Medicaid Analyst

MEDICAID SOLUTIONS FOR TEXANS LLC

Medicaid Analyst

Plano, TX
Full Time
Paid
  • Responsibilities

    Job Title: Texas Medicaid Analyst

    Location: Plano, Texas (On-site) Department: Medicaid Operations / Government Programs Reports To: Medicaid Program Manager or Director of Government Programs

    Position Summary

    The Texas Medicaid Analyst is responsible for analyzing, monitoring, and supporting operations related to the Texas Medicaid program. This role evaluates Medicaid policies, monitors client's finances for compliance, and prepares applications for submission. The analyst collaborates with internal teams, providers, and government agencies for accuracy, and policy implementation.

    Key Responsibilities

    Understanding of Texas Medicaid policies and regulations

    Monitors updates from the Texas Health and Human Services Commission

    Develop reports, dashboards, and data analysis to inform leadership and stakeholders.

    Collaborate with nursing home managers, families, and internal staff to ensure proper claims processing and reimbursement.

    Required Qualifications

    2–5 years of experience in Medicaid for the Elderly and Disabled

    Knowledge of Texas Medicaid policies and HHSC regulations

    Strong analytical and problem-solving skills

    Proficiency in Microsoft Office

    Ability to interpret complex regulations