- Serco (VA)
- …for CMS (Centers of Medicare and Medicaid Services). The Bilingual Business Process Analyst II will support the product line by providing research and ... can make a difference every day?Serco is seeking a detail-oriented Bilingual Business Process Analyst II to join our talented, dynamic product team to perform… more
- Baylor Scott & White Health (Columbus, OH)
- …paced environment independently and with cross functional groups. + Knowledge of ACA, Medicare , Medicaid , MCO, TPA business requirements preferred. + ... **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter ...and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health… 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 ... and oral and written communication skills with the ability to translate data to business insights (in other words, you are an analytic storyteller) + Team player who… more
- BeneLynk (Detroit, MI)
- …conjunction with BeneLynk's Manager of Business Analysis, Quality Assurance, the Sr. Business Analyst - Quality Assurance, and the Engineering (ENG) team to ... they deserve. Currently BeneLynk serves clients representing 12 million Medicare / Medicaid lives in every state in the... Business Analysis, Quality Assurance and the Sr. Business Analyst - Quality Assurance regarding QA/UAT… 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
- BeneLynk (Sunrise, FL)
- …environment for our employees to thrive in their ability to assist others. BUSINESS ANALYST POSITION SUMMARY BeneLynk, a leading national provider in identifying ... to lead healthier lives, is seeking to hire a Business Analyst to join the Product Management...they deserve. Currently BeneLynk serves clients representing 12 million Medicare / Medicaid lives in every state in the… more
- TEKsystems (Seattle, WA)
- **Healthcare Business Analyst / Hybrid Work Schedule / (6 Month Contract)** **Must reside in the greater Seattle, WA area** Top Required Skills + Must reside in ... to work a hybrid schedule + Healthcare environment experience. Medicaid , Medicare , and other health care industry...+ The company is looking to bring on a Business Analyst for a contract to hire… more
- Delta Dental of Iowa (Johnston, IA)
- …measure reporting to manage key contract deliverables and program oversight related to our Medicaid and Medicare Advantage business . You will compile data ... Associate Data Analyst - Government Programs Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply...and other initiatives for both Medicaid and Medicare Advantage. + Analyze data to derive business… 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. ... Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs. The...Accountabilities: 1. Prepares interim and annual cost reports for Medicare , Medicaid and other State or Federal… more
- Prime Therapeutics (Glen Allen, VA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst ... organization objectives by acting as the bridge between the business systems analyst team, business ...Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid , the Exchanges along with regulatory… more
- TEKsystems (Minneapolis, MN)
- …for creating and managing data extracts and performing Encounter Data submissions for Medicare , Medicaid , and ACA Commercial programs on an agreed upon schedule. ... Please make sure candidates possess strong knowledge of CMS (The Centers for Medicare & Medicaid Services) rules and regulations for Risk Adjustment submissions,… 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 ... us put health first** The Senior Data and Reporting Analyst / Professional generates ad hoc reports and regular...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- New York State Civil Service (Albany, NY)
- …staff, DFA Deputy Director, Division of Budget, and the Federal Centers for Medicare & Medicaid Services (CMS).* Ensure rate methodologies are accurately updated ... Addiction Services and Supports, Office of Title Senior Health Care Fiscal Analyst / Trainee (NY HELPS ) Occupational Category Financial, Accounting, Auditing Salary… 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
- WellSense (Boston, MA)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ... requirements, completing required configurations, and collaborating with key IT and business representatives. The Applications Analyst III is the primary… more
- General Dynamics Information Technology (Fairfax, VA)
- …NEED TO SUCCEED:** + BA/BS (or equivalent experience) + 5+ years of Business Analyst experience in a CMS (Center for Medicare & Medicaid Services) ... years of related experience **Job Description:** GDIT is seeking an experienced ** Business Analyst ** to work in a dynamic agile team environment. The desired… more
- State of Minnesota (St. Paul, MN)
- …care organization, or state or federal government agency on issues related to Medicare or Medicaid eligibility and enrollment. + Variety of experiences working ... **Working Title: Health Care Eligibility Policy Analyst ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 81261… more
- Houston Methodist (Houston, TX)
- …responsible for identifying and compiling information for various governmental reports, including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal ... ESSENTIAL FUNCTIONS** + Assists in researching government regulations (ie Centers for Medicare and Medicaid Services (CMS), Internal Revenue Service (IRS),… 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