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Medicaid Policy & Regulation Analyst Position

Job in Jacksonville, Duval County, Florida, 32099, USA
Listing for: Peraton
Full Time position
Listed on 2026-11-06
Job specializations:
  • Government
Salary/Wage Range or Industry Benchmark: 66000 - 106000 USD Yearly USD 66000.00 106000.00 YEAR
Job Description & How to Apply Below
About Peraton

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace.

The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees solve the most daunting challenges that our customers face. Visit  to learn how we're keeping people around the world safe and secure.

About Peraton

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace.

The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees solve the most daunting challenges that our customers face. Visit  to learn how we're keeping people around the world safe and secure.

Program Overview

Performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse in Medicare and Medicaid programs.

About

The Role

Safe Guard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

What you'll do

This position is on the SGS NE UPIC contract supporting Medicaid initiatives across the northeastern jurisdiction. The northeastern jurisdiction includes the following states:
Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, Pennsylvania, Delaware, Maryland, and the District of Columbia.

This individual's primary responsibilities are to research, understand, and articulate Federal and State regulations and policy as they relate to the administration of the State Medicaid programs for those states within the northeastern jurisdiction. As the subject matter expert, the position will work to gain an understanding of these programs and their respective nuances by state and work with the greater Medicaid team to primarily research and educate in tandem with project development or in response to referrals.

Additional

Responsibilities
  • Articulate policy/regulations in both a written manner and through discussion/presentation.
  • Provide a written policy contribution for incorporation into the Analytical Findings Report.
  • Consult to identify projects in collaboration with the Project Coordination team and the Data team.
  • Identify potential program vulnerabilities arising out of policy research.
  • Interact with the states in the jurisdiction to engage in policy discussion.
  • Interact with CMS to engage in policy discussion.
  • Keep abreast of emerging issues and developments that have direct impact on the state Medicaid programs within the jurisdiction.
  • Assist the Medicaid Operations Lead with special research projects as requested.
  • Ownership of the Medicaid Policies & Procedures Manual to include an annual review to determine if direction is current, which may include needed…
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