- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Nov 19, 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
- Sumitomo Pharma (Columbus, OH)
- …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
- New York State Civil Service (New York, NY)
- …clinic owner for defrauding New York State out of more than $4 Million in false Medicaid claims ; and the extradition, arrest, and arraignment of a Medicaid ... NY HELP No Agency Attorney General, Office of the Title Legal Support Analyst : Support Medicaid Fraud Investigations (6348) Occupational Category Legal Salary… more
- New York State Civil Service (New York, NY)
- …for defrauding New York state out of more than $4 Million in false Medicaid claims .Duties: * Assisting with screening and evaluating complaints of abuse and ... Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS… more
- Idaho Division of Human Resources (ID)
- Medicaid Program Policy Analyst - MED Posting Begin Date: 2024/10/25 Posting End Date: 2024/11/25 Category: Administration Work Type: Full Time Remote: Flexible ... Policy and Innovation team has an opening for a Medicaid Program Policy Analyst that could be...Provides instruction to staff on policies, recipient eligibility, and claims processing procedures and problems. + Advises recipients, providers,… more
- CVS Health (Hartford, CT)
- …schedule of three days onsite in Hartford, CT CVS Health is seeking a Senior Analyst to join our Medicaid Finance Central Reporting team. This role will function ... as the Senior Analyst for the Aetna Medicaid markets and...Qualifications** 3+ years of experience with Finance and/or healthcare claims analyses **Preferred Qualifications** Experience with using Microsoft SQL… more
- TEKsystems (Montgomery, AL)
- …* Demonstrate data literacy and be resourceful in terms of understanding Medicaid Eligibility, Claims Processing, Federal reporting, Quality measures, Gap ... have or the challenges you'll encounter. As a Data Analyst within the Enterprise Data Services (EDS) team, you...analysis experience with one or more of the following: Medicaid data, Medicare data, Healthcare Exchange data or Commercial… more
- Elevance Health (Miami, FL)
- **Business Information Analyst Senior- Medicaid ** **Location:** This position will work a hybrid model (remote and in office 1-2 days per week). Ideal candidates ... of our Pulse Point location in Miami, FL. The **Business Information Analyst Senior- Medicaid ** is responsible for analyzing, reporting, and developing… 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 ... CCA- Claims Essential Duties & Responsibilities: * Develop enhanced,...Medicaid * 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims ,… more
- Molina Healthcare (UT)
- …Summary** Interfaces with the customer in developing requirements for major complex claims testing projects within Medicare, Medicaid and Marketplace; prepares ... a combination of applicable business and business systems **PREFERRED EXPERIENCE:** Medicare, Medicaid and Marketplace claims knowledge Complex SQL and Excel… 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
- MyFlorida (Tallahassee, FL)
- …Agency's Medicaid fiscal agent; responsible for the processing of Florida Medicaid claims and multiple supporting systems; ensuring Medicaid providers ... Analyst Supervisor, AHC Administrator, and the Chief of Medicaid Fiscal Agent Operations. -Serving as a Medicaid...or similar health care work experience. -Preference given for Medicaid encounter or claims data work experience.… 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
- Idaho Division of Human Resources (Idaho Falls, ID)
- …will have the opportunity to help identify and deter fraud, waste and abuse in the Medicaid program. As an analyst , you will play a crucial role in conducting ... Analyst - DMS Posting Begin Date: 2024/11/06 Posting...flexible hours and/or telecommuting EXAMPLE OF DUTIES: + Analyzes claims data and reports to identify Medicaid … more
- Idaho Division of Human Resources (Boise, ID)
- Business Analyst - MED Posting Begin Date: 2024/11/05 Posting End Date: 2024/12/03 Category: Business Work Type: Full Time Remote: Flexible Hybrid Location: Boise, ... HEALTH, SAFETY, AND INDEPENDENCE OF IDAHOANS The Division of Medicaid has an exciting opportunity for sixbusiness analyststo join...This new system will provide the opportunity for an Analyst that enjoys being on the cutting edge of… more
- MyFlorida (Tallahassee, FL)
- …inform policy development activities. - Remain informed about the operations of the Medicaid fiscal agent, including Medicaid claims process, billing ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Nov 12, 2024 The State Personnel...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
- TEKsystems (Minneapolis, MN)
- …on meeting the January deadline. Role: Enterprise Risk Adjustment Submissions Analyst , Sr The Government Programs Enterprise Risk Adjustment Submissions Analyst ... operational work in support of Encounter Data Submissions activity. The ERA Submissions Analyst Sr performs research and analysis of submitted data, to comply with… 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