Medicaid Reimbursement Analyst

This is where you save and sustain lives

At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You’ll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. 

Baxter’s products and therapies are found in almost every hospital worldwide, in clinics and in the home. For over 85 years, we have pioneered significant medical innovations that transform healthcare.

Together, we create a place where we are happy, successful and inspire each other. This is where you can do your best work. 

Join us at the intersection of saving and sustaining lives— where your purpose accelerates our mission. 

Your Role at Baxter:

The research we do and the products we develop improve outcomes for patients around the world. As a Medicaid Reimbursement Analyst at Baxter, your work contributes directly to making a significant impact on others. It's exciting work—and you're not on your own.

As the Medicaid Reimbursement Analyst, you will research and supervise Medicaid payer payment, pricing, reimbursement and claim processing policies and maintain the Respiratory Health third-party payer database to ensure compliance. Ensure compliance with payer policy by working cross-functionally to align internal processes. Support operations teams by optimizing third-party payer database functions. The Medicaid Reimbursement Analyst position is primarily programmatic-based requiring excellent analysis, administration and process management skills, and the ability to work cross-functionally with the Patient and Customer Services teams. Outstanding oral and written communication skills are also required.

Your Team:

We embrace a culture of continuous learning with a focus to drive the company’s mission forward. By actively seeking out new learning opportunities and staying curious and engaged, you can help ensure that the team remains laser focused in the quest to save and sustain lives. We courage teamwork and collaboration and prioritize building relationships with each other. It's easy to do because we all share common traits of reliability, ethical, and caring. We lean on our colleagues for their expertise and hold each other accountable.

Our teams collaborate cross-functionally and lead by influence. Whether guiding a team through a project or managing direct reports, our research and development team is responsible for influencing others to achieve results.

What you'll be doing:

• Research Payer Billing, Reimbursement and Claims Processing policy and changes.

• Review payer websites and communications (i.e., email notifications and bulletins) for regulation, coding, pricing and coverage changes; contact payers to confirm changes or to clarify policy changes.

• Conduct Medicaid Quality Reviews and build results report out for operations teams.

• Work cross-functionally with operations management to implement process changes required to remain in compliance with payer rules and regulations.

• Evaluate business risks associated with proposed payer changes and communicate to the Senior Manager, Government Programs.

• Manage dual-eligible and coordination of benefit payer processes as it relates to Medicaid.

• Research policy requirements and reimbursement landscape for new products and pricing for new products being introduced.

• Partner with Credentialing and Enrollment team to understand Medicaid enrollment requirements and process.

• Maintain Payer Database and support Patient and Customer Service teams.

• Conduct regular quality reviews of Medicaid payer information and revise for accuracy and clarity.

• Complete quarterly pricing reviews of the Respiratory Health product portfolio or future products.

What you'll bring

• Associates degree or bachelor’s degree preferred while equivalent work experience may substitute for degree requirement.

• 3+ years of relevant work experience in healthcare reimbursement, payer policy, health care compliance and/or health plan administration.

• General understanding of Medicaid payer procedures, government regulations, and billing, reimbursement, and claim adjudication policies.

• Demonstrate technical database skills and experience vital to maintain database, implement updates and changes. Experience with TIMS third party payer database preferred.

• Strong attention to detail, a critical thinker, and methodical approach to problem solving.

Baxter is committed to supporting the needs for flexibility in the workplace. We do so through our flexible workplace policy which includes a minimum of 3 days a week onsite. This policy provides the benefits of connecting and collaborating in-person in support of our Mission.

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 $64,000.00 to $88,000.00 annually. 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.

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.

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.

EEO is the Law 
EEO is the law - Poster Supplement
Pay Transparency Policy

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 on the link 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.