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Medicaid Claims Analyst
Contract: Parsippany, New Jersey, US
Salary Range: 60.00 - 70.00 | Per Hour
Job Code: 365745
End Date: 2025-12-06
Days Left: 28 days, 10 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: $60 - $70/hr.
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, (paid time , paid sick and safe time , hours of paid vacation time, weeks of paid parental leave, paid holidays annually - AS Applicable)
Industry: Biopharmaceutical
Duration: 03 to 04 Months (++Potential of Extension; Based on your performance)
Job Mode: Could be Hybrid if in NJ or else 100% Remote
Shift: Monday – Friday (8:00am – 5:00pm.)
The Medicaid Claims Analyst is responsible for managing the Medicaid Drug Rebate process — including claim validation, dispute resolution, payment processing, and compliance with CMS guidelines and rebate contract terms. The analyst ensures timely, accurate payments and supports audits, system upgrades, and ad hoc reporting.
Key Responsibilities:
- Review and process state Medicaid invoices and claim data files.
- Validate claim-level details and identify disputes as per CMS rules.
- Research and resolve state disputes; recommend accurate payment amounts.
- Perform quarterly data reviews, uploads, and reporting using Model N or Revitas/Flex Medicaid systems.
- Maintain documentation and provide analytical support for audits and upgrades.
- Collaborate with state agencies and internal teams to ensure data integrity and compliance.
Education:
- Bachelor’s degree/ High School Diploma or equivalent combination of education and experience.
Must Have:
- Pharmaceutical industry experience (minimum 2+ years).
- Hands-on Medicaid rebate and claim processing experience.
- Proficiency in Revitas/Flex Medicaid or Model N systems.
- Advanced Excel and large data set management skills.
- Strong analytical ability, accuracy, and attention to detail.
Preferred:
- Familiarity with CMS Medicaid rules, 340B entities, and state-specific programs.
-
Experience in system implementation and report writing.
Job Requirement
- Medicaid
- Rebates
- Claims
- Model N
- Revitas
- Flex
Reach Out to a Recruiter
- Recruiter
- Phone
- Deepak Arya
- deepak.arya@collabera.com
Apply Now
Apply Now
