Medicaid Claims Analyst

Job Summary

A company is looking for a Medicaid Claims Analyst.

Key Responsibilities

• Manage the Medicaid Drug Rebate process, including validation, verification, and remittance of payments
• Resolve disputes and conduct analyses on Medicaid claims, ensuring compliance with CMS guidelines
• Provide support for team members and assist in establishing best practices within the Medicaid work environment

Required Qualifications

• Bachelor's degree or high school diploma with relevant experience
• Minimum 2+ years of experience in pharmaceutical or healthcare Medicaid claim processing
• Experience with Revitas/Flex Medicaid systems and advanced Microsoft Excel skills
• Familiarity with CMS Medicaid rules and 340B covered entities
• Strong ability to organize and manipulate large datasets accurately