- Cleveland Clinic (Independence, OH)
- Financial Analyst III - Medicare / Medicaid Reimbursement Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide ... most respected healthcare organizations in the world. The Financial Analyst III provides Financial or Revenue Cycle Management (RCM)...analysis and report preparation. + Can prepare and file Medicare and Medicaid cost reports on a… more
- AdventHealth (Altamonte Springs, FL)
- …Manager with the preparation of work papers for the filing of the annual Medicare , Medicaid , and Champus/Tricare cost reports, audit preparation and other cost ... and submission of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for the Adventist Health System's… more
- TEKsystems (Montgomery, AL)
- …of healthcare payer data analysis experience with one or more of the following: Medicaid data, Medicare data, Healthcare Exchange data or Commercial payer data * ... have or the challenges you'll encounter. As a Data Analyst within the Enterprise Data Services (EDS) team, you...Knowledge of state federal reporting requirements for Centers for Medicare and Medicaid Services (CMS) Additional Skills… more
- Elevance Health (St. Louis, MO)
- …would provide an equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is ... Elevance Health PulsePoint locations. **Preferred Location: Indianapolis, IN.** The **Actuarial Analyst III** will complete very diverse and complicated projects and… more
- Healthfirst (NY)
- …in a health care delivery system or a health insurance company + Knowledge of Medicare and Medicaid programs, health care, and managed care + Python skills with ... ability to create automated data pulls and manipulations WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender… more
- State of Georgia (Fulton County, GA)
- …+ Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs. + Works with investigative team to ... Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible ... research, as necessary on all new and revised coding logic, related Medicare / Medicaid policies for review/approval through the Payment Integrity governance… more
- Delta Dental of Iowa (Johnston, IA)
- …reporting to manage key contract deliverables and program oversight related to our Medicaid and Medicare Advantage business. You will compile data from multiple ... Advantage data submission and Audits to ensure compliance. + Participate in all Medicaid and Medicare Advantage audits and present and defend data provided. +… more
- CommonSpirit Health (Englewood, CO)
- …reimbursement services of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal regulations. The Sr. ... Managers and/or Directors. Accountabilities: 1. Prepares interim and annual cost reports for Medicare , Medicaid and other State or Federal agencies for Dignity… more
- TEKsystems (Honolulu, HI)
- ALOHA, Seeking a Medicare Analyst with a Data and Business Analyst experience | Full-time, contract to hire | Monday to Friday, 8:00 am- 5:00 pm HST | Remote ... (nice to have). Qualifications: - Experience as a Business/Data Analyst in the healthcare industry. - Strong proficiency in...SQL for data analysis (preferred). - In-depth knowledge of Medicare claims processing ( Medicaid is nice to… more
- Humana (Columbus, OH)
- …Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid , achieve their best possible ... and help us put health first** The Compliance (UM) Analyst / Professional 2 conducts and summarizes compliance audits. The...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- MyFlorida (Chattahoochee, FL)
- …investigation, fact finding research and reporting of various information, understanding Medicare / Medicaid practices and policy. Must be proficient in Excel ... OPERATIONS ANALYST II - 60007037 Date: Nov 19, 2024...but not limited to financial reports, billing information including Medicare / Medicaid programs, information pertaining to contracts, clinics,… more
- American Institutes for Research (Chapel Hill, NC)
- …assistance, and operations projects funded by Federal Agencies (such as Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control ... **Overview** Join AIR as a **Data Analyst ** with ourHealth (https://www.air.org/our-work/health) team. Our Health team...members on various tasks including querying large datasets including Medicare , Medicaid , and commercial payer claims data,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …in statistical or data analysis. . Health plan experience preferred. . Medicare or Medicaid managed care experience preferred. **Professional Certification(s):** ... **_The_** **_Government Data Analyst III_** **_position allows you the flexibility to...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Kepro (Albany, NY)
- …+ Minimum 5+ years of experience on large complex project Domain knowledge of Medicare Medicaid and/or healthcare verticals. + Minimum 5+ years of business ... in Albany NY Acentra is looking for a Business Analyst Manager to join our growing team. Job Summary:...experience in Healthcare Domain knowledge with good knowledge on Medicare / Medicaid - Provider Management and Enrollment System… more
- Elevance Health (Altamonte Springs, FL)
- …Pull and maintain credentialing documents for payor applications. + Knowledge of Medicaid , Medicare , Managedcare and PBM providers. + Additional responsibilities ... support throughout the consumer's treatment journey._ **Title** : Pharmacy Credentialing Analyst **Location** - Monday - Friday ONSITE at **380 Northlake Blvd,… more
- New York State Civil Service (New York, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining ... People With Developmental Disabilities, Office for Title Standards Compliance Analyst 1 Developmental Disabilities (NY HELPS) Occupational Category Health Care,… more
- Penn State Health (Hershey, PA)
- …core areas: Revenue and Reimbursement; General Accounting; Third Party Contracting; Medicare / Medicaid Cost Reports; Financial and Statistical Reporting. ... coordination with other finance teams. + Prepares key data for inclusion in the Medicare / Medicaid Cost Report; Builds ad hoc reports utilizing Cerner, Qlik, and… more
- WellSense (Boston, MA)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ... Jiva Applications Analyst III WellSense Health Plan is a nonprofit...than 740,000 members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans.… more
- BayCare Health System (Clearwater, FL)
- …+ This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual ... responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility while… more