• Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Apr 19, 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
    Teva Pharmaceuticals (04/24/25)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61400 **Who we are** ... new people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate… more
    Teva Pharmaceuticals (04/17/25)
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  • Medicaid Provider Network Resolution…

    AmeriHealth Caritas (Washington, DC)
    …Network Resolution Analyst is responsible for configuration updates, resolution of claims inquiries, and all other system changes needed to facilitate timely and ... accurate payment of claims for par and non-par providers in our network.;...in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status with the health… more
    AmeriHealth Caritas (04/03/25)
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  • Medicaid Fraud Analyst II

    MyFlorida (Tallahassee, FL)
    MEDICAID FRAUD ANALYST II - 41001287...the following: + 35% Create customized downloads from on-line Medicaid claims data warehouse as requested by ... No: 851390 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41001287 Pay Plan: Career Service Position Number: 41001287… more
    MyFlorida (04/24/25)
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  • Healthcare Medical Claims Coding Sr.…

    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
    Commonwealth Care Alliance (03/04/25)
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  • Sr Analyst , Medical Economics…

    Molina Healthcare (Albany, NY)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources to identify early signs...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
    Molina Healthcare (04/20/25)
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  • Inbound Encounters Analyst - Medicare…

    Elevance Health (Norfolk, VA)
    **Inbound Encounters Analyst - Medicare / Medicaid ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live ... 50 miles of one of our Elevance Health PulsePoint locations. The **Inbound** **Encounters Analyst - Medicare / Medicaid ** is responsible for serving as an expert… more
    Elevance Health (04/19/25)
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  • Claims Analyst

    CenterLight Health System (NY)
    …understanding of claims PPS is strongly preferred. + Knowledge of Medicaid and Medicare benefits, enrollment and billing, and provider contracting is strongly ... JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing...role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive… more
    CenterLight Health System (04/26/25)
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  • Business Systems Analyst Lead w/ FACETS…

    AmeriHealth Caritas (Newtown Square, PA)
    …/ Education:** + At least eight (8) to ten (10) years of relevant Healthcare Claims experience as a Business Systems Analyst in a fast-paced environment. + ... Discover more about us at www.amerihealthcaritas.com. The **Business Systems Analyst Lead** is critical to helping businesses implement technology solutions… more
    AmeriHealth Caritas (04/13/25)
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  • Health Insurance Claims & Litigation…

    Ascension Health (Austin, TX)
    …experience preferred. **Additional Preferences** Additional preferences: + 3-5 years of Texas Medicaid Claims processing experience, required. + 3-5 years of ... the time of the offer._ **Responsibilities** Oversee medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability… more
    Ascension Health (03/06/25)
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