- 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 ... Reimbursement. + Service Awards & Recognition Gift Cards. Responsibilities for a Medicaid Analyst with Phoebe Allentown: The Medicaid Analyst will… more
- Sumitomo Pharma (Trenton, NJ)
- …a dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for ... to clean up historical utilization that is routinely submitted with Medicaid claims. In addition, the analyst will load Medicaid claim information into the… more
- J&J Family of Companies (Titusville, NJ)
- Johnson & Johnson Innovative Medicine is recruiting for a Senior Financial Analyst , Government Contract Compliance Finance. This position is based in Titusville, New ... the forecast cycles to provide handoffs related to the Medicaid , Medicare, Federal Supply Schedule & 340B Programs for...of each state. + Perform government-mandated calculations and refiles ( Medicaid - AMP, BP, Medicare - ASP, 340B, FSS… more
- Elevance Health (Wilmington, DE)
- **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
- The Cigna Group (Philadelphia, PA)
- …accountabilities associated with all regulated lines of business including Medicare, Medicaid , and Marketplace (Exchange / Health Care Reform). The team supports ... be to support the Grievance functions as it relates to the Medicare, Medicaid and Marketplace (Exchange / Healthcare Reform) initiatives to ensure member/client and… more
- The Cigna Group (Philadelphia, PA)
- **Position Summary** The Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and ... client contractual needs. This role is highly cross-functional, with the lead analyst working across multiple departments in the company (eg Supply Chain, Knowledge… more
- Takeda Pharmaceuticals (Exton, PA)
- …is true to the best of my knowledge. **Job Description** **Rebate Analyst II** **Takeda Pharmaceutical** **Exton, PA** **About the role:** Are you looking ... Analysts II located in Exton, PA. As the Rebate Analyst II, you will perform calculations and generate payments...This includes providing detailed reporting to the Centers for Medicaid and Medicare Services (CMS) auditors and/or designees in… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Product Analyst **Job Description** The Product Analyst is responsible for delivering ... and working in an Agile environment across interdependent teams, the Product Analyst clearly communicates with cross functional teams, collaborating to create and… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for setting pricing assumptions, submitting bids, filing and ... maintains pricing tools that price standard and custom benefits. The Actuarial Analyst 2, Pricing work assignments are varied and frequently require interpretation… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department ... collaboration of provider contract loading and maintenance. The Value-Based Programs Analyst supports our Market Contracting and Market Finance partners in multiple… more
- Humana (Trenton, NJ)
- …communicate findings, you should strongly consider the Senior Business Intelligence Data Analyst opportunity. Humana is seeking an individual for the Senior Business ... Intelligence Data Analyst to provide support for its expansion of value-based...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst (Regulatory Intelligence and Assessment) - Remote **Job Description** The Senior ... Compliance Analyst assists in the implementation of Prime's compliance programs...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Insight Global (Camden, NJ)
- …of Insight Global's healthcare clients in Camden, NJ is seeking a Revenue Integrity Analyst to join their team. This individual will be responsible for oversight of ... MUE, LCD/NCD, device to procedure, procedure to device) - Knowledgeable of Medicare/ Medicaid regulations - Strong analytical skills and data reporting - using tools… more
- Aveanna (Downingtown, PA)
- Board Certified Behavioral Analyst - H ApplyRefer a FriendBack Job Details Requisition #: 196319 Location: Downingtown, PA 19335 Category: BCBA Salary: $35.00 - ... setting with early intervention programs. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Evolent (Trenton, NJ)
- …as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal (Evolent Account ... billing and reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business. Healthcare claims: specifically, differences between… more
- Virtua Health (Marlton, NJ)
- …and State. IE IRS 990 tax exempt return, NJ Charitable Registration, Medicare, Medicaid , and State Cost Reports, Bond Compliance, AHA Surveys, etc.* Assists in ... ensuring audit compliance through preparation of work papers and analysis for internal and external auditors.* Provides financial analysis assistance to Managers in order for them to adequately monitor operating expenses, budgeting, balance sheet, capital… more
- Humana (Trenton, NJ)
- …leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Mathematica (Trenton, NJ)
- …in our Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will be required ... to complete a successful background investigation including the Questionnaire for Public Trust Position SF-85. Staff that are unable to successfully undergo the background investigation will need to be able to obtain work outside CMS. Staff will work with… more
- Highmark Health (Trenton, NJ)
- …industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid ). The work can include new research and updating existing material. ... **SUMMARY OF JOB RESPONSIBILITIES** This job has the goal of providing the opportunity to acquire practical experience through direct exposure to the related business line(s) and to develop the next generation of diverse business professionals. To that end,… more