Medicare Pricing Analyst

The Pricing Analyst is responsible for researching complex Medicare pricing and reimbursement issues while ensuring the accuracy of Medicare claims. Supports implementation and validation of pricing updates, maintains pricing information within Medicare systems, works with CMS, Shared System Maintainers, and other Medicare Contractors (MACs) to ensure accurate and timely claims payment.

The Pricing Analyst responds to requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the claims team with projects that improve the accuracy and efficiency of Medicare pricing operations.