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State Government Programs Policy Analyst - Medicaid

$88k - $121k

Intelligence and National Security Alliance

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your role at Baxter 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. What you’ll be doing 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 you’ll bring 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. Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a required minimum number of days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission. The flexible workplace policy is subject to local laws and legal requirements. At its discretion, Baxter may decide to adjust, suspend, or discontinue as business needs change. We understand compensation is an important factor as you consider the next step in your career. At Baxter, we are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. The estimated base salary for this position is $88,000 -$121,000. The estimated range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on upon location, skills and expertise, experience, and other relevant factors. This position is also eligible for discretionary bonuses and long‑term incentive. For questions about this, our pay philosophy, and available benefits, please speak to the recruiter if you decide to apply and are selected for an interview. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. US Benefits at Baxter (except for Puerto Rico) This is where your well‑being matters. Baxter offers comprehensive compensation and benefits packages for eligible roles. Our health and well‑being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short‑term and long‑term disability, and business travel accident insurance. Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching. We also offer Flexible Spending Accounts, educational assistance programs, and 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. Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits. Join us and enjoy the competitive compensation and benefits we offer to our employees. For additional information regarding Baxter US Benefits, please speak with your recruiter or visit our Benefits site: Benefits | Baxter Equal Employment Opportunity Baxter is an equal opportunity employer. Baxter evaluates qualified applicants without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, protected veteran status, disability/handicap status or any other legally protected characteristic. Reasonable Accommodations Baxter is committed to working with and providing reasonable accommodations to individuals with disabilities globally. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application or interview process, please click here and let us know the nature of your request along with your contact information. Recruitment Fraud Notice Baxter has discovered incidents of employment scams, where fraudulent parties pose as Baxter employees, recruiters, or other agents, and engage with online job seekers in an attempt to steal personal and/or financial information. To learn how you can protect yourself, review our Recruitment Fraud Notice. #J-18808-Ljbffr

Vacancy posted 14 hours ago
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