CrawlJobs Logo

State Government Programs Policy Analyst - Medicaid

United States, Houston Employment contract 88000.00 - 121000.00 USD / Year · Job Posted June 29, 2026
Apply Position
Job Link Share

Job Description

As the State Government Programs Policy Analyst - Medicaid, for Bardy Diagnostics, you will serve as a key subject matter expert on state Medicaid and other government payer programs. You will analyze and interpret complex state policies—spanning Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children’s Health Insurance Program, waiver programs, and other state‑administered payers—and translate them into clear, actionable guidance for internal teams. In this role, you will work cross‑functionally with revenue cycle, market access, contracting, credentialing, enrollment, and leadership teams to ensure operational alignment with evolving state and federal regulations. Your work directly supports compliant reimbursement, accurate billing, and strategic decision‑making across the organization. This is a highly analytical and collaborative role suited for someone who excels at policy interpretation, communication, and project management in a dynamic regulatory environment. This is a hybrid position based out of Houston, TX.

Job Responsibility

  • Research, analyze, and interpret state Medicaid and government program policies, including Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children’s Health Insurance Program, and state waiver programs
  • Monitor state and payer documentation such as provider manuals, State Plan Amendments, bulletins, and regulatory communications
  • Track legislative and regulatory developments across states and identify trends, risks, and opportunities affecting cardiology services
  • Evaluate operational, financial, and compliance impacts of payer policy changes and prepare summaries and briefs for leadership
  • Partner with internal teams to embed payer policy requirements into billing, coding, credentialing, and reimbursement workflows
  • Identify compliance risks related to policy changes and recommend mitigation strategies
  • Serve as a resource for interpreting payer rules related to coverage, coding, reimbursement methodologies, and documentation standards
  • Support audits, appeals, payer disputes, and policy‑driven operational initiatives as needed

Requirements

  • Associate degree required
  • bachelor’s degree preferred
  • Minimum 4 years of experience in healthcare reimbursement, payer policy, or health plan administration
  • Strong knowledge of state and federal healthcare laws, rules, and regulations
  • Understanding of database integrity standards
  • familiarity with Current Procedural Terminology codes and independent diagnostic testing facility operations preferred
  • Working knowledge of Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children’s Health Insurance Program, disability waivers, and other state government programs
  • General understanding of provider credentialing and enrollment requirements
  • Familiarity with payer policy databases and third‑party billing tools preferred
  • Strong analytical skills, exceptional communication, attention to detail, and the ability to manage multiple projects in a dynamic regulatory environment

Nice to have

  • Familiarity with Current Procedural Terminology codes and independent diagnostic testing facility operations
  • Familiarity with payer policy databases and third‑party billing tools

What we offer

  • Medical and dental coverage starting on day one
  • Basic life, accident, short‑term and long‑term disability insurance
  • Business travel accident insurance
  • Employee Stock Purchase Plan (ESPP) with ability to purchase company stock at a discount
  • 401(k) Retirement Savings Plan (RSP) with options for employee contributions and company matching
  • Flexible Spending Accounts
  • Educational assistance programs
  • Paid holidays
  • Paid time off ranging from 20 to 35 days based on length of service
  • Family and medical leaves of absence
  • Paid parental leave
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Childcare benefits

Looking for more opportunities?

Search for other job offers that match your skills and interests.

Similar Jobs for

State Government Programs Policy Analyst - Medicaid

8 matching positions

State Government Programs Policy Analyst - Medicaid

Location
Location
United States , Houston
Salary
Salary:
88000.00 - 121000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate degree required
  • bachelor’s degree preferred
  • Minimum 4 years of experience in healthcare reimbursement, payer policy, or health plan administration
  • Strong knowledge of state and federal healthcare laws, rules, and regulations
  • Working knowledge of Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children’s Health Insurance Program, disability waivers, and other state government programs
  • General understanding of provider credentialing and enrollment requirements
  • Strong analytical skills, exceptional communication, attention to detail, and the ability to manage multiple projects in a dynamic regulatory environment
Job Responsibility
Job Responsibility
  • Research, analyze, and interpret state Medicaid and government program policies, including Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children’s Health Insurance Program, and state waiver programs
  • Monitor state and payer documentation such as provider manuals, State Plan Amendments, bulletins, and regulatory communications
  • Track legislative and regulatory developments across states and identify trends, risks, and opportunities affecting cardiology services
  • Evaluate operational, financial, and compliance impacts of payer policy changes and prepare summaries and briefs for leadership
  • Partner with internal teams to embed payer policy requirements into billing, coding, credentialing, and reimbursement workflows
  • Identify compliance risks related to policy changes and recommend mitigation strategies
  • Serve as a resource for interpreting payer rules related to coverage, coding, reimbursement methodologies, and documentation standards
  • Support audits, appeals, payer disputes, and policy‑driven operational initiatives as needed
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
  • 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
  • Flexible Spending Accounts
  • Educational assistance programs
  • Time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Fulltime
Read More
Arrow Right

