Analyst - Medicaid Operations
By IntegriChain At Greater Philadelphia, United States
Prior experience processing either Managed Care or Medicaid rebates preferred
Understanding of either/both Medicaid or Managed Care rebates
Bachelor’s degree preferred; focus on Accounting, Finance, Business or related field of study preferred
Minimum 1-2 years of pharmaceutical experience within commercial and government contracting preferred
Excellent written and verbal communication skills
Sound analytics skills to perform work with attention to detail and accuracy
Medicaid Analyst 1-2 Jobs
By State of Louisiana At Louisiana, United States
Martin Luther King, Jr. Day,
Thanksgiving Day and Christmas Day.
Additional holidays may be proclaimed by the Governor
Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your_Retirement_System.mp4) to give you more detailed information about their system
Teacher's Retirement System of Louisiana (www.trsl.org),
Louisiana School Employees Retirement System (www.lsers.net), among others
Business Analyst (Medicaid) (Hybrid)
By TM Floyd & Company (TMF) At Columbia, South Carolina Metropolitan Area, United States
Gathering requirements and documenting JAD sessions
Experience working with state Medicaid systems
Understanding of requirements gathering in accordance with federal, state, and CMS guidelines
Prior experience with Business Intelligence systems desired
Experience with state government procurement methods desired
Calling all Business Analysts with Medicaid experience!
Medicaid Analyst 1-2 Jobs
By Louisiana Department of Health At Thibodaux, LA, United States
This position is located within the Louisiana Department of Health / Medicaid Vendor Administration
/ Eligibility Field Operations / Lafourche
Position Number(s): 56630 & 157412
No Civil Service test score
Medicaid Analyst 1: $16.42/hr.-$1,313.60 bi-weekly
Medicaid Analyst 2: $17.56/hr.- $1,404.80 bi-weekly
Medicaid Analyst 1-3 Jobs
By Louisiana Department of Health At Shreveport, LA, United States
This position is located within the Louisiana Department of Health / Medicaid Vendor Administration
/ Eligibility Field Operations / Caddo
No Civil Service test score
Medicaid Analyst 1: $16.42/hr.-$1,313.60 bi-weekly
Medicaid Analyst 2: $17.56/hr.- $1,404.80 bi-weekly
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
Medicaid Analyst Supervior Jobs
By Louisiana Department of Health At New Orleans, LA, United States

Supplemental Information This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / Orleans Parish Announcement Number: ...

