- 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, we're ... people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for ...is accountable for submitting payments within deadlines and in compliance with CMS guidelines and Teva rebate contract terms.… 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...and data is kept up to date and in compliance with ESI standards. + Researches, develops and analyzes… 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 ... development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root… more
- CVS Health (Columbus, OH)
- …of our RFP responses and the efficiency of the whole team. The quality analyst continuously strives to increase their knowledge of Aetna Medicaid , products ... strategic, quality edits at every milestone of the proposal process. The quality analyst drives and supports the value of quality by performing, measuring, and… more
- Geisinger (Danville, PA)
- …We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate will have a ... strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the ability to analyze… more
- New York State Civil Service (Newark, NY)
- …No Agency People With Developmental Disabilities, Office for Title Standards Compliance Analyst 1 Developmental Disabilities Occupational Category Health Care, ... at exit conferences; and reviewing providers' plans of corrective action. The Standard Compliance Analyst 1 Developmental Disabilities (SCA 1 DD) work under the… more
- UNIVERSAL Technologies, LLC (Albany, NY)
- …services, or related field. + Minimum of 2 years of experience as a Healthcare Compliance Analyst , Auditor, Care Manager, Medicaid Provider, or similar role ... UNIVERSAL Technologies is seeking a Health Care Compliance Analyst for a remote role...reviews, or ensuring quality of care. + Experience with Medicaid fee-for-service and/or Managed Care billing. + Extensive knowledge… more
- Humana (Louisville, KY)
- …performance, Value-Based Payment (VBP) strategy, audits, and NCQA accreditation. + Ensure compliance with Medicaid requirements and regulatory standards. + Drive ... caring community and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational leadership for clinical… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... health care reimbursement, public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Medical Coding, Compliance , Payment Integrity… more
- HCA Healthcare (Dallas, TX)
- …NC, SC, TN, TX, UT, VA). Do you have the PRN career opportunities as a Compliance Analyst PRN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Compliance Analyst PRN where your passion for...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Prime Therapeutics (Tallahassee, FL)
- …Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The ... Senior Compliance Analyst assists in the implementation of...**Preferred Qualifications** + PBM/health care experience related to Medicare, Medicaid , Commercial, HIM + Certified Compliance and… more
- Prime Therapeutics (Jefferson City, MO)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance ... execution of the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business with internal… more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- Clark County, NV (Las Vegas, NV)
- …oversight of all Medicaid operations, billing/authorization processes, and Medicaid compliance . Responsibilities include comprehensive Medicaid program ... 5 years + More than 5 years 33 Indicate your full-time professional experience with Medicaid compliance , audits and case reviews. + No Experience + Less than 2… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Option Care Health (Bannockburn, IL)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for ... Medicaid reimbursement. + Experience evaluating information to determine compliance with policies, standards, laws, and regulations. + Intermediate level… more
- Prime Therapeutics (Trenton, NJ)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal… more
- MyFlorida (Tallahassee, FL)
- 68900198 - OPS HUMAN SERVICES ANALYST Date: Dec 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68900198 - OPS HUMAN SERVICES ANALYST Pay Plan: Student/Gradte Assnt Position Number: 68900198 Salary: $18.00 Hourly… more
- MyFlorida (Tallahassee, FL)
- 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Dec 4, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Health Care Administration Working Title: 68039493 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68039493 Salary: $1,833.39… more
- Commonwealth Care Alliance (Boston, MA)
- …Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance , ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements… more