- A-Line Staffing Solutions (Tempe, AZ)
- Claims Analyst openings with a Major Health Insurance Company based out of the Las Vegas, NV area! Starting ASAP!! Apply now with Luke H. at A-Line! Remote-but ... must live local to Natomas. Duties: This role is primarily processing medical claims . Data entry Critical thinking is required Review medical records Adjudicate or… more
- A-Line Staffing Solutions (St. Louis, MO)
- …Grievance, Grievance and Appeals, Appeals and Denials, HEDIS, STARS, CMS, Medicare, Medicaid , PBM, Claims , Rx, Health Plan, Health Insurance, MCO, Managed ... Skills/ Experience: Accounting Knowledge/Degree Microsoft Teams Knowledge Economics and/or business analyst entry level Why Apply: Full benefits available after 90… more
- Aston Carter (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Job Description The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes ... to be paid for historical outstanding utilization that is routinely submitted with Medicaid claims . Must have ability to work independently and make… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57784 **Who we are** ... a difference, and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process… 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** ... 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
- 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...job-related experience in accounting, billing and collection systems, or claims , which includes two (2) years in a lead… 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 ... 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
- 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
- General Dynamics Information Technology (Fairfax, VA)
- …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. ... fraud, waste, and abuse (FWA) in the Medicare and Medicaid programs. In this role, a typical day will...independently and as part of a team. + Analyzes claims data and conducts statistical analysis. + Develops data-driven… more
- Kelsey-Seybold Clinic (Houston, TX)
- …dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job Type: Full ... certifications, etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred:… more
- Fallon Health (Worcester, MA)
- …the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Molina Healthcare (Louisville, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- Conduent (Elkridge, MD)
- …part of a culture where individuality is noticed and valued every day. As the ** Claims Quality Assurance Analyst ** , you will be responsible for monitoring and ... access to all internal systems, conducting various audits related to claims , systems, business, and project requirement rules. **Responsibilities:** + Monitoring and… more
- The MITRE Corporation (Mclean, VA)
- …a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in quality improvement, ... or program implementation to support the Centers for Medicare and Medicaid Services (CMS) through all phases of healthcare modernization and transformation.… more
- Montrose Memorial Hospital (Montrose, CO)
- …knowledge of hospital billing, collections and payment application for Medicare, Medicaid and Commercial insurances + Ability to effectively communicate, verbally, ... and non-verbally, in a clear, concise manner, both orally and in writing. What We Offer: + Mentoring + Continuing Education + 401 K Retirement Plan with employer match + Multiple health options to selection from Our Brand: + Integrity & honesty in everything… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager, Medicaid Compliance & Analytics Date: Aug 23, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57826 **Who ... new people to make a difference with. **The opportunity** The Manager of Medicaid Compliance and Analytics will manage operations of Medicaid Supplementals,… more
- 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
- Commonwealth Care Alliance (Boston, MA)
- …coding (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment ... the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst...Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
