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Senior Medicare Analyst Jobs in Decatur, GA (NOW HIRING)

Elevance Health

Engineer Senior

Atlanta, GA · Hybrid

$100K - $138K/yr

Understands the tradeoffs between technical, analytical and product needs of the technical ... Experience with Healthcare and Medicare highly preferred. * Experience with Causal Inference highly ...

Deloitte

Health Actuary Senior Consultant

Atlanta, GA · On-site

As an Actuarial Senior Consultant, you will apply actuarial, strategic, and analytical experience ... claims analytics * Review Medicare Advantage and Part D bid submissions for accuracy and ...

Deloitte

Health Actuary Senior Consultant

Atlanta, GA · On-site

... claims analytics * Review Medicare Advantage and Part D bid submissions for accuracy and ... As an Actuarial Senior Consultant, you will apply actuarial, strategic, and analytical experience ...

Belle, LLC

Senior Product Engineer

Atlanta, GA · Remote

A core pillar of this role is data and analytics: you'll own the infrastructure, models, and ... Inertia.js experience * Healthcare, digital health, Medicare, or value-based care experience

Belle, LLC

Senior Product Engineer

Atlanta, GA · Remote

A core pillar of this role is data and analytics: you'll own the infrastructure, models, and ... Inertia.js experience * Healthcare, digital health, Medicare, or value-based care experience

PruittHealth

VP of Sales and Marketing

Norcross, GA · On-site

The Vice President of Sales and Marketing is a senior growth leader responsible for supporting the ... systems, market analytics, sales funnel reporting, referral source data, dashboards, and ...

PruittHealth

VP of Sales and Marketing

Norcross, GA · On-site

Support the Senior Vice President in the development, execution, and ongoing refinement of ... Utilize CRM systems, market analytics, sales funnel reporting, referral source data, dashboards ...

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Showing results 41-60

All JobsMedicare Analyst JobsSenior Medicare Analyst JobsSenior Medicare Analyst Jobs in Decatur, GA

Senior Medicare Analyst information

See Decatur, GA salary details

$47.4K

$100.1K

$127.4K

How much do senior medicare analyst jobs pay per year?

As of Aug 21, 2026, the average yearly pay for senior medicare analyst in Decatur, GA is $100,101.00, according to ZipRecruiter salary data. Most workers in this role earn between $85,900.00 and $113,700.00 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.

What job categories do people searching Senior Medicare Analyst jobs in Decatur, GA look for?

The top searched job categories for Senior Medicare Analyst jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Senior Medicare Analyst jobs?

Cities near Decatur, GA with the most Senior Medicare Analyst job openings:

Senior Medicare Analyst jobs near you

Director - Government Reimbursement

Piedmont Healthcare Inc.

Atlanta, GA • On-site

Full-time

Re-posted yesterday

Piedmont Healthcare rating

7.1

Company rating: 7.1 out of 10

Based on 467 frontline employees who took The Breakroom Quiz

382nd of 891 rated healthcare providers

Job description

Experience the advantages of real career change  

Join Piedmont to move your career in the right direction. Stay for the diverse teams you’ll love, a shared purpose, and schedule flexibility that frees you to live for what matters both in and outside of work. You’ll feel valued, motivated to be your best, and recognized for your contributions to exceptional patient outcomes. Piedmont leaders are in your corner, invested in your success. Our wellness programs and comprehensive total benefits and rewards meet your needs today and help you plan for the future. 


Organizing, coordinating, and performing the reimbursement function for Piedmont Healthcare and system entities, including the preparation of entity Medicare/Medicaid/ Tricare cost reports, surveys, audits, appeals, budget and planning in an effort to assist management in operational and compliance decisions. This position reports to the Piedmont Healthcare Government Reimbursement Executive Director.

KEY RESPONSIBILITIES:
1. Prepares and files Piedmont Healthcare Medicare/Medicaid/Tricare Cost Reports by applicable federal and state deadlines.
2. Prepares and maintains all schedules and analysis supporting cost report preparation.
3. Coordinates Medicare and Medicaid audits and prepares all supporting work papers and documentation.
4. Analyzes Medicare Administrative Contractor (MAC) correspondence and interim rate setting to ensure accurate reimbursement and compliance with regulations.
5. Works with senior management to research, analyze, and communicate reimbursement issues.
6. Prepares pro-formas with regard to third party reimbursement.
7. Monitors regulatory changes for compliance and also seeks ways to optimize reimbursement.
8. Assists Piedmont Healthcare and system entities with reimbursement percentages for use in calculating contractual reserves. Provides the Government Reimbursement Executive Director with research and ad hoc reporting, as directed.
9. Provides documentation for use in calculating monthly reserve requirements for Piedmont Healthcare and system entities.
10. Prepares and assists Piedmont Healthcare and system entities with Medicare, Medicaid, and state surveys.
11. Reviews and analyzes Medicare and Medicaid Remittance Advices to ensure proper payments.
12. Ensures all third- party pass thru payments and lump sum adjustments are received as communicated by the Medicare Administrative Contractor (MAC) and account.
13. Reviews cost report settlements for accuracy and compliance with regulations.
14. Review cost report settlements and assists with appeal filings, where applicable.
15. Coordinates cost report reopening reviews and prepares all supporting documentation.
16. Assists with graduate medical education reporting for Piedmont teaching facilities.
17. Assists with the completion and timely submission of the Interns and Residents Information System (IRIS) software program to Medicare.
18. Prepares the Allied Health reporting and reimbursement for cost report filing.
19. Prepares the Wage Index and Occupational Mix Survey filings and reviews.

Education

  • Bachelor’s Degree in Accounting or a related field Required
  • Master’s degree in Accounting or a related field Preferred

Work Experience

  • 7 years of government healthcare reimbursement and accounting experience Required
  • Experience with CMS PRM regulation manuals, the CMS 2552 software system, and the CMS IACS/ EIDM system Required

Licenses and Certifications

  • None Required
  • Certified Public Accountant (CPA) Preferred

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