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State Government Programs Policy Analyst - Medicaid

United States, Houston Employment contract 88000.00 - 121000.00 USD / Year · Job Posted June 16, 2026
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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
  • 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

Nice to have

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

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)
  • Childcare benefits

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