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Peraton

Medicaid Policy and Regulation Analyst

Peraton

. Research, understand, and articulate Federal and State regulations and policy related to administration of State Medicaid programs in the northeastern jurisdiction .

Posted 10/13/2026full-timeRemote • United StatesMid-LevelSenior💰 $66,000 - $106,000 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in Federal and State Medicaid regulations, policy research, and analysis, with strong capabilities in written and oral communication for effective policy articulation and project impact assessment.

Highest-signal resume keywords
Policy Research And AnalysisState Medicaid Programs ExpertiseCMS Regulations KnowledgeMicrosoft Office ProficiencyInterpersonal And Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Policy InterpretationRegulatory AnalysisData AnalysisMedical Coding KnowledgeProject Coordination
Soft Skills
Strong Interpersonal SkillsExcellent Planning And Organizational SkillsSelf-MotivatedAbility To Adapt To Changing Priorities
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft AccessMicrosoft PowerPointMicrosoft Outlook
Industry Keywords
Medicaid ProgramsManaged Care ProgramsFederal Matched Assistance ProgramCMS 64CMS Programs

About the role

Key responsibilities & impact
  • Research, understand, and articulate Federal and State regulations and policy related to administration of State Medicaid programs in the northeastern jurisdiction
  • Serve as a subject matter expert on State Medicaid programs and their state-specific nuances
  • Research and educate in collaboration with the greater Medicaid team, project development, and referrals
  • Articulate policy and regulations in writing and through discussion or presentation
  • Provide written policy contributions for incorporation into Analytical Findings Reports
  • Consult with Project Coordination and Data teams to identify projects
  • Identify potential program vulnerabilities arising from policy research
  • Engage with states in the jurisdiction in policy discussions
  • Engage with CMS in policy discussions
  • Monitor emerging issues and developments affecting State Medicaid programs
  • Assist the Medicaid Operations Lead with special research projects
  • Own and annually review the Medicaid Policies & Procedures Manual, making updates as needed
  • Track policy workload and report monthly to the Medicaid Operations Lead
  • Oversee state meeting agendas and minutes in coordination with the Business Analyst

Requirements

What you’ll need
  • 5 years with BS/BA or 9 years with a high school diploma
  • At least 5 years’ experience in policy research and analysis
  • Ability to present and discuss state policies and regulations in connection with project impact
  • Ability to research policies, interpret regulations and regulatory rules/guidance
  • Strong interpersonal skills and ability to work and make decisions independently and in a team environment
  • Excellent planning and organizational skills
  • Excellent oral and written communications; able to communicate and make presentations to all levels of management and associates throughout the company
  • Ability to meet established deadlines and handle multiple customer service demands within set expectations for service excellence
  • Ability to adapt to changing priorities; self-motivated and energetic qualities desirable
  • Experience using Microsoft Office, including Word, Excel, Access, PowerPoint, and Outlook
  • US citizenship required
  • Experience with CMS programs, including Medicaid and Medicare, preferred for competitive candidates
  • Experience with Managed Care programs preferred for competitive candidates
  • Knowledge of CMS regulations related to State Medicaid programs, including waivers, preferred for competitive candidates
  • Knowledge of CMS 64 and ability to analyze and interpret reports to determine trends and vulnerabilities preferred for competitive candidates
  • Knowledge of Federal Matched Assistance Program to State Medicaid programs preferred for competitive candidates
  • Medical coding knowledge/experience related to Medicare/Medicaid claims is a plus

Benefits

Comp & perks
  • Telework available from all states and time zone(s)
  • Potential eligibility for overtime
  • Potential eligibility for shift differential
  • Potential eligibility for a discretionary bonus
  • Equal opportunity employment, including disability and protected veterans protections