State Government Programs Policy Analyst - Medicaid

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—including 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. Compensation The estimated base salary for this position is $88,000–$121,000. The range reflects anticipated salary based on market data and other factors, all of which are subject to change. Individual pay is based on location, skills and expertise, experience, and relevant factors. This position is also eligible for discretionary bonuses and long‑term incentive. 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) Baxter offers comprehensive compensation and benefits packages for eligible roles. Health and wellness benefits include medical and dental coverage starting on day one, basic life, accident, short‑term and long‑term disability, and business travel accident insurance. Financial and retirement benefits include an Employee Stock Purchase Plan (ESPP) and a 401(k) Retirement Savings Plan (RSP) with employee contributions and company matching. Additional benefits include 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 leave, paid parental leave, commuting benefits, an Employee Discount Program, an Employee Assistance Program (EAP), and childcare benefits. 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 you need a reasonable accommodation for any part of the application or interview process, please 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. 20465 State HWY 249 | Houston, TX 77070 | United States of America #J-18808-Ljbffr