Job Title: Medicaid Claims Analyst

Job Description

We are seeking a Medicaid Claims Analyst to review summary data for claim submissions to ensure rebate eligibility. The candidate will perform detailed validation on claims, review for suspect claims, and determine disputed payments. The role includes resolving Medicaid disputes with states/programs and proposing, applying, and documenting proper payment amounts. The analyst will complete Medicaid analysis for assigned states/programs, provide backup for the Medicaid team on ad hoc projects, and compile Medicaid summary invoices, summary data files, and claim-level invoices quarterly. The role also involves reviewing for completeness and accuracy, uploading data into the Model N/Medicaid system, and authorizing transactions.

ResponsibilitiesReview summary data for claim submissions to ensure rebate eligibility.Perform detailed validation on claims and determine disputed payments.Resolve Medicaid disputes with states/programs.Propose, apply, and document proper payment amounts.Complete Medicaid analysis for assigned states/programs.Provide backup for Medicaid team on ad hoc projects.Compile Medicaid summary invoices, summary data files, and claim-level invoices quarterly.Review compiled documents for completeness and accuracy.Upload data into Model N/Medicaid system and authorize transactions.Essential SkillsProficient in Microsoft Excel, including pivot tables and VLOOKUPs.Strong analytical skills.Bachelor's degree.Experience in pharmaceutical, PBM, medical device, or similar industry.Experience with rebates, chargebacks, or revenue cycle within the industry.Additional Skills & QualificationsExperience with systems such as Model N, Revitas, Flex Medicaid, etc. is a plus.Work Environment

The position is part of a dedicated rebates team. The team is supportive and committed to providing training and development opportunities, helping candidates become more marketable. There is potential for long-term opportunities. The work environment includes collaboration with various team members, including a director, and manager

Pay and Benefits

The pay range for this position is $40.00 - $60.00/hr.

Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jun 25, 2025.

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\n\nAbout Aston Carter:\n

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

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The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.

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