Policy Analyst, State Government Programs - Cardiology

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

• 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.

Benefits

Additional Information

This is where your work makes a difference. At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job-you will find purpose and pride. Your role at Baxter As the State Government Programs Policy Analyst 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. This is a hybrid position based out of Houston, TX.

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