• Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Oct 21, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process… more
    Teva Pharmaceuticals (10/26/24)
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  • Medicaid Analyst

    Phoebe Ministries (Allentown, PA)
    …claim adjustments that may be required based on Medicaid protocols to adjudicate claims . The Medicaid analyst will review, prepare, and submit responses ... Medicaid Analyst Full-time - Allentown, PA... Medicaid Analyst Full-time - Allentown, PA Phoebe Ministries is...responsible for the submission of all 180-day exception unit claims . Payments associated with Medicaid will require… more
    Phoebe Ministries (10/25/24)
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  • Analyst , Medicaid Rebates

    Sumitomo Pharma (Columbus, OH)
    …to resolve disputes and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid ... a dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
    Sumitomo Pharma (11/07/24)
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  • Assistant Medicaid Analyst

    Rochester City School District (Rochester, NY)
    Assistant Medicaid Analyst - Medicaid Compliance JobID: 3617 + Position Type: Miscellaneous/ Miscellaneous + Date Posted: 10/11/2024 + Location: Rochester ... + Closing Date: 11/15/2024 Position Information Bargaining UnitBENTE Job LocationCentral Office/ Medicaid Compliance Job TitleAssistant Medicaid Analyst (12… more
    Rochester City School District (10/10/24)
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  • Medicaid Fraud Analyst II

    MyFlorida (West Palm Beach, FL)
    …litigation matters and analytical projects. + Create customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, ... MEDICAID FRAUD ANALYST II - 41001054... MEDICAID FRAUD ANALYST II - 41001054 Date: Oct 31, 2024...840413 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41001054 Pay… more
    MyFlorida (11/01/24)
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  • Legal Nurse: Medical Analyst Support…

    New York State Civil Service (New York, NY)
    …for defrauding New York state out of more than $4 Million in false Medicaid claims .Duties: * Assisting with screening and evaluating complaints of abuse and ... Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS… more
    New York State Civil Service (10/02/24)
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  • Medicaid Program Policy Analyst

    Idaho Division of Human Resources (ID)
    Medicaid Program Policy Analyst - MED Posting Begin Date: 2024/10/25 Posting End Date: 2024/11/25 Category: Administration Work Type: Full Time Remote: Flexible ... Policy and Innovation team has an opening for a Medicaid Program Policy Analyst that could be...Provides instruction to staff on policies, recipient eligibility, and claims processing procedures and problems. + Advises recipients, providers,… more
    Idaho Division of Human Resources (10/26/24)
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  • Medicaid IT Business Analyst

    Insight Global (Hartford, CT)
    …years of experience as an IT Business Analyst Domain experience within Medicaid or healthcare claims provider Strong expertise gathering and writing business ... Job Description An employer is seeking an IT Business Analyst to join their team in Hartford, CT. For...Medicaid or healthcare domain with experience in the claims provider area. This person should have experience working… more
    Insight Global (11/02/24)
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  • BSWHP - Tx Medicaid Encounter…

    Baylor Scott & White Health (Columbus, OH)
    **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS)....OF THE ROLE** + Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims more
    Baylor Scott & White Health (11/06/24)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    …coding (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment ... TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible...Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
    Commonwealth Care Alliance (10/17/24)
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  • Claims Technical Analyst , Sr.

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr. **Job Description** The Senior Claims Technical ... Analyst is responsible for serving as the claims analysis resource for assigned operations teams. This role...with Medicare Part D and Centers for Medicare and Medicaid Services rules and regulations **Preferred Qualifications** + Training… more
    Prime Therapeutics (10/01/24)
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  • AR Medical Claims Credit Analyst

    Sevita (Sarasota, FL)
    …other. Join us, and experience a career well lived. The AR Credit Balance Analyst is responsible for the review, analysis and resolution of credit balances within ... the Revenue Cycle. Analyst responsibilities include oversight of credit balances on the...billing, collections and cash applications * Strong understanding of Medicaid , Medicaid managed care, Commercial, Workers Comp… more
    Sevita (10/17/24)
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  • Investigative Auditor - Medicaid Fraud

    State of Georgia (Fulton County, GA)
    Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Sign Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
    State of Georgia (10/30/24)
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  • Utilization Review Analyst - MED

    Idaho Division of Human Resources (Boise, ID)
    …SOON AS POSSIBLE TO BE CONSIDERED. The Department of Health and Welfare is hiring a Medicaid Utilization Review Analyst in Boise . Do you have an interest in ... identify and deter fraud, waste and abuse in the Medicaid program. As an analyst , you will...flexible hours and/or telecommuting EXAMPLE OF DUTIES: + Analyzes claims data and reports to identify Medicaid more
    Idaho Division of Human Resources (11/02/24)
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  • Investigative Analyst Specialist

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …and visualization, especially in fraud detection; + Experience in analyzing healthcare or Medicaid claims data, with a focus on detecting fraud, waste, or ... of Work The duties and requirements of an Investigative Analyst in the Medicaid Fraud Control Uni...using SQL to identify patterns indicative of fraud in Medicaid claims . + Assist in maintaining data… more
    Louisiana Department of State Civil Service (10/20/24)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …understanding of database structures and business context of various elements related to Medicaid claims . Related efforts will include the production of reports ... Medicaid Program Advisor One Commerce Plaza, Albany, 99...Advisor, Albany NY** **DDSA - 1140** **Summary** The **Data Analyst ** will work within the Division of Data Services… more
    Staffing Solutions Organization (10/11/24)
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  • Business Analyst - MED

    Idaho Division of Human Resources (Boise, ID)
    Business Analyst - MED Posting Begin Date: 2024/11/05 Posting End Date: 2024/12/03 Category: Business Work Type: Full Time Remote: Flexible Hybrid Location: Boise, ... HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS The Division of Medicaid has an exciting opportunity for sixbusiness analyststo join...This new system will provide the opportunity for an Analyst that enjoys being on the cutting edge of… more
    Idaho Division of Human Resources (11/06/24)
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  • Business Analyst Temporary Aide

    State of Colorado (CO)
    …AS BUSINESS ANALYST TEMPORARY AIDE: + Review data from the claims subsystem to identify discrepancies between medical health policy and medical health encounter ... Business Analyst Temporary Aide Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4714255) Apply  Business Analyst Temporary Aide Salary… more
    State of Colorado (11/05/24)
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  • Health Care Analyst

    Arkansas Government Job (Little Rock, AR)
    HEALTH CARE ANALYST Date: Oct 28, 2024 Req ID: 44441 Location: Little Rock, AR, US, 72201 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting Salary: $32,405.00 ... and agency policy governing health care. Knowledge of medical insurance claims procedures. Knowledge of medical terminology and records. Ability to analyze… more
    Arkansas Government Job (10/29/24)
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  • CDM Analyst RI Auditor

    Chesapeake Regional Healthcare (Chesapeake, VA)
    …the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
    Chesapeake Regional Healthcare (10/26/24)
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