and hospitals. We also cater to individuals with behavioral needs ...

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Senior Medicare Analyst information

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$48.5K

$102.5K

$130.5K

How much do senior medicare analyst jobs pay per year?

As of Aug 21, 2026, the average yearly pay for senior medicare analyst in the United States is $102,527.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $116,500.00 per year, depending on experience, location, and employer.

What does a senior Medicare analyst do?

A Senior Medicare Analyst is responsible for analyzing and interpreting Medicare policies, claims, and regulations to ensure compliance and optimize organizational procedures. They review data, prepare reports, and provide insights to guide decision-making in healthcare organizations or insurance companies. Their role often includes staying updated on Medicare changes, advising management on policy impacts, and identifying opportunities for operational improvements. Senior Medicare Analysts also collaborate with various departments to implement best practices and ensure the accuracy of Medicare-related processes.

What are the key skills and qualifications needed to thrive as a senior Medicare analyst?

To thrive as a Senior Medicare Analyst, you need strong analytical abilities, deep knowledge of Medicare regulations and policies, and typically a bachelor's degree in healthcare administration, finance, or a related field. Experience with healthcare data analysis tools (such as SAS or SQL), claims processing systems, and familiarity with CMS guidelines are vital. Excellent problem-solving, communication, and attention to detail help you interpret complex data and collaborate with cross-functional teams. These skills ensure accurate analysis, regulatory compliance, and effective strategy development in the evolving Medicare landscape.

How does a senior Medicare analyst typically collaborate with other departments within a healthcare organization?

Senior Medicare Analysts often work closely with teams such as compliance, billing, clinical operations, and IT to ensure accurate interpretation and implementation of Medicare policies. They regularly participate in cross-functional meetings to address regulatory changes, resolve complex claims issues, and provide guidance on Medicare reimbursement strategies. Collaboration is key, as analysts must translate regulatory requirements into actionable processes and support staff training, helping to maintain organizational compliance and optimize revenue.

What is the difference between Senior Medicare Analyst vs Medicare Data Analyst?

AspectSenior Medicare AnalystMedicare Data Analyst
Required CredentialsBachelor's degree, often with experience in healthcare or finance; certifications like CPC or CMS knowledge beneficialBachelor's degree in healthcare, statistics, or related field; similar certifications advantageous
Work EnvironmentHealthcare organizations, insurance companies, government agenciesHealthcare providers, insurance firms, government agencies
Employer & Industry UsageUsed in roles requiring oversight, strategy, and complex analysisFocused on data collection, analysis, and reporting

The Senior Medicare Analyst and Medicare Data Analyst roles share similar educational backgrounds and work environments, often within healthcare and insurance sectors. The Senior Medicare Analyst typically handles more strategic, oversight, and complex analysis tasks, while the Medicare Data Analyst focuses on data collection, reporting, and basic analysis. Both roles require relevant certifications and experience, but the senior position involves higher responsibility and decision-making authority.

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Cities with the most Senior 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 Senior Medicare Analyst jobs?

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Senior Medicare Analyst jobs near you
Infographic showing various Senior Medicare Analyst job openings in the United States as of August 2026, with employment types broken down into 89% Full Time, 5% Part Time, and 6% Contract. Highlights an 80% Physical, 9% Hybrid, and 11% Remote job distribution, with an average salary of $102,527 per year, or $49.3 per hour.

Sr. Medicare Coverage Analyst

Dana-Farber Cancer Institute

On-site, Remote

$77K - $90K/yr

Full-time

Re-posted 17 hours ago

Dana-Farber Cancer Institute rating

8.1

Company rating: 8.1 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other relevant study-related documents to create a coverage analysis/billing guide. The coverage analysis indicates which medical procedures/services maybe 'Routine Cost' and billable to patient insurance and which should be billed to the study sponsor.
The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and designates medical procedures/services based on relevant regulations and determinations.
The Senior Medicare Coverage Analyst applies subject matter expertise to complex protocols and mentors/trains junior team member.
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
  • Mentors and trains junior MCA staff, provides second-level review of junior staff determinations
  • Creates coverage analysis grids for complex protocols
  • Serves as National and Local Coverage Determination (LCD and NCD) subject matter expert - disseminating changes to Medicare payor policy to other members of the MCA team
  • Triages and prioritizes coverage analysis workflow based on institutional need across disease centers - communicates MCA execution timelines to study teams and external stakeholders
  • Serves as the primary point of contact for urgent protocol amendments with budgetary and MCA impact, prioritizes and executes in narrow timelines
  • Independently interfaces with sponsors and sponsor representatives to resolve discrepancies in specific protocol assessments
  • Interfaces with study team and principal investigators prior to protocol submission to assist with MCA determinations/study design

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
  • Understanding of research activity in an academic medical center
  • Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state, and local laws, rules, regulations and policies and institutional policies and standard operating procedures
  • Knowledge of clinical research budgeting and the clinical trial life cycle: study start-up through study closure
  • Knowledge of clinical trials management system (CTMS)
  • Ability to independently facilitate outreach/communication between study team and sponsor

MINIMUM JOB QUALIFICATIONS:
  • The position requires a bachelor's degree or RN credential
  • 5 years of experience in Medicare coverage analysis.
  • Candidates should have experience with research activities in an academic medical center
  • Working with clinical trials management systems (CTMS).
  • CPT/DRG coding experience is preferred.

SUPERVISORY RESPONSIBILITIES: None
PATIENT CONTACT: None
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
EEO Poster
Pay Transparency Statement
The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.
For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).
$77,500.00 - $90,400.00

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About Dana-Farber Cancer Institute

Sourced by ZipRecruiter

Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Boston, MA, US

Year founded

1947

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