Claims Analyst

6 days ago


Hanover, United States Rose International Full time

  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

  • **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**

***Only qualified Claims Analyst candidates located in the Whippany, NJ area will be considered due to the position requiring an onsite presence***

Required Qualifications

Bachelor’s degree in Accounting or Finance with 1-2 yrs experience in Disputes and Chargeback Operations preferred.

Outstanding attention to detail and adaptability to deliver world-class results across a complex network of partners, providers and stakeholders

Strong mathematical and analytical skills are required

Demonstrated ability to prioritize multiple tasks simultaneously while meeting deadlines

Advanced Microsoft Excel skills

Able to work in a collaborative team environment

Knowledge of SAP and HighRadius

Knowledge of Vistex, MediLedger, and Model N” for chargebacks preferred.

Experience in project management and implementation a plus but not required.

Primary functions/Responsibilities:

Support Consumer Health, Pharmaceutical and Radiology operations in day-to-day functions, including but not limited to, working with Operational team in dispute/deduction resolution within tight deadlines.

Responsible for reconciliation activities in supporting daily operational analysis for disputes and deduction related activities.

Collaborate with colleagues in US Order to Cash, Contracts Administration, and Accenture O2C operational platform.

Assist on additional ad hoc projects and support where needed in operational platform.

Job Summary

Focus on Consumer Health, Pharmaceutical and Radiology claims activities within Order to Cash Operations, Disputes management resolution & Chargeback related activities.

Benefits:

For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.

California Pay Equity:

For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).


  • Claims Analyst

    6 days ago


    Hanover, United States Rose International Full time

    Date Posted: 06/26/2024 Hiring Organization: Rose International Position Number: 466518 Job Title: Claims Analyst Job Location: Whippany, NJ, USA, 07981 Work Model: Hybrid Shift: Hybrid Sch - Tues - Thurs at Whippany office. start AM - 08:30 AM Employment Type: Temporary Estimated Duration (In months): 13 Min Hourly Rate ($) : 30.00 Max...


  • Hanover, United States Aerotek Full time

    Overview: Aerotek has an immediate opening for an ONSITE Customer Service Representative (Intake Compliance Analyst) at the corporate office in Hanover, MD. Compensation: $21.63/hrs (annualized at $45,000) + quarterly bonuses Hours: Monday - Friday |8am - 5pm Essential Functions: Triages all incoming calls regarding new and existing workers compensation...

  • Claims Processor

    2 weeks ago


    Hanover, United States Rose International Full time

    **Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.*****Only qualified Rebate Operations Analyst candidates located...


  • Hanover, United States Planet Pharma Full time

    1-Year Contract $28/Hour Job Title: Rebate Operations AnalystFocus on Commercial & Government claims processing within Order to Cash Rebate Operations, Medicaid, Managed Care, & GPOsPrimary functions/Responsibilities:• Support commercial and government operations in day to day functions, including but not limited to, processing claims within tight...


  • Hanover, United States Randstad Sourceright Full time

    Randstad is seeking an experienced Rebate Operations Analyst to support Commercial & Government claims processing within Order to Cash Rebate Operations, Medicaid, Managed Care, & GPOs. This is a hybrid position that requires the selected candidate to work part of th work week onsite. Local candidates are preferred as relocation cost reimbursement is not...

  • Financial Analyst

    1 week ago


    Hanover, United States Randstad USA Full time

    Are you passionate about business and finance? Do you have experience in the payments industry? A well-known life science industry leader is hiring a Dispute Chargeback Analyst for a special 12-month contract assignment. This position will focus on Consumer Health, Pharmaceutical, and Radiology claims activities in Order-to-Cash Operations.REQUIREMENTS: The...


  • Hanover, United States PeopleShare Full time

    PeopleShare is seeking a HYBRID Quality Assurance Analyst for an innovative, industry leading healthcare company in Whippany, NJ! You will be responsible for collecting and analyzing data collected from various resources, identifying trends and opportunities and will be communicating and presenting to key stakeholders and clients.Schedule: Monday – Friday,...


  • Hanover, United States Johns Hopkins Medicine Full time

    Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role! Medical, Dental, and Vision Insurance. 403B...


  • Hanover, United States Johns Hopkins HealthCare Full time

    Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role! Medical, Dental, and Vision Insurance. 403B Savings...


  • Hanover, United States Johns Hopkins HealthCare Full time

    Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role! Medical, Dental, and Vision Insurance. 403B Savings...


  • Hanover, United States Johns Hopkins Medicine Full time

    Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role! Medical, Dental, and Vision Insurance. 403B...


  • Hanover, United States Johns Hopkins Medicine Full time

    Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a remote role! Medical, Dental, and Vision Insurance. 403B Savings...


  • Hanover, United States Johns Hopkins Medicine Full time

    Apply Refer a Friend Back Share This Page Share on Facebook Share on Twitter Share on LinkedIn Share via Email Job Details Requisition #: 634756 Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Non-Clinical Professional Schedule: Day ShiftJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested...


  • Hanover, United States Johns Hopkins Medicine Full time

    Apply Refer a Friend Back Share This Page Share on Facebook Share on Twitter Share on LinkedIn Share via Email Job Details Requisition #: 634756 Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Non-Clinical Professional Schedule: Day Shift Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are...


  • Hanover, United States Dexian Full time

    Title- Dispute Chargeback AnalystDuration- 12+ months Location : Hanover NJ 07981 Job Summary: Focus on Consumer Health, Pharmaceutical and Radiology claims activities within Order to Cash Operations, Disputes management resolution & Chargeback related activities. Primary Functions/Responsibilities: * Support Consumer Health, Pharmaceutical and Radiology...

  • Sr. Benefits Analyst

    2 weeks ago


    Hanover, United States Live! Casino and Hotel Maryland Full time

    Overview: Why We Need Your Talents: Reporting to the CG-Benefits Manager, this Human Resources Department position exists to provide responsive service to Cordish Gaming- Live! Casinos team members and internal departments while managing all benefits related eligibility processing. Duties include but are not limited to planning and employee education as...


  • Hanover, United States Live! Casino and Hotel Maryland Full time

    Overview: Why We Need Your Talents: Reporting to the CG-Benefits Manager, this Human Resources Department position exists to provide responsive service to Cordish Gaming- Live! Casinos team members and internal departments while managing all benefits related eligibility processing. Duties include but are not limited to planning and employee education as...


  • Hanover, United States Johns Hopkins Health Plans Full time

    **_Who you are:_** **_What you’ll do:_** - Within assigned areas of responsibility and mínimal supervision, collaborates independently with business and technical resources to identify, analyze, prioritize, and resolve system issues - You’ll also advise business and technical counterparts regarding current system functionality as well as potential...


  • East Hanover, United States Careerbuilder-us Full time

    Exciting Opportunity: Hybrid Role in Northern New Jersey - Join Our Team! Are you looking for a challenging yet rewarding opportunity in the pharmaceutical industry? Look no further! We're seeking a talented individual to join our team in Northern New Jersey for a hybrid role, supporting our esteemed client onsite 2-3 days per week. This temporary position...


  • East Hanover, United States Careerbuilder-us Full time

    Exciting Opportunity: Hybrid Role in Northern New Jersey - Join Our Team! Are you looking for a challenging yet rewarding opportunity in the pharmaceutical industry? Look no further! We're seeking a talented individual to join our team in Northern New Jersey for a hybrid role, supporting our esteemed client onsite 2-3 days per week. This temporary...