- 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
- Sumitomo Pharma (Trenton, NJ)
- …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
- Healthfirst (NJ)
- …+ Research and identify published updates to payment methodologies, fee schedules and claims editing policies from Medicare, Medicaid , and third-party sources. + ... + Research and identify published updates to payment methodologies, fee schedules and claims editing policies from Medicare, Medicaid , and third-party sources. +… more
- Prime Therapeutics (Trenton, NJ)
- …complex work efforts + Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization + ... passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT… more
- Elevance Health (Woodbridge, NJ)
- …within SQL, SAS, Excel, or equivalent preferred. + Proficiency in analyzing Medicaid claims data preferred. + Experience analyzing and building valued-based ... **Provider Contract Analyst Senior** **Location:** This position will work a...to ensure data accuracy preferred. + Experience working with claims and provider contracts for the Medicaid … more
- Teva Pharmaceuticals (Parsippany, NJ)
- …is responsible for the processing of Managed Care Commercial, Medicare Part D, Managed Medicaid , and Medical Agreement rebate claims in accordance with the terms ... Managed Care Rebate Analyst Date: Dec 6, 2024 Location: Parsippany, United...utilization data, applying rules to determine included and excluded claims , assigning appropriate rebate percentages to utilization sales, and… more
- Evolent (Trenton, NJ)
- …plan billing and reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business. Healthcare claims : specifically, differences ... as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal (Evolent Account… more
- HealthEdge Software Inc (Trenton, NJ)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
- Evolent (Trenton, NJ)
- …+ 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid , Medicare and / or managed care healthcare environment + Knowledge of the ... Affordable Care Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design Life Cycle (SDLC) +… more