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Baxter International Inc. · 2 days ago

State Gov Programs Policy Analyst

St Paul, MN

Full-time

Hybrid

Mid Level

$80K/yr - $110K/yr

4+ years exp

Baxter International Inc. is dedicated to redefining healthcare delivery and improving lives. The State Government Programs Policy Analyst will research and analyze Medicaid regulations and ensure compliance with payer policies while collaborating cross-functionally to enhance operational processes.

BiotechnologyClinical TrialsHealth CareMedical

No H1B

Responsibilities

Conduct analysis of state government programs policy impacting Respiratory Health products

Monitor and interpret state and payer documentation, including but not limited to provider manuals, guidelines, bulletins, and regulatory communications

Develop and maintain relationships with managed care organizations to ensure compliance with payer policy and regulations

Develop strategic policy summaries to inform leadership decisions

Track and analyze legislative and regulatory developments affecting Respiratory Health products within the State Government Programs space

Translate policy requirements into actionable operational guidance and workflows maintaining compliance with payer policy and regulations

Identify compliance risks associated with payer changes and recommend mitigation strategies to State Government Programs Manager

Qualification

Healthcare reimbursementPayer policy analysisMedicaid knowledgeDatabase integrityProject managementInnovative thinkingOral communicationWritten communicationCritical thinking

Required

Two-year associates degree required or Bachelor's degree (B.A. or B.S.) from four-year college or university preferred

Minimum 4 years of relevant work experience in healthcare reimbursement, payer policy and/or health plan administration

Ability to lead projects, meet deadlines, and prioritize workload

Superior communication, innovative, and critical thinking skills

Preferred

Working knowledge of state government program policy including Medicaid fee-for-service, Medicaid managed care organizations, disability waivers, Children's Health Insurance Programs (CHIP), and other state government programs

General understanding of provider credentialing and enrollment requirements

General knowledge of TIMS third party payer database and state and federal laws, rules, and regulations

Strong knowledge of database integrity procedures and standards and ability to apply analytical findings to day-to-day business practices

Benefits

Medical and dental coverage that start on day one

Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance

Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount

401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching

Flexible Spending Accounts

Educational assistance programs

Paid holidays

Paid time off ranging from 20 to 35 days based on length of service

Family and medical leaves of absence

Paid parental leave

Commuting benefits

Employee Discount Program

Employee Assistance Program (EAP)

Childcare benefits

Company

Baxter International Inc.

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For nearly a century, we have delivered on our commitment to saving and sustaining the lives of patients, working alongside clinicians and providers around the world.

Founded in 1931

Deerfield, Illinois, USA

10001+ employees