- Carle (Urbana, IL)
- Medicare Compliance Analyst -...to these products. This position will also conduct ongoing monitoring and auditing of operational areas related to the ... a Friend Save Save Apply Now Position Summary: The Medicare Compliance Analyst is responsible...and marketing materials per CMS guidelines. + Conducts ongoing monitoring and audits of operational areas. We are an… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Senior Medicare Compliance Analyst_ **Location:** _OH-Brooklyn_ **Requisition ID:** ... plans. Implements and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance -related activities… more
- The Cigna Group (Seattle, WA)
- **Role Summary:** The Provider Performance Lead Analyst is a key member of the market that assists in the growth and development of the provider network. The Lead ... Analyst is the primary conduit to the providers and...+ Developing time and cost effective territory management in compliance with department and enterprise goals. + Understanding, developing,… more
- The Cigna Group (Sunrise, FL)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities ... **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market...leadership + Developing time and cost-effective territory management in compliance with department and enterprise goals. + Understanding, developing,… more
- CareFirst (Baltimore, MD)
- …Preferred or + Lean Six Sigma Certification-IASSC Preferred or + Certified Regulation Analyst Preferred or + Certified Compliance & Ethics Professional (CCEP) ... compliance programs, or related fields. **Preferred Qualifications:** + Healthcare Compliance certification(s). + Experience in CMS programs ( Medicare or… more
- University of Rochester (Rochester, NY)
- Responsibilities **Position Summary:** **This position oversees outpatient Medicare , Medicaid and third-party payor audits, and directs all responses to assure ... for all internal and external sources regarding routine audits, including Medicare and Medicaid credit balance quarterly audits, audits obtained from the… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... operator of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and systems necessary to… more
- Guidehouse (Hanover, MD)
- …deliverables and client engagement documentation related to executing successful compliance monitoring activities, by supporting the planning, development, ... monitoring and auditing activities for various Centers for Medicare & Medicaid (CMS) models/programs. Specific responsibilities include: + Participate in… more
- Delta Dental of Iowa (Johnston, IA)
- …required for CMS Medicare Advantage data submission and Audits to ensure compliance . + Participate in all Medicaid and Medicare Advantage audits and present ... Associate Data Analyst - Government Programs Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time… more
- University of Rochester (Rochester, NY)
- …using Microsoft Office preferred. + Ability to effectively use privacy and compliance monitoring and documentation systems preferred. + Prior experience with ... staff on reimbursement, fraud and abuse and other healthcare related compliance issues and Medicare and Medicaid requirements. Acts as a resource on billing,… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Financial Analyst ** **Job Class: Management Analyst 4** **Agency: Health Department** + **Job ID** : 81407 + **Location** : St. Paul + ... Division (HRD) and leverage your financial management skills to help us ensure compliance with the laws and regulations that safeguard Minnesotans. The Financial … more
- G-TECH Services, Inc. (Detroit, MI)
- …and basic research principles/methodologies. * Assists in the management and monitoring of multiple projects simultaneously by establishing project plans and ... group or committee discussions. * Supports PBM audit and analytics to support Medicare pharmacy services business team. * Builds and supports business reports to be… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …the job. Reporting to the Director of Physician Revenue Cycle, the Senior Revenue Cycle Analyst (Sr. RCA) is both a transformational leader and an analyst . The ... but is not limited to, accounts receivable, bad debt, and payer analysis ( Medicare , Medi-Cal and Commercial). Creates revenue analysis tools that are used hospital… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …to apply. + Provide primary accounting functions for all grant monitoring administration, compliance , grant accounting, and financial reports of ... OMF Financial Analyst 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4653297) OMF Financial Analyst 3 Salary Depends on Qualifications… more
- Health First (Rockledge, FL)
- …Medicaid Services and the Office of Inspector General. 3. Implement effective monitoring of appropriate compliance indicators to oversee high-risk areas, ... and stay current on trends and developments in the field; conduct monitoring and audit initiatives while providing recommendations and guidance to enhance… more
- Serco (VA)
- …CMS (Centers of Medicare and Medicaid Services). The Bilingual Business Process Analyst II will support the product line by providing research and workflows of ... every day?Serco is seeking a detail-oriented Bilingual Business Process Analyst II to join our talented, dynamic product team...+ Writing SQL queries. + Ability to develop SQL monitoring reports on current processes and future innovation. +… more
- Intermountain Health (Columbus, OH)
- …Risk Adjustment Coding for highly regulated government insurance programs such as Medicare Advantage (MA), Medicaid, and the Affordable Care Act (ACA). This position ... This role creates and provides education and training to the HCC Coding Analyst team as well as other internal departments, providers and facilities as necessary… more
- Healthfirst (NY)
- …Part D bid process, including bid preparation and desk review follow-ups + Monitoring experience and analyzing performance of Medicare products + Other ad-hoc ... Medicare /Commercial Healthcare or Hospital in the actuarial field ** Compliance & Regulatory Responsibilities: N/A** **License/Certification: NA** WE ARE AN EQUAL… more
- Sutter Health (Sacramento, CA)
- …and coding. + Working knowledge of relevant federal and state regulations, Medicare and Medicaid guidelines and compliance issues. + Time management ... outpatient medical coding and documentation through coaching, training, and monitoring of clinicians. Monitors training success through encounter audits and… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …* Oversees the determination of standard fees and maintains procedures for monitoring reimbursement compliance with payer contracts. * Monitors insurance company ... payment policies for changes that impact reimbursement. * Ensures compliance with Federal and State regulations and company policies that govern Medicare and… more