- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Feb 20, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **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
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... and manage information from large data sources + Analyze claims and other data sources to identify early signs...programs will lead to value + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Data Science Analyst III - Digital and Technology Partners - Remote - Req#3024403** The Data Science Analyst III is a senior role, ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- VNS Health (Manhattan, NY)
- …in financial or operational analytics. preferred + Knowledge of Medicare and NYS Medicaid claims processing rules and coding experience with DRG, ICD10 and ... with payment recoveries disseminating findings for affordability initiatives. Conducts analysis of claims and payment data across health plans in support of ensuring… more
- VNS Health (Manhattan, NY)
- …in financial or operational analytics preferred + Knowledge of Medicare and NYS Medicaid claims processing rules and coding experience with DRG, ICD10 and ... OverviewConducts analysis of claims and payment data across health plans in...vendor's contracted rates. Reconciles and validates underlying analytic data claims , and utilization management systems. Tests the integrity of… more
- Molina Healthcare (Yonkers, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services ... while supervising them regarding the unit's daily activities. The Senior Contract Analyst supervises the conduct of the field visits to vendors and Supportive… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for contracted FPA ... providers with Medicare and Medicaid . This individual manages all open provider enrollment tasks/...denials for issues related to enrollment, and follow-up on claims until resolved. 6. Participates in CBO rebilling efforts… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- Atlantic Health System (Morristown, NJ)
- …the achievement of short and long-term departmental objectives. 2. Complies with Medicare/ Medicaid rules and regulations. 3. Assists Manager of Billing Compliance in ... Financial Services staff for reporting problems and denials on individual claims . Researches coding issues and recommends solution to account representative.… more
- Molina Healthcare (Yonkers, NY)
- …exchange products and populations with behavioral health conditions across Medicaid , Medicare, and ACA products. Additional cross-functional opportunities to support ... clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues related to medical care costs… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director,...- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner,… more
- City of New York (New York, NY)
- …Responsible for ensuring the accurate and timely submissions of Homebase, Anti-Eviction and Medicaid claims . Supervise the data and correction reports within a ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE The Bureau of Revenue Optimization...SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more