Senior Medicare Analyst

Job Summary

A company is looking for a Senior Analyst Medicare to document, monitor, and analyze the end-to-end MOOP life cycle.

Key Responsibilities

• Identify and interpret data, submission requirements, and performance metrics according to regulatory and health plan guidelines
• Conduct in-depth analysis of healthcare Medicare data to identify trends, opportunities, and discrepancies
• Participate in all phases of service delivery including requirement gathering, testing support, and production support

Required Qualifications

• Combination of equivalent education or work experience; bachelor's degree preferred
• Experience working with claims payment systems and Medicare data analytics
• Advanced computer skills with Microsoft Office Suite, and 2+ years of experience with SQL
• Ability to interpret and apply CMS guidance to ensure data accuracy and regulatory compliance
• Maintain current knowledge of Medicare and other state and federal regulations