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Cost Analyst
Ref No.: 20-02159
Location: Bridgewater, New Jersey
Sunrise System Inc. is currently looking for Cost Analyst in Bridgewater, NJ with one of our top client.
 
Job Title: Cost Analyst
Job Id: 20-02159
Location: Bridgewater, NJ 08807
Duration: 6 months
Position Type: Hourly contract Position (W2 only)
 
Duties
  • The Analyst, Government Contract Operations will have primary responsibility for quarterly Medicaid claim review, which will include quarterly trend review, validation assessment, check/payment reconciliation, and ensuring back-up documentation is accurate and sent to States/Programs within a timely manner.
  • Check payment/reconciliation may include working with large amounts of data and the resolution of credit balance issues.
  • Manage the Medicaid mailbox and be the primary contact responding to inquiries from the states.
  • Additional responsibilities to include, but not limited to, processing of quarterly Tricare rebate claim, preparation of the Industrial Funding Fee (IFF), assist with 340B refunds, and ad-hoc requests.
  • Pharmaceutical experience is required.
  • Experience processing Medicaid claims preferable.
  • Excellent oral and written communication skills.
  • Revenue Manager experience a plus.
  • Demonstrated ability to handle multiple simultaneous tasks.
  • Excellent PC skills including intermediate Excel and Word.
  • Detail oriented with strong interpersonal, organizational and presentation skills.
  • Knowledge of OBRA 90 and 93 a plus. Fundamental level of knowledge/analytical skills to enable accurate and timely reimbursement of State claims.
Education
  • Bachelor's Degree or equivalent 1-2 years’ pharmaceutical/Medicaid work-related experience 
Required Skills
  • Claims
  • Excel
  • Reconciliation
  • MEDICAID
  • Government Contract 
Additional Skills
  • Credit
  • Detail Oriented
  • Excellent PC Skills
  • Presentation Skills
  • Word
  • Microsoft Excel
  • Microsoft Word 
Contact
Bhavani Sangmesh
Direct: (732) 272.0325 | Bhavani.S@sunrisesys.com
Or
Satya S
Direct: (732) 272.0262 | Email: Satya@sunrisesys.com