- Aequor (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Location: Parsippany, NJ Duration: 6 Months Core Essential Skill sets:- Medicaid rebate experience in pharm enviornment.- ... and high degree of accuracy in data processing and reviews.Position Summary:The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- Sudden Service, Inc. (Columbus, OH)
- …identify parts. Obtain prices on special parts and assemblies from the Research Analyst at headquarters office.Furnishes customers with recommended parts ... delivery on emergency or back-order items to accommodate customer.Handles warranty claims and follows through to completion.Assists supervisor in proper storage and… more
- Rose International (Torrance, CA)
- Experience3-5-years previous experience.Main Duties:1.The Dealer Claims and Registration Analyst is responsible for the handling of Dealer submitted claims ... in CICS mainframe (800 per month). Reimbursement for associate paid claims . Research & resolution of registration / renewal status inquiries. Logging and… more
- The George Washington University (Washington, DC)
- I. JOB OVERVIEW Job Description Summary: The Senior Financial Analyst , Clinical Research is the primary contact in the GWCC Clinical Trials Office responsible ... with SMHS finance and the GWU Office of Clinical Research (GWOCR) in compliance, technical, fiscal, and administrative services...negotiations of individual budgets with sponsors, able to challenge claims made by sponsors on what they feel is… more
- Blanchard Valley Health System (Findlay, OH)
- PURPOSE OF THIS POSITION The purpose of the Payment Integrity Analyst is to ensure that all claims are paid at contracted rates by researching and resolving ... Non-Government payment policies & payer contracts. The Payment Variance Analyst will be responsible for identifying trends and reporting...to be used in education and process improvement. Resolves claims with balances that are in an EOB variance… more
- Sunbelt Rentals, Inc. (Fort Mill, SC)
- …with disability provider to ensure proper administration of disability claims .Collaborates, educates, and informs key stakeholders regarding change management, ... trends and patterns with attention to leave of absence payroll processing and audits. Research best practices and emerging trends as well as metrics and analyses to… more
- CRG (Charlotte, NC)
- …customers' accounts, maintaining accounts receivable records, and assisting the Accounts Receivable Analyst with research . About the Company: Our client, a $1B ... on unidentified cash (call bank, reach out to A/R Analyst ). Daily reconciliation of payment types and amounts to...bank to secure back up for payments as necessary. Research and process customer claims of invoice… more
- Sudden Service, Inc. (La Vergne, TN)
- …identify parts. Obtains prices on special parts and assemblies from the Research Analyst at headquarters office.Furnishes customers with recommended parts ... delivery on emergency or back order items to accommodate customer.Handles warranty claims and follows through to completion.Assists supervisor in proper storage and… more
- Taylor Machine Works, Inc (La Vergne, TN)
- …identify parts. Obtain prices on special parts and assemblies from. e Research Analyst at headquarters office.Furnishes customers with recommended parts ... directory to enable customer contact after normal working hours.Handles warranty claims and follows through to completion.Assists supervisor in proper storage and… more
- Segal (Washington, DC)
- …opportunity may be for you!Our Senior Consultant, Pharmacy Benefits Financial Analyst creates and analyzes pharmacy benefits financial data, contributes input and ... analysis and quality assure work. They contribute to thought leadership, research initiatives, trend analysis and forecasting, intellectual capital development and… more
- Molina Healthcare (Owensboro, KY)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Baylor Scott & White Health (Dallas, TX)
- **JOB SUMMARY** The Claims Analyst is accountable for claims processing, research and adjudication to correctly apply benefit determination and pricing ... for areas of responsibility to include clinic professional claims , hospital and facility inpatient and outpatient claims... claims , hospital and facility inpatient and outpatient claims , and Rx-drug claims (CMS 1500 and… more
- Molina Healthcare (Nicholasville, KY)
- …for accurate and timely production review of issues reported within our claims intake and processing ecosystem (QNXT, Edifecs, etc.). Gains understanding of solution ... extrapolate potential impact of issue. Validates data received on claims to identify billing issues that will impact ...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Brink's (Atlanta, GA)
- …people have made the choice to join our team - and stay here. Job Title Regional Claims Analyst Job Description Job Summary: The Claims Analyst will ... escalations, provide support to respond to branch cases and claims + "Boots on the ground" identify/ research /resolve...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- State of Indiana (Indianapolis, IN)
- Compensation Claims Analyst Date Posted: Sep 17, 2024 Requisition ID: 449590 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... funds, and as the State Statistical Analysis Center for research . Further, ICJI is responsible for coordinating and collaborating...costs of being a violent crime victim. As a Claims Analyst , you will receive and enter… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... Medicaid regulations. The role will also be responsible for timely review and research , as necessary on all new and revised coding logic, related Medicare/Medicaid… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Senior Analyst , Claims Analytics to play your part in that transformation. It's an opportunity ... of the team. Make your mark in Analytics for Claims Our Claims teams are the proven...analytics, computer science, information technology, mathematics, social sciences with analytics/ research training, or related field preferred + 4+ years… 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 validating, ... payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Analyst is accountable for submitting payments within deadlines and in compliance… more
- Elevance Health (Los Angeles, CA)
- ** Claims Analyst III- Overpayment Prevention (Business Analyst III)** _Location: This position will work a hybrid model (remote and office). The ideal ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Completes all required documentation to support… 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** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
