- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: May 15, 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
- Humana (Trenton, NJ)
- **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
- 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
- Cognizant (Trenton, NJ)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... with all regulations and requirements. **Essential Functions:** + 3+years Medicare/ Medicaid regulatory healthcare experience + Knowledge of claim adjudication… more
- Humana (Trenton, NJ)
- …and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those ... directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial, economic, and other data to provide… more
- Intermountain Health (Trenton, NJ)
- …of actual and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital finance staff as ... needed. + Prepares monthly Medicare and Medicaid settlement and policy reserve calculations using technically acceptable and reasonably conservative reimbursement… more
- Cognizant (Trenton, NJ)
- …we're improving everyday life. **Job Title** **: Provider/Benefit Configuration Analyst ** **Location** **:** **Remote** **Job ID** **: SO# 00064116431** **Role ... code editing in the Facets environments. . Test inpatient claims with the Optum grouper to ensure accuracy and...understanding of standard claim payment rules for Commercial, Medicare, Medicaid , and ACA Qualified Health Plans lines of business.… more