- AdventHealth (Altamonte Springs, FL)
- …FL; Hybrid- Monday, Wednesday and Thursday onsite **The role you'll contribute:** The Reimbursement Analyst is responsible for assisting the Reimbursement ... balances of Adventist Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- AdventHealth (Altamonte Springs, FL)
- …Location** : Hybrid; Altamonte Springs, FL **The role you'll contribute:** The Senior Reimbursement Analyst is responsible for preparing and filing the annual ... third party balances of AdventHealth + Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare and Medicaid… more
- Vanderbilt University Medical Center (Nashville, TN)
- …reporting and trend analysis. Supports preparation and detail analytics associated with Medicare reimbursement including: + Preparation of the annual cost ... Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial...support and perform analyses of financial matters related to reimbursement , net revenue and Medicare cost reporting.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product ... Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in the building of plan...fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Implements and manages ... the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare Advantage… 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...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- The Cigna Group (Denver, CO)
- **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for ... Medicare Strategic Analytics. Reporting to the Manager of Care...to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes associated… more
- The Cigna Group (Bloomfield, CT)
- …or equivalent work experience + 2+ years experience and knowledge of value-based reimbursement structures and payment methodologies for Medicare required + An ... The National Value-Based Partnerships Senior Analyst position is an integral member of the...in class end-to-end administration of contract operations for Cigna Medicare 's most advanced value-based provider partnerships and health systems.… more
- The Cigna Group (Franklin, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... to improve clinical programs, customer value, growth, and retention for Cigna Medicare . This role will help us accomplish this through data science, strategic… more
- The Cigna Group (Philadelphia, PA)
- Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense analyses and projections, financial forecasts, ... Medicare Part C bid development, regulatory (CMS) filings, actuarial...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- The Cigna Group (Plano, TX)
- **Summary** The Business Analytics Lead Analyst will be an individual contributor responsible for supporting the analytics strategy for Medicare Health Services, ... health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time off per year and paid… more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs ... required * Five or more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5 years of experience with Encounter… more
- The Cigna Group (Bloomfield, CT)
- …goals, and service levels * Proficient knowledge of policies and procedures, Medicare , HIPPA and NCQA standards; * Professional demeanor and the ability to ... health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time off per year and paid… more
- The Cigna Group (Bloomfield, CT)
- …goals, and service levels + Proficient knowledge of policies and procedures, Medicare , HIPPA and NCQA standards; + Professional demeanor and the ability to ... health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time off per year and paid… more
- Medical Mutual of Ohio (OH)
- … Medicare Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned ... toward alternative payment models. . Performs other duties as assigned. **Provider Reimbursement Analyst III** Under general to limited supervision, supports… more
- CommonSpirit Health (Englewood, CO)
- …inside our hospitals and out in the community. **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, ... of Medicare , Medicaid and other State and Federal regulations. The Sr. Reimbursement Analyst interacts with customers and ensures value is delivered and… more
- BayCare Health System (Clearwater, FL)
- …dignity, respect, responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of ... working remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst **Location** Clearwater:BayCare Sys Office West… more
- Sanford Health (SD)
- …minimum data set (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement . Works with executive leadership, administrators, ... training materials for MDS training sessions. Assures that facilities follow Medicare /Medicaid regulatory guidelines related to reimbursement and MDS submission… more
- WellSpan Health (York, PA)
- Reimbursement Analyst Senior Day Financial Operations Location: WellSpan Health, York, PA Schedule: Full Time Hours: M-F Day Full Time: 40 hours/week General ... entries using the Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental … more
- Avera (Sioux Falls, SD)
- …Sign-On Bonus and Relocation Assistance! **Job Summary** + The Reimbursement Analyst assists with the preparation of Medicare , Medicaid, and Tricare cost ... and opportunities for career growth. **Join Avera as a Reimbursement Analyst and join a mission driven...Analytics software (RCA). + Assist with the preparation of Medicare and Medicaid 3rd Party Settlement Reserves analysis for… more