- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 4, 2025 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, ... a difference, and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process… 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
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Policy Program Analyst - MED Posting Begin Date: 2025/12/18 Posting End Date: 2026/01/01 Category: Administration Work Type: Full Time Remote: Flexible ... the citizens of Idaho? If so, the Division of Medicaid 's Bureau of Policy team has an opening for...Program Policy Analystthat could be for you. A policy analyst primarily reviews state and federal regulations, conducts research,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- NTT America, Inc. (Little Rock, AR)
- …* Analyze and document business, technical, and user requirements related to Medicaid Claims Adjudication and other functional areas. * Collaborate with ... organization, apply now. We are currently seeking a Senior Claims Business Analyst to join our team...principles * Minimum of 9 years of experience in Medicaid Claims Adjudication, including understanding of … more
- Molina Healthcare (Buffalo, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. **Essential Job Duties** * Serves as … more
- TEKsystems (Tampa, FL)
- …+ Extensive understanding of the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge in Medical Billing, Claims ... Processing, Refunds/Reimbursement, Provider Relations, etc. + Experience working all claims : Medicare, Medicaid , Commercial, and Workers Comp + Medical Coding… more
- Highmark Health (Harrisburg, PA)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
- NTT DATA North America (Montgomery, AL)
- …supporting the full system life cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support both the current ... forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery,...apply now. We are currently seeking a Senior Business Analyst to join our team in Montgomery Alabama. This… more
- State of Colorado (CO)
- …of Job WHAT YOU'LL BE DOING AS ESI WORK REQUIREMENTS INTEGRATION BUSINESS ANALYST : + Department's Staff Authority for Colorado Medicaid Enterprise System (CMES) ... processing systems or medical information systems. + Working in a large claims processing system, including State Medicaid and/or Pharmacy benefits and services… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and Blue Shield of Minnesota Position Title: Senior Submissions Healthcare Data Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & Business ... Blue Cross and Blue Shield of Minnesota is hiring a Senior Submissions Healthcare Data Analyst in Eagan, MN. In this role, you will support the Submissions Team by… more
- Public Consulting Group (St. Paul, MN)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Henry Ford Health System (Troy, MI)
- …Plan's (HAP's): Commercial, Medicare Advantage, Medicare- Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on ... an ongoing basis and provide root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists, Legal department, and other… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Providence (OR)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...coding edits from external agencies such as AMA, CMS, Medicaid , and specialty societies, and assists with implementation of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and Blue Shield of Minnesota Position Title: Principal Risk Adjustment Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & Business ... Have Blue Cross and Blue Shield of Minnesota is hiring a Principal Healthcare Analyst on our Risk Adjustment team in Eagan, MN.The Principal Healthcare Analyst … more
- Molina Healthcare (Kearney, NE)
- JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely ... implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules… more
- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely ... implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules… more
- Mohawk Valley Health System (Utica, NY)
- Billing Analyst - Part Time - Days Department: BILLING CLAIMS - VNA Job Summary The Billing Accounts Receivable Analyst is responsible for processing all ... VNA/Home Care Services claims to primary and secondary payers promptly and accurately...financial stability within the organization. Experience in billing Medicare, Medicaid , Commercial Insurance, HMOs, and Worker's Comp/No Fault is… more