State Government Programs Policy Analyst

As the State Government Programs Policy Analyst for Bardy Diagnostics, you will ...
Location
Location
United States , Houston
Salary
Salary:
88000.00 - 121000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Associate degree required
  • bachelor’s degree preferred
  • Minimum 4 years of experience in healthcare reimbursement, payer policy, or health plan administration
  • Strong knowledge of state and federal healthcare laws, rules, and regulations
  • Working knowledge of Medicaid Fee‑for‑Service, Medicaid Managed Care Organizations, the Children’s Health Insurance Program, disability waivers, and other state government programs
  • General understanding of provider credentialing and enrollment requirements
  • Strong analytical skills, exceptional communication, attention to detail, and the ability to manage multiple projects in a dynamic regulatory environment
Job Responsibility
Job Responsibility
  • Research, analyze, and interpret state Medicaid and government program policies
  • Monitor state and payer documentation such as provider manuals, State Plan Amendments, bulletins, and regulatory communications
  • Track legislative and regulatory developments across states and identify trends, risks, and opportunities affecting cardiology services
  • Evaluate operational, financial, and compliance impacts of payer policy changes and prepare summaries and briefs for leadership
  • Partner with internal teams to embed payer policy requirements into billing, coding, credentialing, and reimbursement workflows
  • Identify compliance risks related to policy changes and recommend mitigation strategies
  • Serve as a resource for interpreting payer rules related to coverage, coding, reimbursement methodologies, and documentation standards
  • Support audits, appeals, payer disputes, and policy‑driven operational initiatives as needed
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP)
  • 401(k) Retirement Savings Plan (RSP)
  • Flexible Spending Accounts
  • Educational assistance programs
  • Time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Fulltime
Read More
Arrow Right

State Gov Programs Policy Analyst

The incumbent serves as a State Government Programs Policy Analyst to research a...
Location
Location
United States , Saint Paul
Salary
Salary:
80000.00 - 110000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Two-year associates degree required or Bachelor's degree (B.A. or B.S.) from four-year college or university preferred
  • Minimum 4 years of relevant work experience in healthcare reimbursement, payer policy and/or health plan administration
  • Working knowledge of state government program policy including Medicaid fee-for-service, Medicaid managed care organizations, disability waivers, Children’s Health Insurance Programs (CHIP), and other state government programs preferred
  • General understanding of provider credentialing and enrollment requirements preferred
  • General knowledge of TIMS third party payer database and state and federal laws, rules, and regulations preferred
  • Strong knowledge of database integrity procedures and standards and ability to apply analytical findings to day-to-day business practices preferred
  • Ability to lead projects, meet deadlines, and prioritize workload
  • Superior communication, innovative, and critical thinking skills
Job Responsibility
Job Responsibility
  • Conduct analysis of state government programs policy impacting Respiratory Health products
  • Monitor and interpret state and payer documentation, including but not limited to provider manuals, guidelines, bulletins, and regulatory communications
  • Develop and maintain relationships with managed care organizations to ensure compliance with payer policy and regulations
  • Develop strategic policy summaries to inform leadership decisions
  • Track and analyze legislative and regulatory developments affecting Respiratory Health products within the State Government Programs space
  • Translate policy requirements into actionable operational guidance and workflows maintaining compliance with payer policy and regulations
  • Identify compliance risks associated with payer changes and recommend mitigation strategies to State Government Programs Manager
What we offer
What we offer
  • Medical and dental coverage that start on day one
  • Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP)
  • 401(k) Retirement Savings Plan (RSP)
  • Flexible Spending Accounts
  • Educational assistance programs
  • Paid holidays
  • Paid time off ranging from 20 to 35 days based on length of service
  • Family and medical leaves of absence
  • Paid parental leave
  • Fulltime
Read More
Arrow Right

