Medicaid Policy Analyst - Health Services & Policy

Spherion Staffing, LLC; Madison (WI); On-site; USD 65,000 - 95,000; Full time

Job summary

Spherion Staffing, LLC in Madison, WI is seeking a Healthcare Policy Analyst to translate complex Medicaid fee-for-service regulations into clear, actionable guidance for state partners and providers.

You will research, analyze, and implement benefit policies, collaborate with technical teams, and draft communications on coverage and reimbursement questions to support program success.

Qualifications

• Bachelor or master degree in public policy, healthcare administration, public health, or a related field preferred
• Demonstrated experience in policy analysis, research, or program administration within the healthcare sector
• Familiarity with healthcare billing processes, including CPT, HCPCS, and ICD medical code sets
• Strong analytical skills with experience utilizing spreadsheets and database management tools
• Excellent written and verbal communication skills with the ability to explain complex regulations to diverse groups

Responsibilities

• Research state and federal regulations to analyze policy changes and assess their impact on healthcare providers and program members
• Collaborate with technical teams and software vendors to ensure claims processing and database systems align with current benefit policies
• Draft policy communications, implementation plans, and official responses regarding coverage and reimbursement questions
• Analyze large sets of healthcare claims and medical coding data using database tools and spreadsheets
• Serve as a subject matter expert in meetings with provider associations, state officials, and cross-functional project teams

Skills

Policy analysis

Research

Healthcare policy

Data analysis

Verbal communication

Education

Bachelor or Master in public policy, healthcare administration, public health, or related field

Job description

Spherion Staffing, LLC in Madison, WI is seeking a Healthcare Policy Analyst to translate complex Medicaid fee-for-service regulations into clear, actionable guidance for state partners and providers.

You will research, analyze, and implement benefit policies, collaborate with technical teams, and draft communications on coverage and reimbursement questions to support program success.