- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 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: Jan 15, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60239 **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
- Molina Healthcare (New York, NY)
- …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
- Wolters Kluwer (New York, NY)
- …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
- 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: Jan 4, 2025 Location: Parsippany, United...utilization data, applying rules to determine included and excluded claims , assigning appropriate rebate percentages to utilization sales, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... 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
- 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
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... as well as Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related...and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality… 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
- CVS Health (Trenton, NJ)
- …- Responsible for quality audits and projects, etc associated with the Medicaid /Medicare unit's functional focus. - Subject matter expert on workflows, policies, ... address continuous quality improvement initiatives - Analyze and resolve complex claims scenarios within established time frames - Identify and recommend internal… more
- Molina Healthcare (New York, NY)
- …experience, + **Must have worked in US Healthcare government programs such as Medicare, Medicaid , the Affordable Care Act, or similar, with experience in one or more ... operational processes including but not limited to Enrollment, UM, Claims & Care Management** **Preferred License, Certification, Association** Certified Business… more
- City of New York (New York, NY)
- …City of New York and is responsible for payments and verification of claims submitted by these contracted entities. Job Duties and Responsibilities: - Analyze the ... performance, including PS and OTPS spending, revenue projection and revenue collection ( Medicaid , third party insurance self-pay etc.) - Prepare special reports. -… 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