- 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
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides vocational services ... while supervising them regarding the unit's daily activities. The Senior Contract Analyst supervises the conduct of the field visits to vendors and Supportive… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of...Five years minimum of managed care experience in insurance claims or contracts Four to Five years of financial… more
- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, and reporting on… 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
- City of New York (New York, NY)
- …The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the ... latitude for independent judgment and initiative, the SSO Data and Systems Analyst (DSA) will be responsible for identifying and troubleshooting various issues for… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of ... Analytics & Verification is recruiting for (1) Administrative Staff Analyst NM III to function as an Executive Director,...- Design, test, and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner,… more
- City of New York (New York, NY)
- …Responsible for ensuring the accurate and timely submissions of Homebase, Anti-Eviction and Medicaid claims . Supervise the data and correction reports within a ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE The Bureau of Revenue Optimization...SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and… more
- YAI (Manhattan, NY)
- …for assigned region(s), regularly collaborating with applicable program leadership, financial analyst and/or other finance staff to support complete and accurate ... (eg Regional Centers, NJ DDD, etc.) and resubmits revised or corrected claims upon receipt and/or in accordance with applicable agency requirements. + Reconciles… more
- City of New York (New York, NY)
- …for over 500 active contracts. - Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related to a class-action settlement. - ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A...Services Payments Unit is recruiting one (1) Administrative Staff Analyst (NM-2) to function as the Director of Human… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more
- NTT America, Inc. (Trenton, NJ)
- …of current data protection and privacy laws. + Experience with Medicaid /Medicare systems processing, including Claims , Provider, and Member Eligibility. ... you can grow, belong and thrive. **Your day at NTT DATA** The Production Control Analyst will contribute to the support of the NJ MMIS Project and upcoming new… more