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Claims Analyst
Contract: Parsippany, New Jersey, US
Salary Range: 55.00 - 60.00 | Per Hour
Job Code: 362753
End Date: 2025-07-09
Days Left: 23 days, 21 hours left
To discuss more about this job opportunity, please reach out to Deepak Arya (LinkedIn URL - www.linkedin.com/in/deepak-arya-8a79aa22a/), email your updated resume at Email - deepak.arya@collabera.com. Thank you!
Pay rate: $55 - $60/hr.
Industry: Pharmaceutical
Job Mode: 100% Remote
Job Description:
- Review and process Medicaid Summary and Claim Level Invoices quarterly.Upload and validate rebate claim data in Medicaid systems (e.g., Model N).
- Conduct eligibility checks and claim-level validations; flag and dispute suspect records.
- Resolve rebate disputes and recommend appropriate payment adjustments.
- Ensure CMS codes are accurately applied; communicate findings to states.
- Perform analysis and reporting on assigned state programs.
- Support team with documentation, best practices, and process improvements.
Qualification:
- Experience in Medicaid claim processing (pharma, med device, state agency, or consultancy).
- 2+ years in pharmaceutical or healthcare industry preferred.
- Proficient in Model N, Revitas/Flex, or similar Medicaid rebate systems.
- Advanced Excel skills (data manipulation, analysis).
- Knowledge of CMS Medicaid rules and 340B program compliance.
- Strong analytical skills; able to manage and validate large datasets
- Familiarity with government pricing and rebate processes in the pharma industry.
Job Requirement
- Medicaid Claims Processing
- Claim Level Invoice
- Medicaid Rebate Systems
- Model N
Reach Out to a Recruiter
- Recruiter
- Phone
- Deepak Arya
- deepak.arya@collabera.com
Apply Now
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