State Gov Programs Policy Analyst

The incumbent serves as a State Government Programs Policy Analyst to research a...
Location
Location
United States , Saint Paul
Salary
Salary:
80000.00 - 110000.00 USD / Year
https://www.baxter.com/ Logo
Baxter
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Two-year associates degree required or Bachelor's degree (B.A. or B.S.) from four-year college or university preferred
  • Minimum 4 years of relevant work experience in healthcare reimbursement, payer policy and/or health plan administration
  • Working knowledge of state government program policy including Medicaid fee-for- service, Medicaid managed care organizations, disability waivers, Children’s Health Insurance Programs (CHIP), and other state government programs preferred
  • General understanding of provider credentialing and enrollment requirements preferred
  • General knowledge of TIMS third party payer database and state and federal laws, rules, and regulations preferred
  • Strong knowledge of database integrity procedures and standards and ability to apply analytical findings to day-to-day business practices preferred
  • Ability to lead projects, meet deadlines, and prioritize workload
  • Superior communication, innovative, and critical thinking skills
Job Responsibility
Job Responsibility
  • Conduct analysis of state government programs policy impacting Respiratory Health products
  • Monitor and interpret state and payer documentation, including but not limited to provider manuals, guidelines, bulletins, and regulatory communications
  • Develop and maintain relationships with managed care organizations to ensure compliance with payer policy and regulations
  • Develop strategic policy summaries to inform leadership decisions
  • Track and analyze legislative and regulatory developments affecting Respiratory Health products within the State Government Programs space
  • Translate policy requirements into actionable operational guidance and workflows maintaining compliance with payer policy and regulations
  • Identify compliance risks associated with payer changes and recommend mitigation strategies to State Government Programs Manager
What we offer
What we offer
  • medical and dental coverage that start on day one
  • insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
  • Employee Stock Purchase Plan (ESPP)
  • 401(k) Retirement Savings Plan (RSP)
  • Flexible Spending Accounts
  • educational assistance programs
  • paid holidays
  • paid time off ranging from 20 to 35 days based on length of service
  • family and medical leaves of absence
  • paid parental leave
  • Fulltime
Read More
Arrow Right

Systems Director, Population Health Service Organizations

The System Director of IT Population Health Services Organization (PHSO) is a le...
Location
Location
United States , Phoenix
Salary
Salary:
67.92 - 101.02 USD / Hour
americannursingcare.com Logo
American Nursing Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelors Of Science - Information Technology, Health Informatics, or related field required
  • Masters Of Science - Information Technology, Health Informatics, or related field preferred
  • 10+ years in healthcare IT, with 5+ years in a leadership role
  • Experience with managed care models (Medicare Advantage, ACO, Medicaid), HIE integration, and population health tools (e.g., Epic EZCap, QNext, Healthy Planet, Innovaccer,)
  • Experience with FHIR, HL7, CCD, APIs, and other interoperability standards
  • Familiarity with ACO, CIN, and value-based care models
Job Responsibility
Job Responsibility
  • Lead the design and implementation of IT systems that support managed care and population health objectives
  • Align systems architecture with organizational strategies related to value-based care, ACOs, Medicare Advantage, Medicaid, and commercial payer programs
  • Oversee integration of clinical and claims data to support whole-person care
  • Ensure systems support care coordination workflows, care management documentation, and chronic condition tracking
  • Manage platforms that support risk stratification, predictive modeling, and attribution logic
  • Collaborate with clinical leadership to build technology-enabled pathways for preventive care, care gaps, and patient engagement
  • Lead and mentor the End User Services team, ensuring excellent IT support for clinicians, case managers, analysts, and administrative staff
  • Develop and monitor SLAs, support KPIs, incident response times, and user satisfaction metrics
  • Oversee help desk operations, ticketing systems, desktop support, hardware/software provisioning, and user access governance
  • Direct the architecture and scalability of population health IT platforms and managed care applications
What we offer
What we offer
  • medical
  • prescription drug
  • dental
  • vision plans
  • life insurance
  • paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
  • tuition reimbursement
  • retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings
  • Fulltime
Read More
Arrow Right
New

