Medicaid Claims Data Analytics Manager
Hispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement is looking for a Manager Claim Technical Analyst for Medicaid Intake Operations. This role focuses on the accuracy of Electronic Data Interchange (EDI) processes while managing SQL database interactions. Ideal candidates should demonstrate strong SQL skills, 5+ years of experience in data analysis, and an ability to effectively communicate complex data insights. The position offers a hybrid work model, competitive pay, and comprehensive benefits packages. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$65k - $88.6k
Humana is seeking a Supervisor, Encounter Data Management to oversee encounter submissions and ensure compliance with Medicaid and Medicare standards. The position requires at least 2 years of claims processing experience and strong leadership skills. This role offers a...ClaimsRemote jobWork at office- ...World Physical Education is seeking a full-time Medicaid Facilitator in Phoenix, Arizona. The role involves managing the Medicaid program for the school district, ensuring compliance with regulations, processing claims, and supporting students. The ideal candidate has...ClaimsFull timeWork at office
- Humana Inc is seeking an Encounter Data Management Professional to ensure data integrity in claims. This role involves developing business processes to enhance encounter submission to Medicaid/Medicare and ensure compliance standards are met. The ideal candidate will have...ClaimsRemote job
- ...-time Physician Collection Specialist (AHCCCS/Government) to manage Medicaid collections. This work-from-home role requires adherence to Arizona... ...background check. Responsibilities include working HCFA 1500 claims, follow-ups on denials, and preparation for state hearings....ClaimsRemote jobFull timeWork from homeFlexible hours
$120k - $225k
...motivated attorney with at least two years of experience with Medicare/Medicaid fraud/FCA claims. The attorney should be proactive, self‑driven, and creative; have excellent writing, research, and analytical skills; and be proficient in pleading, motion, and discovery...ClaimsRemote workWork from home- ...Phoenix, Arizona. The ideal candidate will have at least two years of experience in Medicare/Medicaid fraud and FCA claims, along with strong writing, research, and analytical skills. This position offers a comprehensive benefits package, multiple bonus opportunities,...ClaimsRemote jobWork from home
$14.76 - $31.97 per hour
Job Summary Provides support for claims activities including reviewing and resolving member... ...by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties Facilitates... ...Qualifications At least 2 years of managed care experience in a call center, appeals...ClaimsHourly payContract workWork experience placementWork at office- Medicaid Facilitator Isaac School District All Sites -... ...The Medicaid Facilitator manages and coordinates all... ...regulations, processing claims, and maximizing reimbursement... ...Strong organizational, analytical, communication, and... ...Technical: Proficiency in data management and...ClaimsFull timeWork at office
- Regional Sales Manager - Phoenix (Medicare, Medicaid, Insurance) Regional Sales Manager - Phoenix (Medicare, Medicaid... ...Ensure that the steps to process a claim are followed and are completed ·... ...dealing with patients and patient data · Follow company expense polices · Complete...ClaimsFull timeLive inRemote work
- ...Position Summary The VP, Medicaid of Aetna Technology will report... ...productivity. Utilize data and analytics platforms to assess and improve... ...forecast technology spend, manage expenses, and ensure... ...leadership. ~ Strong command of claims/encounter processing, care &...ClaimsHourly payFull timeTemporary workLocal area
$178.3k - $407k
...and help to build a better working world. AI & Data, Advanced Analytics - Health Sector – Senior Manager - Consulting We are helping our clients transform... ...structured and unstructured data (e.g. EHR, claims, ERP, financial, RWE, supply chain) to drive high-quality...ClaimsWork experience placementSummer holidayFlexible hours- ...Process and follow-up on insurance claims to include denials & appeals.... ...for accounts, as necessary. Data Entry Assist in patient... ...as assigned by Supervisor or Management Requirements Physical... ...regulations including Medicare, Medicaid, and third-party insurance companies...Claims
- ...the pharmacy billing world, enjoys solving claim and coverage issues, and wants to be part... ...benefits across commercial, Medicare, Medicaid, and other government plans Review and... ...identify ways to reduce out of pocket costs Manage daily census updates for assigned...ClaimsFull time
$60.3k - $132.6k
...time. Position Summary The Medicaid Intake Operations Team... ...integrity of all Electronic Data Interchange (EDI) and claims intake processes within the... .... We are seeking a Manager Claim Technical Analyst (Medicaid... ...Leads using technical and analytical expertise. Communicate...ClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal area3 days per week- ...team. Key Responsibilities Follow up on outstanding insurance claims via phone, portal, and email. Identify reasons for unpaid or... ...experience Strong understanding of dental insurance plans (PPO, HMO, Medicaid, EPO). Ability to interpret EOBs and understand CDT codes....ClaimsContract workWork at office
- ..., WA, or Minneapolis, MN. This hybrid role involves analyzing Medicaid program data to improve healthcare services. The ideal candidate will hold a bachelor’s degree by Spring 2026, possess strong analytical skills, and have a GPA above 3.0. Join a supportive team dedicated...
