- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 00000 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** ... Join us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18, 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
- 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
- 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
- Rochester City School District (Rochester, NY)
- Assistant Medicaid Analyst - Medicaid Compliance JobID: 3763 + Position Type: Miscellaneous/ Miscellaneous + Date Posted: 12/6/2024 + Location: Rochester ... + Closing Date: 12/18/2024 Position Information Bargaining UnitBENTE Job LocationCentral Office/ Medicaid Compliance Job TitleAssistant Medicaid Analyst (12… more
- MyFlorida (Miami, FL)
- …and litigation matters and analytical projects. Create customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, ... MEDICAID FRAUD ANALYST II - 41000989... MEDICAID FRAUD ANALYST II - 41000989 Date: Jan 7, 2025...844143 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41000989 Pay… more
- Molina Healthcare (TX)
- …information from large data sources. **Preferred Qualifications:** + Experience with Medicaid + Experience with medical claims , authorization, and membership ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...opportunities. This position will primarily support the New York Medicaid market. **Job Duties** + Extract and compile information… more
- 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
- Wolters Kluwer (Riverwoods, IL)
- …highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...and story grooming. **Qualifications:** + 3+ years as a Medicare/ Medicaid Compliance Analyst - Revenue Cycle +… more
- VNS Health (Manhattan, NY)
- …or new published state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages workload and inventory according ... to departmental SLA. + Identifies and creates global claim projects. + Reviews claims disputes and pends within departmental SLA. + Identifies and reports dispute… more
- Molina Healthcare (Long Beach, CA)
- …SQL. + Must be able to conduct root cause analysis in Healthcare Porvider claims data.. + Experienced in Healthcare domain specifically Medicare, Medicaid and ... Marketplace. **JOB QUALIFICATIONS** **Required Education** HS Diploma or GED **Required Experience** 0-1 year **Preferred Education** Associate degree or equivalent combination of education and experience **Preferred Experience** 1-3 years To all current… more
- 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 Montana (Helena, MT)
- … Analyst on development, tracking and projecting the divisions Medicaid budget expenditures. The Operations Research Section Supervisor assists the division ... program benefit levels. Provides fiscal impact analysis based on utilization and claims data as appropriate for programmatic or legislative changes and updates. The… more
- State of Massachusetts (Boston, MA)
- The Federal Revenue Analyst supports the EOHHS Federal Revenue Claiming Unit which claims approximately $11B annually in Title XIX and Title XXI federal revenue. ... Primary responsibilities of the Federal Revenue Analyst will include drawing revenue from the federal government and completing federal Medicaid reports in… more
- Elevance Health (Norfolk, VA)
- **Clinical Content Analyst ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles ... MO, Wallingford, CT, Grand Prairie, TX or Louisville, KY. The **Clinical Content Analyst ** will be responsible for driving the development and execution of the… more
- 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
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Analyst III (ALD) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for leading or assisting in...Required: Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations. Working knowledge of claims… more
- Henry Ford Health System (Troy, MI)
- …Plan's (HAP's): Commercial, Medicare Advantage, Medicare- Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues 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 other… more
- VNS Health (Manhattan, NY)
- OverviewFunctions at the most senior level Business Systems Analyst role. Works directly with senior management on highly visible projects to understand business ... to meet operational, business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates exchanges of knowledge and ideas, and mentors business… more
- American Institutes for Research (MA)
- …team members on various tasks including querying large datasets including Medicare, Medicaid , and commercial payer claims data, cleaning and imputing data, ... **Overview** Join AIR as a **Data Analyst ** with ourHealth (https://www.air.org/our-work/health) team. Our Health team...the position include: + Query large databases including Medicare, Medicaid and commercial payer claims data +… more