- 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
- AmeriHealth Caritas (Charleston, SC)
- …+ Requests/runs queries to identify root causes of claim denials, incorrect payments and claims that are not correctly submitted for payment. + Act as the resource ... experience preferred. + Required ability to focus on technical claims processing and Provider data maintenance knowledge. + Required...or related experience preferred. + 1 to 2 years Medicaid experience preferred. + 2 to 5 years of… more
- Centene Corporation (Jefferson City, MO)
- …of ICD-9/10, CPT, HCPCs, revenue codes, and medical terminology preferred. Experience with Medicaid or Medicare claims preferred. **For Claims Business ... in the United States.** **Position Purpose:** Ensure timely processing of pending medical claims . Verify and update information on the submitted claims . Review… more
- Molina Healthcare (Dallas, TX)
- …for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and ... primary responsibility and focus will be related to the Texas Medicaid Directed Payment Program (DPP). **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data… more
- MyFlorida (Tallahassee, FL)
- …Agency's Medicaid fiscal agent; responsible for the processing of Florida Medicaid claims and multiple supporting systems; ensuring Medicaid providers ... 68900198 - OPS HUMAN SERVICES ANALYST Date: Dec 5, 2025 The State Personnel...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- Clark County, NV (Las Vegas, NV)
- … MEDICAID : QUESTIONS 31-36 Indicate your full-time professional experience with Medicaid billing, claims management, or reconciliation in a clinical, ... SENIOR MANAGEMENT ANALYST Print (https://www.governmentjobs.com/careers/clarkcounty/jobs/newprint/5142202) Apply SENIOR MANAGEMENT ANALYST Salary $38.23 -… 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 ... apply now. We are currently seeking a Senior Business Analyst to join our team in Little Rock, Arkansas...principles * Minimum of 9 years of experience in Medicaid Claims Adjudication, including understanding of … 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
- TEKsystems (Brookfield, WI)
- About the Role We're looking for a detail-oriented Claims Analyst II to join our growing team! In this role, you'll review and process paper and electronic ... claims , ensuring accuracy and compliance with policies and procedures....Claims Workflow a plus. + Familiarity with ACA, Medicaid , or similar health plans preferred. + Coding experience… more
- Public Consulting Group (St. Paul, MN)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- State of Colorado (Denver, CO)
- OCL Projects Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5158695) Apply OCL Projects Analyst Salary $71,544.00 - $94,872.00 ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more