dcsimg

Career Story: Medicare Senior Policy Analyst

Medicare Senior Policy Analyst

Job Title: Senior Policy Analyst

Type of Company: I work for the Federal agency that administers the Medicare program.

Education: BA, Political Economy, Muhlenberg College •• (Allentown, PA) •• JD, Syracuse University College of Law •• MA, Political Science, Northeastern University

Previous Experience: I worked as an intern in the office of a state legislator in Massachusetts and at the Massachusetts Housing Finance Authority. I was selected for a Federal fellowship program after finishing grad school and that led to my current job.

Job Tasks: I am the senior analyst responsible for appeals policy in the Medicare program. Medicare is the national health insurance program offered to persons over 65 and certain disabled individuals. When someone with Medicare receives services, Medicare determines whether those services are covered under the program. If the services are not covered, or Medicare does not make payment for the services, the physician, hospital or other facility may ask that Medicare reconsider its decision. This is known as an appeal. I am responsible for writing the policies that govern this process. I write regulations and operational policies to implement laws passed by Congress regarding appeals in Medicare. I provide advice and guidance to staff throughout our agency regarding statutory and regulatory requirements related to Medicare appeals. I also provide clarification regarding our policies to attorneys and providers who are involved in the appeals process. I audit the work of the contractors who process Medicare appeals to make sure they comply with our requirements.

Best and Worst Parts of the Job: The best part of the job is being able to help people navigate a complicated process. The worst part is being unable to simplify the process. Medicare is a complex program and we have to balance our responsibility to ensure persons in the program have access to needed care with the limits of the program created by the Congress. Oftentimes, people do not understand that there are limits to what the Medicare program covers. When that happens, and services are denied, they need to access the appeals process. We try to make our process relatively simple to access, but it doesn't always seem that way to our beneficiaries. Being able to help someone navigate that process is rewarding.

Job Tips: Pursuing a career in the government requires dedication and sacrifice. Obtaining a graduate degree in political science or public administration is helpful. For the writing element, a degree related to writing will prove useful. Strong writing skills are essential.

Popular Schools offering Law School Programs

quickinfoThese schools offer particularly quick info upon request, and we have written detailed profiles for each (click school names to see the profiles).

Request info from multiple schools, by clicking the Request Info links.

Matching School Ads

The Santa Barbara and Ventura Colleges of Law is a regionally accredited nonprofit law school. Our school is accredited by both the Western Association of Schools & Colleges Senior College and University Commission and the Committee of Bar Examiners of the State Bar of California.

  • Programs: Juris Doctor
  • Degrees: Doctorate

Hofstra University is a private institution whose primary mission is to provide a quality education to its students in an environment that encourages, nurtures and supports learning through the free and open exchange of ideas for the betterment of humankind.

  • Programs: Online Master of Laws in Health Law and Policy
  • Degrees: Master
Platt College
Alhambra, Anaheim, Ontario, Riverside

Turn your talents into a career at nationally recognized and accredited Platt College.

  • Programs: Paralegal Studies
  • Degrees: Associate

Complete Your Bachelor's Degree 100% Online

  • Programs: BS in Criminology and Criminal Justice
  • Degrees: Bachelor

Colorado State University-Global Campus

Colorado State University-Global Campus (CSU-Global) recently received state approval to enroll students with little to no prior college experience. To help ensure student success, the university has created a program especially for these students who plan on starting their college experience for the first time with us.

  • Programs: Master - Criminal Justice and Law Enforcement Administration
  • Degrees: Master
Brightwood College
Bakersfield, Chula Vista, Clovis, Riverside, Sacramento, San Diego, Vista

About Brightwood College

Brightwood College offers accelerated programs that combine flexible schedules and professional instruction to create a rewarding learning experience for individuals focused on gaining the skills for specific careers. Brightwood College is owned and operated by Education Corporation of America.

  • Programs: Criminal Justice
  • Degrees: Associate
Argosy University
Alameda, Los Angeles, Ontario, Orange, Phoenix, San Diego

Welcome to Argosy University

Argosy University offers doctoral, master's, and bachelor's degree programs to students through its eight colleges:  College of Behavioral Sciences, Graduate School of Business and Management, College of Education,  College of Health Sciences, College of Arts and Sciences, College of Creative Arts and Design, College of Clinical Psychology and Western State College of Law at Argosy University as well as certificate programs in many areas.

  • Programs: Criminal Justice (BS), Criminal Justice (BS) (Online)
  • Degrees: Bachelor

Earn a highly respected online degree from Boston University

  • Programs: Master of Criminal Justice
  • Degrees: Master

Work toward your degree online with University of Cincinnati Online.

  • Programs: Master of Science in Criminal Justice
  • Degrees: Master
UEI College
Anaheim, Bakersfield, El Monte, Encino, Fresno, Gardena, Huntington Park, Ontario, Riverside, San Bernardino, San Marcos

At UEI College, we want you to succeed. We’re like a family and we want you to be a part of it.

  • Programs: Criminal Justice (9-Month Diploma Program)
  • Degrees: Diploma
Matching School Ads

Additional Career Stories for Lawyers

The inside stories from people actually working in the field.
Click a story title to show the story, and click the title again to hide it.

All Types

You are visiting:

Find a school near you

What are Career Stories?

Career Stories are concise, real-world career overviews written by people relating their personal career experiences and wisdom. They provide invaluable insights and mentoring advice to students and career changers.

Most stories include:

  • a typical day or project
  • tips and advice
  • best and worst parts
  • educational background
  • previous experience

Browse hundreds of Career Stories

More Details On This Career

Please also see our detailed information about Lawyers, including:

Back to Top