- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **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
- Sumitomo Pharma (Olympia, WA)
- …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
- MyFlorida (Miami, FL)
- …and litigation matters and analytical projects. Create customized downloads from on-line Medicaid claims data warehouse as requested by investigators, attorneys, ... MEDICAID FRAUD ANALYST II - 41000989... MEDICAID FRAUD ANALYST II - 41000989 Date: Jan 7, 2025...844143 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41000989 Pay… more
- Molina Healthcare (Santa Fe, NM)
- …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
- DATAMAXIS (IL)
- …projects like the following with CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third-party ... Functional Description: This role requires significant expertise of Medicaid Enterprise System modules and data warehouse or...direction to business and technical team members related to claims , provider, and recipient data. Roles in this function… 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
- Wolters Kluwer (Riverwoods, IL)
- …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
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… more
- Public Consulting Group (Richmond, VA)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... case summaries to be sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims . + Provides monthly reporting… 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