- State of Colorado (CO)
- …State and Federal regulatory policy and audits of the systems, and resulting Medicaid claims reimbursement, provider enrollment and medical benefit coverage, by ... Medicaid Enterprise Systems (CMES) Integration Strategic Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5052356) Apply CO Medicaid … more
- State of Colorado (CO)
- CO Medicaid Enterprise Solutions (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054916) Apply CO ... Medicaid Enterprise Solutions (CMES) Integration Business Analyst Salary $58,872.00 - $76,536.00 Annually Location Statewide, CO...management systems in order to assure timely and accurate Medicaid and Child Health Plan Plus (CHP+) claims… 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
- Prime Therapeutics (Frankfort, KY)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The ... to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization… more
- Humana (Harrisburg, PA)
- **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
- Elevance Health (Grand Prairie, TX)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... plus. + Claims and/or Encounters experience preferred. + Experience with Medicaid data preferred. Please be advised that Elevance Health only accepts resumes for… more
- Elevance Health (Costa Mesa, CA)
- …for employment, unless an accommodation is granted as required by law._ The ** Medicaid Grievance and Appeals Intake Analyst ** is an entry level position ... with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable… more
- Zelis (Plano, TX)
- …and the personal interests that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer ... communicating rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge of… more
- Bristol Myers Squibb (Princeton, NJ)
- …. **Summary:** In this position, you will play a key role within the Medicaid Rebate Operations team, which manages the intake, processing, and payment of multiple ... labeler codes for Medicaid and other state programs. The primarily responsibility is...Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has… more
- TEKsystems (Honolulu, HI)
- …are seeking a detail-oriented and experienced professional with experience in healthcare claims processing and policy development. The ideal candidate will play a ... key role in analyzing claims data, identifying trends, and drafting policies that ensure compliance with regulatory standards and improve operational efficiency. Key… more