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27 jobs found
28.08.2024
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Teva Medicaid Claims Analyst United States, New Jersey
Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure completeness of information received. Upload data into Medicaid...
Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure completeness of information received. Upload data into Medicaid...
Assist with execution of all aspects of targeting, call plans, and territory alignments for Sales Team(s). Serve as a Sales Operations point of contact for field sales (Regional Managers, Area...
Review Managed Care Contracts, Formularies, Utilization Management, and PA policies to identify formulary/contract non-compliant findings. Analyzes and resolves disputes with accounts involving contract interpretation, utilization management, and/or formulary positioning. Engages...
Responsible for the review of all new Direct/Indirect customer set ups in Revitas MODEL N FLEX and of member eligibility. Ensure Classes of Trade are accurate and available by customer...
This role requires high level of attention to detail and organization. This individual will have several bid management system requests to track and maintain. This role requires use of our...
Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure completeness of information received. Upload data into Medicaid...
Are you looking to make a difference in the tech industry by working with Teva as a Medicaid Claims Analyst?
At Teva, you will join a diverse team of talented individuals who are passionate about technology and making a positive impact on the lives of those served by Teva. As a Medicaid Claims Analyst, you’ll leverage your technical acumen to make a meaningful change in the world.
You’ll use your strong problem-solving skills to manage Medicaid claims accurately and efficiently. You’ll provide a high level of customer service to both internal and external customers, making sure all related inquiries are handled professionally and promptly. You’ll partner with key stakeholders throughout the organization, such as providers, vendors, and health plans, to create a seamless customer experience.
Your technical skills, such as a comprehensive understanding of pharmacy billing/reimbursement systems and Medicaid DUR/OWP programs, will be essential in your role. You’ll be responsible for reviewing and resolving discrepant Medicaid claims, as well as responding to potential regulatory issues.
Your technical expertise will ensure Teva’s services are provided in an accurate and timely manner. Your understanding of Medicaid programs such as AMA, NCPDP, and AMP will be invaluable in providing exceptional customer service to Medicaid members.
As a Medicaid Claims Analyst, you’ll be part of an innovative team that is pioneering ideas in the tech industry. You’ll have the opportunity to make an impact. So come join us at Teva and be part of our journey!