Social Worker – Fostering - Family and Friends Team

Are you passionate about working with Family and Friends Carers and improving th...
Location
Location
United Kingdom , Aylesbury
Salary
Salary:
40109.00 - 47629.00 GBP / Year
buckinghamshire.gov.uk Logo
Buckinghamshire Council
Expiration Date
July 20, 2026
Flip Icon
Requirements
Requirements
  • Social work qualification
  • Active SWE registration
  • Completed ASYE
  • Working knowledge of legislation and guidance which applies to family and friends work
  • Experience of working in looked after children or with foster carers
  • Knowledge of research, inquiries and recent studies affecting this sector of service and an ability to monitor its application in practice
  • Strong written communication skills
  • Minimum of 2 years post qualifying experience
  • Experience and competence in working with the courts and providing written and verbal evidence
Job Responsibility
Job Responsibility
  • Deliver targeted and specialist social work services in the area of Kinship Care
  • Clarify eligibility and undertake statutory social work assessments
  • Promote the safety and well-being of children and young people
  • Assess and support prospective Family and Friends carers in line with Fostering Regulations and court proceedings
  • Hold a manageable caseload of SG and Reg24 assessments
  • Provide carer support
  • Work within statutory guidelines and fostering regulations
  • Assist with duty with opportunities to deliver training, run support groups and be involved in the organisation of carer events
  • Support the development and growth of the service
What we offer
What we offer
  • Market premium of £2,750 per annum for Grade 7
  • Golden Hello payment after one years service (£1,000 for Grade 6, £2,125 for Grade 7)
  • Competitive salary with a market increment
  • Annual leave up to 30 days per year
  • Opportunity to buy further leave
  • Up to 15 days per year training, learning and development offer
  • Free parking across all office sites
  • Relocation packages available
  • Generous employer pension contribution
  • Discounts on Cafés, restaurants and shops
  • Fulltime
Read More
Arrow Right
New

Spanish Speaking Caregiver

Join Our Team as a Caregiver in Lake Ariel, PA! *Earn Up to $14hr + Extra Cash T...
Location
Location
United States , Lake Ariel
Salary
Salary:
14.00 USD / Hour
caregiversamerica.com Logo
CareGivers America
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Must be willing to work in Lake Ariel
  • Fluent in English, bilingual English/Spanish preferred
  • Availability to work Wednesday, Thursday, Saturday, and Sunday 6am-6pm
  • Reliable transportation required
  • Must be able to travel up to 25 miles to client locations
Job Responsibility
Job Responsibility
  • Bring comfort and companionship to clients in their homes
  • Help with daily care like bathing, dressing, toileting, and meals
  • Keep living spaces clean, safe, and welcoming
  • Offer medication reminders and support healthy routines
  • Communicate concerns and escalate safety issues as needed
  • Be a friendly face and a steady presence
What we offer
What we offer
  • Paid Orientation
  • Weekly Pay
  • Flexible Schedules
  • Earn up to $375 for referring a friend
  • Caregiver Rewards Program
  • Premium Holiday Pay
  • Paid Time Off + Benefits including medical, dental, vision, and retirement
  • Free Employee Assistance Program
  • Discount Perks
  • Career Growth
Read More
Arrow Right
New

Early Years Consultant

Join our Early Years Service, where we champion the joy of learning for the youn...
Location
Location
United Kingdom , Aylesbury
Salary
Salary:
36317.00 - 37780.00 GBP / Year
buckinghamshire.gov.uk Logo
Buckinghamshire Council
Expiration Date
July 02, 2026
Flip Icon
Requirements
Requirements
  • Educated to degree level or minimum three years equivalent experience in a similar managerial role
  • Excellent knowledge and first-hand experience of planning and delivering the EYFS
  • Experience of supporting vulnerable children including those with SEND and working with their families
  • Excellent planning and organisational skills
  • Excellent interpersonal skills
  • Proven ability to negotiate, inspire and maintain highly effective working relationships
  • Skilful communicator with ability to engage and influence customers, partners and stakeholders
Job Responsibility
Job Responsibility
  • Support providers to deliver the EYFS
  • Work with providers to meet the needs of all children including those from vulnerable groups and those with SEND
  • Ensure providers deliver high quality inclusive education
  • Offer advice and support to ensure early years practitioners deliver an inclusive Early Years Foundation Stage curriculum and meet the requirements of the SEND Code of Practice 2014 and Equality Act 2010
  • Provide comprehensive support and advice to providers on safeguarding, child protection and the management of allegations against the workforce, along with sustainability, sufficiency, and finance
  • Contribute to the work of the Early Years Service, ensuring sufficiency of places
  • Support the early years sector and childcare sector with high quality training, facilitating networking groups and providing advice and support to a full range of Early Years and Childcare providers
What we offer
What we offer
  • Fair and inclusive culture
  • Health and well-being initiatives including Employee Assistance Programme, Mental Health First Aiders and mindfulness workshops
  • Unified voice through Employee Representative Group
  • Ongoing support and opportunity to develop and progress in career
  • Opportunities to take part in fun activities such as fundraising and social events
  • Flexible and agile working arrangements
  • Discounts on various cafes, restaurants, shops
  • Auto enrolment onto generous Pension Scheme
  • Opportunity to gain membership to Costco
  • Discounted gym memberships
  • Fulltime
!
Read More
Arrow Right