Senior Data Engineer - EDI Claims Processing
Plantation, FL · On-site
$105K - $143K/yr
Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...
Plantation, FL · On-site
$105K - $143K/yr
Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...
Plantation, FL · On-site
$105K - $143K/yr
Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...
Long Beach, CA · Remote
$18.50 - $23.50/hr
... processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role - preferably in a managed care setting, or equivalent combination of ...
Long Beach, CA · Remote
$18.50 - $23.50/hr
... processing Medicaid claims At least 2 years of experience in claims, and/or customer service experience in a clerical role - preferably in a managed care setting, or equivalent combination of ...
$105K - $143K/yr
Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...
$105K - $143K/yr
Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...
Plantation, FL · On-site
$105K - $143K/yr
Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...
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Plantation, FL · On-site
$105K - $143K/yr
Claims & Encounter Processing ... Manage Medicaid encounter submissions, reconciliation, and error remediation with state Medicaid ...
Manage authorizations, reauthorizations, and prescription renewals to support uninterrupted patient ... Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred.
Manage authorizations, reauthorizations, and prescription renewals to support uninterrupted patient ... Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred.
Washington, DC · On-site
$119K - $162K/yr
The role involves maintaining and optimizing complex data solutions, focusing on Medicaid claims processing and leveraging Azure technologies for data management and reporting. Responsibilities : • ...
Washington, DC · On-site
$119K - $162K/yr
The role involves maintaining and optimizing complex data solutions, focusing on Medicaid claims processing and leveraging Azure technologies for data management and reporting. Responsibilities : • ...
Manage authorizations, reauthorizations, and prescription renewals to support uninterrupted patient ... Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred.
Manage authorizations, reauthorizations, and prescription renewals to support uninterrupted patient ... Knowledge of Medicare, Medicaid, commercial insurance, or the DME/HME industry is highly preferred.
... claims processing and billing system highly preferred * Strong working knowledge of managed care ... Knowledge of Medicaid/ACO claims processing * Knowledge of claim types including professional ...
... claims processing and billing system highly preferred * Strong working knowledge of managed care ... Knowledge of Medicaid/ACO claims processing * Knowledge of claim types including professional ...
Somerville, MA · On-site +1
... claims processing and billing system highly preferred * Strong working knowledge of managed care ... Knowledge of Medicaid/ACO claims processing * Knowledge of claim types including professional ...
Somerville, MA · On-site +1
... claims processing and billing system highly preferred * Strong working knowledge of managed care ... Knowledge of Medicaid/ACO claims processing * Knowledge of claim types including professional ...
Process and submit Medicaid claims in a timely and accurate manner * Collaborate with healthcare providers to obtain necessary information and documentation for Medicaid applications * Provide ...
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Process and submit Medicaid claims in a timely and accurate manner * Collaborate with healthcare providers to obtain necessary information and documentation for Medicaid applications * Provide ...
Phoenix, AZ · On-site
$45 - $49/hr
Experience in Healthcare, Medicaid, or Claims processing. * Experience working in Agile development environments. PrideGlobal and it''s affiliates offers eligible employee''s comprehensive healthcare ...
Phoenix, AZ · On-site
$45 - $49/hr
Experience in Healthcare, Medicaid, or Claims processing. * Experience working in Agile development environments. PrideGlobal and it''s affiliates offers eligible employee''s comprehensive healthcare ...
NJ · On-site
$32K - $38K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
NJ · On-site
$32K - $38K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
Cherry Hill, NJ · On-site
$31K - $37K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
Cherry Hill, NJ · On-site
$31K - $37K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
The Medicaid managed Care Specialist works to review, investigate and follow-up on various ... Monitoring claims processing status, recorded payments and adjustments within the billing system.
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The Medicaid managed Care Specialist works to review, investigate and follow-up on various ... Monitoring claims processing status, recorded payments and adjustments within the billing system.
Cherry Hill, NJ · On-site
$31K - $37K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
Cherry Hill, NJ · On-site
$31K - $37K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
Columbia, SC · On-site
$91K - $163K/yr
Connecting. Growing together. The Operations Manager, Medicaid Account Management will be ... Understands the eligibility and pharmacy claims adjudication process * Monitor performance ...
New
Columbia, SC · On-site
$91K - $163K/yr
Connecting. Growing together. The Operations Manager, Medicaid Account Management will be ... Understands the eligibility and pharmacy claims adjudication process * Monitor performance ...
New
Columbia, SC · On-site
$91K - $163K/yr
Connecting. Growing together. The Operations Manager, Medicaid Account Management will be ... Understands the eligibility and pharmacy claims adjudication process * Monitor performance ...
New
Columbia, SC · On-site
$91K - $163K/yr
Connecting. Growing together. The Operations Manager, Medicaid Account Management will be ... Understands the eligibility and pharmacy claims adjudication process * Monitor performance ...
New
Union, NJ · On-site
$32K - $38K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
Union, NJ · On-site
$32K - $38K/yr
Observe and assist in processing Medicaid claims by preparing and submitting billing information ... Solid organizational and time management skills to manage multiple billing tasks and meet deadlines.
... processing or claims data resolution in a health care organization. * Experience in Medicaid Claims ... Experience in a Health Plan or Managed Care Organization (MCO) is preferred. Equivalent Education ...
... processing or claims data resolution in a health care organization. * Experience in Medicaid Claims ... Experience in a Health Plan or Managed Care Organization (MCO) is preferred. Equivalent Education ...
Tallahassee, FL · On-site
$37K/yr
Create, maintain, modify, and manage computer data files using a variety of software applications. * As directed, participate in unit sub-groups designed to improve processes, find efficiencies, and ...
Tallahassee, FL · On-site
$37K/yr
Create, maintain, modify, and manage computer data files using a variety of software applications. * As directed, participate in unit sub-groups designed to improve processes, find efficiencies, and ...
$35K - $44.5K
4% of jobs
$44.5K - $53.9K
4% of jobs
$53.9K - $63.4K
10% of jobs
$67K is the 25th percentile. Wages below this are outliers.
$63.4K - $72.8K
18% of jobs
$72.8K - $82.3K
12% of jobs
The median wage is $83.8K / yr.
$82.3K - $91.7K
13% of jobs
$91.7K - $101.2K
14% of jobs
$101.6K is the 75th percentile. Wages above this are outliers.
$101.2K - $110.6K
12% of jobs
$110.6K - $120.1K
7% of jobs
$120.1K - $129.5K
4% of jobs
$129.5K - $139K
2% of jobs
$35K
$87.9K
$139K
| Aspect | Manager Medicaid Claims Processing | Claims Analyst |
|---|---|---|
| Credentials | Relevant certifications (e.g., CPC, CPC-H), experience in Medicaid claims | Similar certifications, often entry to mid-level experience |
| Work Environment | Supervisory role overseeing teams, administrative tasks | Data analysis, claims review, and processing |
| Employer & Industry | Healthcare providers, Medicaid agencies, insurance companies | Healthcare organizations, insurance companies, government agencies |
The main difference is that the Manager Medicaid Claims Processing oversees teams and manages claims operations, while the Claims Analyst focuses on reviewing and processing claims. Both roles require similar certifications and work within healthcare and insurance environments, but the manager has additional responsibilities in supervision and strategy.

$105K - $143K/yr
Full-time
Medical
Posted 17 days ago
6.6
Based on 16 frontline employees who took The Breakroom Quiz
309th of 483 rated business services
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Public administration
1,001 - 5,000 Employees
Fort Lauderdale, FL, US
2015