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State Gov Programs Policy Analyst

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Baxter

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Location:
United States , Saint Paul

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Category:

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Contract Type:
Not provided

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Salary:

80000.00 - 110000.00 USD / Year

Job Description:

The incumbent serves as a State Government Programs Policy Analyst to research and analyze Medicaid fee-for-service and Medicaid managed care organization and other state government program payer regulations, coverage, coding, pricing, and payment policies. The incumbent ensures compliance with payer regulations by working cross-functionally to align internal processes. The incumbent has excellent research, analysis, and project management skills, and the ability to work cross-functionally with the operations teams. The incumbent has exceptional oral and written communication skills.

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

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

Nice to have:

  • 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
  • General understanding of provider credentialing and enrollment requirements
  • General knowledge of TIMS third party payer database and state and federal laws, rules, and regulations
  • Strong knowledge of database integrity procedures and standards and ability to apply analytical findings to day-to-day business practices
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
  • Commuting benefits
  • Employee Discount Program
  • Employee Assistance Program (EAP)
  • Childcare benefits

Additional Information:

Job Posted:
January 06, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
Job Link Share:

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