State Gov Programs Policy Analyst

Baxter International Inc.•Saint Paul, MN

About The Position

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 The incumbent serves as a State Government Programs Policy Analyst to research and analyze Medicaid fee-for-service and Medicaid managed care organization and other state government program payer regulations, coverage, coding, pricing, and payment policies. The incumbent ensures compliance with payer regulations by working cross-functionally to align internal processes. The incumbent has excellent research, analysis, and project management skills, and the ability to work cross-functionally with the operations teams. The incumbent has exceptional oral and written communication skills. Your team This is a very exciting time to be a part of Baxter. As we transform the way we do business, there are always opportunities to challenge the status quo in a variety of markets. We can now offer global opportunities from various centers without the physical constraints we previously faced. Our leaders are incredibly accessible and have a genuine interest in supporting the needs of employees and helping them pursue the type of development opportunities that are the most important to them. Our spirit of collaboration is complemented by the opportunity to define your career path.

Requirements

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.
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 preferred.
General understanding of provider credentialing and enrollment requirements preferred.
General knowledge of TIMS third party payer database and state and federal laws, rules, and regulations preferred.
Strong knowledge of database integrity procedures and standards and ability to apply analytical findings to day-to-day business practices preferred.
Ability to lead projects, meet deadlines, and prioritize workload.
Superior communication, innovative, and critical thinking skills.

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.

Benefits

Baxter offers comprehensive compensation and benefits packages for eligible roles.
Our health and well-being benefits include medical and dental coverage that start on day one, as well as insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance.
Financial and retirement benefits include the Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount, and the 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching.
We also offer Flexible Spending Accounts, educational assistance programs, and time-off benefits such as paid holidays, paid time off ranging from 20 to 35 days based on length of service, family and medical leaves of absence, and paid parental leave.
Additional benefits include commuting benefits, the Employee Discount Program, the Employee Assistance Program (EAP), and childcare benefits.

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