Office Technician - Medicaid Data Entry Claims Team
By State of Nebraska At Lincoln, NE, United States
Generous Leave Accruals and Benefits
Data entry used for entering information contained on a variety of Medical and NFOCUS claim forms while identifying and correcting errors.
Maintain a minimum data entry rate of 8000 kph with 95% accuracy.
Data entry techniques and procedures
Basic knowledge of Microsoft Outlook, Microsoft Word and Excel
What We Can Offer You
Medicaid Data Analyst Jobs
By Apex Systems At United States
Medicaid claims analysis experience both in Managed Care Organization and Fee-for- Service preferably using Transformed Medicaid Statistical Information System.
Substantial experience and understanding of advanced analytical methods (e.g., logistic regression, tree-based, or neural network classification modeling).
Experience programming in SAS, R/Python
Substantial SQL experience for data extraction and manipulation.
Experience using MS Excel and PowerPoint for analysis and presentation of results.
Gather and organize information for use in supporting decision-making process.
Medicaid Analyst 1-2 Jobs
By Louisiana Department of Health At Shreveport, LA, United States
This position is located within the Louisiana Department of Health / Medicaid Vendor Administration
/ Eligibility Field Operations / Caddo
Position Number(s): 64358 & 172413
No Civil Service test score
Medicaid Analyst 1: $16.42/hr.-$1,313.60 bi-weekly
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
Medicaid Claims Analyst (Remote)
By Better Health Group At Tampa, FL, United States
Work collaboratively with the internal Field Operations team to establish (remotely from the central office)
High School Diploma / GED (or higher) or equivalent work experience.
Medical Assistant, CMA, CNA or MEDIC/prior Combat Medic experience a plus.
Experienced in Excel, Google Sheets
Demonstrated STRONG organizational skills and attention to detail
Demonstrated excellent written and verbal skills
Auditor - Medicaid Jobs
By Peraton At , $66,000 - $106,000 a year
Must have 2+ years of related experience in finance, accounting or audit.
Must have intermediate knowledge of internal audit policies and operating
Must have intermediate knowledge of internal audit policies and operating principles.
Intermediate risk assessment and scoping skills.
Strong research and analytical skills.
Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel.
Medicaid Utilization Analyst 9-12 - Bphasa Medical Equipment & Services Section
By State of Michigan At , Lansing, Mi Up to $200,000 a year
Alternative and Remote Work Schedules:
A secure work location that allows privacy and prevents distractions.
A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
Suitable lighting, furniture, and utilities.
Medicaid Utilization Analyst 9 to P11
This posting is being used to fill 4 vacancies.
Risk Adjustment Analyst Sr (Remote; Medicaid Encounters)
By Baylor Scott & White Health At , Remote $36.26 an hour
EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
Monitors and oversees the end-to-end claims encounter management workflow.
Immediate eligibility for health and welfare benefits
EXPERIENCE - 3 Years of Experience
EXPERIENCE- Medicaid Encounters experience preferred; certified coder preferred
Our competitive benefits package includes the following
Medicaid Business Analyst Jobs
By Maximus At , Remote Up to $80,000 a year
Extract, analyze, and report data to support program activity and assist in management decision making.
Perform other duties as assigned by management.
Applies knowledge and skills to complete a wide range of tasks.
Apply strong analytical reasoning to understand end user's requirements and transforms them into operational application.
Acquire deep knowledge of working systems and bring efficient and effective changes for better performance.
Work closely with operations and systems staff to define requirements, test criteria, and success factors.
Medicaid Business Analyst Jobs
By Steneral Consulting At United States
Qualified candidates MUST have significant experience with Medicaid and MMIS (Medicaid Management Information Systems)
Participate in regular meetings with management, assessing and addressing issues to identify and implement improvements toward efficient operations
Act as a liaison between staff and management, analyzing and interpreting data involving company procedures, policies, and workflows
Advanced analytical skills with experience collecting, organizing, analyzing, and disseminating abundant information with accuracy
Conduct full lifecycle of analytics projects, including pulling, manipulating, and exporting data from project requirements documentation to design and execution
Exceptional verbal, written, and visual communication skills
Medicaid Executive Officer 1-Medicaid Pharmacy Support
By State of Iowa - Executive Branch At Des Moines, IA, United States

292 Hospital/Health Care Statistics and Reimbursement

link to view the job description

Data Analyst - Medicaid
By Peraton At , $66,000 - $106,000 a year
Strong computer skills including experience in relational data base design, extract, and reporting, Excel, and the Internet.
Bachelors and 5-7 years experience or Masters and 3-5 years experience or PhD 0-2 years experience
Strong proven analytical ability and basic knowledge of statistics and sampling techniques
Strong communication and organization skills
This position may require the incumbent to appear in court to testify about work findings.
Analyze data to identify and compare norms, trends and patterns.
Medicaid Assistant Jobs
By Kennedy Healthcare LLC At Amityville, NY, United States
Coordinate with residents and their families to compile all information needed for benefit eligibility.
Long term care experience preferred.
Strong communication and customer service skills.
Review admission forms for residents referred for Medicaid assistance.
Collect all necessary documents to apply for Medicaid.
Follow up to ensure that all applications are approved.
Medicaid Qa Analyst Jobs
By Software People Inc. At Columbia, SC, United States
Develop test plans, QA and/or User Acceptance Testing processes and test cases for product management and software development teams.
Superb written and oral communications skills, including the ability to write requirements and Use Cases.
5 years translating business requirements or policy documentation into test cases and scenarios.
5 years' experience in Quality Assurance & Quality Control.
3 years' experience in Sahi Pro/Selenium Automation Framework.
Working knowledge of ONE of the following: Spice, TPI, TMMI, CMMI OPF, OPD and PPQA process areas.
Rn Appeals Analyst (Medicaid)
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Three years of utilization/medical review, quality assurance, or case management experience plus 5 years clinical nursing experience.
Excellent organizational and time management skills.
This position is full time (40 hours/week) Monday-Friday and will be mainly remote.
Two years clinical experience plus one year utilization/medical review, quality assurance, or home health, OR, 3 years clinical.
Strong clinical experience to include home health, rehabilitation, and/or broad medical surgical experience.
Working knowledge of word processing software.