State Government Programs Policy Analyst - Medicaid

About the role

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.

Responsibilities

• 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.

Requirements

• Average of 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.
• 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.

Qualifications

• Associate degree required; bachelor’s degree preferred.

Skills

• Strong analytical skills.
• Exceptional communication skills.
• Attention to detail.
• Ability to manage multiple projects in a dynamic regulatory environment.

Benefits

This is a hybrid position based out of Houston, TX.

Pay

The estimated base salary for this position is $88,000 - $121,000.

Schedule

This is a hybrid position based out of Houston, TX.