- Aequor (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Location: Parsippany, NJ Duration: 6 Months Core Essential Skill sets:- Medicaid rebate experience in pharm enviornment.- ... to detail and high degree of accuracy in data processing and reviews.Position Summary:The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate… more
- Tris Pharma (Monmouth Junction, NJ)
- …and innovation. Tris colleagues understand the criticality of operating a successful business and take pride in the company's success. But of equal importance ... has an immediate opening for a full-time permanent Revenue/Gross to Net Analyst - BrandSUMMARY:The Revenue/Gross-to-Net Analyst - Brand provides operational… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …and Certification reimbursement Open PTO policy JOIN US! WHAT YOU WILL DO: The Business Analyst is responsible for understanding project goals, making a plan to ... Required Experience Five (5) or more years of demonstrated Business Analyst experience. 3+ years of State...and have a strong level of domain expertise in Medicaid and MMIS ( Medicaid Management Information System)… more
- Mastech Digital, Inc. (Los Angeles, CA)
- …Digital Transformation Services for all American Corporations. We are currently seeking a Business Analyst for our client in the Professional Services domain. We ... AnalystPrimary Skills: Business AnalysisRole Description: As a Business Analyst , you must have at least...review; supporting reporting to the Centers for Medicare & Medicaid Services' (CMS); managing the project's Risk, Action Item,… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …specifications, then tests, maintains, and executes the created processes Works with the Business analyst to elicit and analyze data conversion requirements and ... PTO policy Join us! WHO WE ARE HIRING: Data Analyst WHAT YOU WILL DO: The Data Analyst...State Government initiatives in Health and Human Services (HHS), Medicaid , MMIS, Provider Management); strongly desired. Ability to multi-task,… more
- State of Georgia (Fulton County, GA)
- Budget and Financial Analyst - Office of Medicaid Coordination and Health Systems Innovation (OMC/HSI) Georgia - Fulton - Atlanta ... downtown Atlanta. Job Description Job Title: Budget and Finance Analyst , Office of Medicaid Coordination and Health...team to track interagency transactional payments; * Consider DBHDD business which can be considered for Medicaid … more
- Phoebe Ministries (Allentown, PA)
- Medicaid Analyst Full-time - Allentown, PA Phoebe Ministries is hiring a Medicaid Analyst to join our long-term care facility in Allentown, PA. We show ... Service Awards & Recognition Gift Cards. Responsibilities for a Medicaid Analyst with Phoebe Allentown: The ...Phoebe Allentown: + Degree or some course work in Business Administration or related course of study preferred. +… more
- Henry Ford Health System (Troy, MI)
- …Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare- Medicaid Program (MMP), and Medicaid lines of business . Analyst must identify trending ... on an ongoing basis and provide root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists, Legal department, and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... and significantly growing both our generic and specialty medicines business through investment in research and development, marketing, ...us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for … more
- Humana (Columbus, OH)
- …actuarial model that estimates admit count and spend for each of Humana's Medicaid states. The analyst calculates inpatient trends, exercises actuarial judgement ... Prepare and communicate inpatient analyses to support trend saving opportunities for Medicaid markets The Actuarial Analyst 2, Analytics/Forecasting ensures data… more
- 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 ... independently and with cross functional groups. + Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred. + Experience with healthcare… more
- CVS Health (Scottsdale, AZ)
- …per week at our Scottsdale, AZ location **CVS Health is seeking a Senior Analyst , Medicaid Compliance Monitoring and Auditing to join our Center of Excellence ... obligations** **Conducting oversight and monitoring to evaluate levels of compliance with Medicaid requirements across the business ** **Performing business … more
- UPMC (Pittsburgh, PA)
- …Plan's Medicaid /Government Product actuarial team is seeking an Actuarial Analyst III to support the team's Behavioral Health work.** This position applies ... from either management or senior positions when necessary. The Medicaid actuarial team supports PA Medicaid products...in a health insurance, managed care or related consulting business . + Pursuing SOA certification + Experience working in… more
- General Dynamics Information Technology (Fairfax, VA)
- … outcomes. + Assists with identifying opportunities for leveraging Medicare and Medicaid data to drive insightful business solutions. + Present findings ... looking for a Sr. Data Scientist to help us support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people are at the center of everything we do.… more
- General Dynamics Information Technology (Fairfax, VA)
- …will support an exciting new program focused on identifying vulnerabilities in Medicaid , Medicare and the Marketplace. The position will monitor, inspect, and ... found. + Work collaboratively within a team of Medicare, Medicaid and/or Marketplace policy expert SMEs and analysts. +...per calendar year to be used for vacations, personal business , and illness and an additional 10 paid holidays… more
- Molina Healthcare (Louisville, KY)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …with CMS Medicaid rules and state specific issues. Knowledge on Medicaid Validation and 340B covered entities. SAP, Business Intelligence, and Tableau ... Manager, Medicaid Compliance & Analytics Date: Aug 23, 2024...of Teva between vendor and states + Collaborate with analyst to communicate state resolutions and ensure disputes are… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Business Systems Analyst 1 (Health)/Trainee (NY HELPS) - 89614 Occupational Category Other Professional Careers ... take an exam to gain permanent competitive status.The position may be filled at the Business Systems Analyst Trainee 1 Health level equated to SG-13, $49,363, … more
- Staffing Solutions Organization (Albany, NY)
- …will be responsible for the research and understanding of database structures and business context of various elements related to Medicaid claims. Related ... 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
- State of Montana (Helena, MT)
- …timely service to protect our citizens. * *Job Overview*: This position is an*Auditor/ Analyst *for the Medicaid Fraud Control Unit. The position is responsible to ... judicial and administrative proceedings; to determine the financial loss by Montana Medicaid or individuals; to provide support and case direction to criminal… more
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