- 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