- 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
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on … more
- Humana (Annapolis, MD)
- **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
- State of Colorado (CO)
- CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148793) Apply CO ... Medicaid Enterprise Solution (CMES) Integration Business Analyst Salary $58,872.00 - $76,536.00 Annually Location Statewide, CO Job Type Full Time Job Number UHA… 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
- TEKsystems (Brookfield, WI)
- Description We are seeking a Claims Analyst II to examine and process paper and electronic claims . In this role, you will determine whether to return, pend, ... and responsibilities as assigned. Skills claims processing, claims adjudication, call center, medicaid , Coding Top...claims processing, claims adjudication, call center, medicaid , Coding Top Skills Details claims processing… more
- TEKsystems (Milwaukee, WI)
- MUST LIVE IN WISCONSIN TO BE CONSIDERED Job Description We are seeking a Claims Analyst II to examine and process paper and electronic claims . In this role, ... from appropriate person and/or agency as needed. Skills claims processing, claims adjudication, call center, medicaid , Coding Qualifications + High school… more
- TEKsystems (Milwaukee, WI)
- Claims Analyst II - Remote/Hybrid (Wisconsin Residents Only) Pay: $19.25/hour Schedule: Full-time, Monday-Friday, 8:00 AM-5:00 PM About the Role We're looking ... for a detail-oriented Claims Analyst II to join our team!...terminology, COB processing. + Preferred: Familiarity with QNXT (TM) Claims Workflow, ACA/ Medicaid plans, and coding experience.… more
- Molina Healthcare (Tacoma, WA)
- 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