- ...instrumental in following up on billed medical claims to determine the appropriate course of... .... Attention to detail and accuracy in data entry and documentation. Always... ...knowledge of billing requirements of Medicare, Medicaid, and Insurance billing. Ability to prioritize...Claims
- ...prepares and supplies patient data to various hospital... ...preparing and sending out paper claims, preparing itemized statements... ...follow-up, and patient account management, goal driven, strong verbal and... ...collecting for commercial, Medicare, Medicaid and patient payers, effective...ClaimsWork at officeLocal area
$21 - $23 per hour
...Position Type Revenue Cycle Management Job Shift Full Time Education... ...be responsible for analyzing claim denials, billing/collecting payments... ...environment. Prepare an analytical summary report identifying... ...Workers' compensation and/or Medicaid billing experience strongly...ClaimsHourly payFull timePrivate practiceShift work$23 per hour
...Specialist will adjudicate pharmacy claims, review claim responses for... ...beneficiaries not eligible) Manages all funding related... ...knowledge/understanding of Medicare, Medicaid, and commercial insurance,... ...of medication, basic math and analytical skills, Intermediate typing/keyboarding...ClaimsFull timeTemporary workWork experience placementRemote workFlexible hoursShift work$62.7k
...CITIZEN This job turns data into information,... ...operational excellence, management intelligence for... ...to identify data and analytical needs, conduct analyses... ...Programs (TDP, ADDP, Medicaid, and emerging programs... ...multiple sources (e.g. claims, enrollment, financial...ClaimsFor contractorsWork at officeLocal area$115.2k - $230.4k
...Senior Government Data Consultant II We are seeking... ...on large, complex Medicaid projects, working directly... ...translating complex analytic findings into clear guidance... ...code against large claims datasets, and review the... ...Proven track record of managing large, complex projects...ClaimsMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$23 per hour
...prescriptions, addressing and rectifying rejected claims and conducting necessary third‑party authorization requests. How You'll Do This Manage prior authorization requests and appeals... ..., pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test...ClaimsFull timeTemporary workLocal areaRemote work- ...A leading claims adjusting company is seeking Licensed Claims Adjusters to join their team in Scottsdale, Arizona. This opportunity offers flexibility, competitive compensation, and comprehensive training programs. Ideal candidates will possess experience with claims,...ClaimsFlexible hours
$77.96k - $82k
...System (AHCCCS), Arizona's Medicaid agency, is driven by... ...and dedicated team. Data Governance Supervisor... ...organization. This role manages a team of data governance... ...program areas, IT, analytics, compliance, privacy, security... ...Medicaid data assets (claims, encounters,...ClaimsFull timePart timeFor contractorsInternshipRemote workFlexible hours- ...A leading claims adjusting company in Arizona is seeking Independent Insurance Claims Adjusters. This role offers opportunities to help people recover from disasters while providing the flexibility and autonomy in your work. Training programs are available for both seasoned...ClaimsFlexible hours
- ...billing experience, a pharmacy technician license, and strong problem-solving skills. Key responsibilities include processing insurance claims, verifying eligibility, and maintaining billing records. The role offers an opportunity to work within a stable, service-focused...Full time
$117.73k - $229.58k
Director, Data Management (EIM) Job Summary The Director, Data Management... ...data platforms that support Medicaid, Medicare, Marketplace, and... ...integration, governance, quality, analytics enablement, and operational... ...healthcare data such as claims, clinical, provider, member,...ClaimsRemote jobContract workWork experience placement- ...Pharmacy? We're reimagining medication management and transforming care. Who We Are and What... ...processing customer bills and insurance claims in an accurate and timely manner. This... ...facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third...ClaimsFull timeTemporary workWork at officeMonday to FridayFlexible hoursWeekend work
- Government Healthcare Data Manager We are seeking a talented individual... .... 10+ years of healthcare claims data, project management... ...out Experience working with Medicaid claims data. Experience managing... ...critical thinking and analytical problem‑solving skills. Why...ClaimsWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week
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