- Aequor (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Location: Parsippany, NJ Duration: 10 Months Shift: Monday - Friday 8:00am - 5:00pm - Hybrid Only - Tuesday and Wednesday ... and high degree of accuracy in data processing and reviews. Position Summary: The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process… 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 ... to be paid for historical outstanding utilization that is routinely submitted with Medicaid claims . Must have ability to work independently and make… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Aug 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57784 **Who we are** ... a difference, and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process… 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** ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process… more
- Phoebe Ministries (Allentown, PA)
- …claim adjustments that may be required based on Medicaid protocols to adjudicate claims . The Medicaid analyst will review, prepare, and submit responses ... Medicaid Analyst Full-time - Allentown, PA... Medicaid Analyst Full-time - Allentown, PA Phoebe Ministries is...responsible for the submission of all 180-day exception unit claims . Payments associated with Medicaid will require… more
- Commonwealth Care Alliance (Boston, MA)
- …coding (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment ... TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible...Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Kelsey-Seybold Clinic (Houston, TX)
- …dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job Type: Full ... certifications, etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred:… more
- Fallon Health (Worcester, MA)
- …the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Molina Healthcare (Louisville, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- Conduent (Elkridge, MD)
- …part of a culture where individuality is noticed and valued every day. As the ** Claims Quality Assurance Analyst ** , you will be responsible for monitoring and ... access to all internal systems, conducting various audits related to claims , systems, business, and project requirement rules. **Responsibilities:** + Monitoring and… more
- Montrose Memorial Hospital (Montrose, CO)
- …knowledge of hospital billing, collections and payment application for Medicare, Medicaid and Commercial insurances + Ability to effectively communicate, verbally, ... and non-verbally, in a clear, concise manner, both orally and in writing. What We Offer: + Mentoring + Continuing Education + 401 K Retirement Plan with employer match + Multiple health options to selection from Our Brand: + Integrity & honesty in everything… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Sign Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager, Medicaid Compliance & Analytics Date: Aug 23, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57826 **Who ... new people to make a difference with. **The opportunity** The Manager of Medicaid Compliance and Analytics will manage operations of Medicaid Supplementals,… more
- Staffing Solutions Organization (Albany, NY)
- …understanding of database structures and business context of various elements related to Medicaid claims . Related efforts will include the production of reports ... Medicaid Program Advisor One Commerce Plaza, Albany, 99...Advisor, Albany NY** **DDSA - 1140** **Summary** The **Data Analyst ** will work within the Division of Data Services… more
- Commonwealth Care Alliance (Boston, MA)
- …coding (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment ... the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst...Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Insight Global (Richmond, VA)
- Job Description This position is for a Systems Analyst with proficiency in coordination, direction and procedures for all testing phases of a multi-vendor, large ... and the conversion and integration of data from other systems in Medicaid Enterprise Systems (MES Modules and COTS products). Significant experience in managing… more
- WellSense (Boston, MA)
- Business Encounter Data Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...matter their circumstances. **Job Summary:** The Business Encounter Data Analyst is responsible for compiling and analyzing encounter data… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Payment Accuracy Analyst to support the Hospital Reimbursement team. This role will work in a hybrid structure, with most time ... some onsite presence at the US Steel Tower in Pittbsurgh. The Payment Accuracy Analyst is a key role responsible for supporting the Claim Editing team within UPMC… more
- Prime Therapeutics (Glen Allen, VA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Analyst III Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for leading or assisting in...Required: Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid rules and regulations. Working knowledge of claims… more
