- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, the Medicare Advantage Premium Billing Analyst plays a vital role in ensuring accurate and ... and resolve payment discrepancies promptly + Understand and contribute to enrollment operations, Medicare membership enrollment , and reconciliation… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager ... candidates residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process...rejections; research return codes and coordinate with IS, claims, enrollment and provider data to enable complete and accurate… more
- Randstad US (Visalia, CA)
- medicare contract analyst . + visalia ,...Analysts near Visalia, CA to provide support during Open Enrollment Season! If you have experience with Medicare ... education: High School Responsibilities + Review and accurately process incoming new Medicare Supplement and Supplemental Health and Life contracts from agents and… more
- The Mount Sinai Health System (New York, NY)
- The Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for contracted FPA providers with ... Medicare and Medicaid. This individual manages all open provider enrollment tasks/ issues to ensure that providers are reimbursed for services provided and… more
- Providence (OR)
- …people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible for developing and ... to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of...pricing outcomes + Analyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Manages a portfolio ... team to identify growth opportunities and implement initiatives to increase plan enrollment . This role will work in a matrixed environment to drive accountability… more
- WellSense (Boston, MA)
- …internal controls of the organization as it relates to core process flows. The Analyst will dissect enrollment , claim and other data and work with operational ... Internal Controls/ Operational Financial Analyst WellSense Health Plan is a nonprofit health...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst Salary $80,824.00 - ... METROLINK Commuter Rail System, is seeking a Senior Management Analyst who will maintain and improve project management practices...you will only be allowed to enroll during Open Enrollment or within 60 days from the date on… more
- Henry Ford Health System (Troy, MI)
- … Advantage, Medicare -Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide root/cause ... analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists,...following established guidelines from: The Center for Medicaid and Medicare Services (CMS), MAXIMUS Federal Services, Department of Labor… more
- Akin Gump Strauss Hauer & Feld LLP (Washington, DC)
- …Europe, Asia and the Middle East. We are currently seeking a Benefits Analyst in the Human Resources department, reporting to the Benefits Manager (Health). The ... benefit-related payroll changes; and communication and carrier liaison duties. The Benefits Analyst is expected to perform all responsibilities with a commitment to… more
- Mathematica (Columbus, OH)
- …Mathematica is searching for a Medicaid Financial Data Analyst with interest in Medicaid policy and programs at ... federal level to support current and emerging analytics work. The Medicaid Financial Data Analyst will likely be connected to 1-3 projects at a time, with many… more
- Commonwealth Care Alliance (Boston, MA)
- …5+ years' experience that has served in multiple roles such as business analyst , programmer, process analyst , project manager, and business consultant. + ... Abilities Required:** + **Market Prominence** Knowledge of MHK's Market Prominence Medicare Advantage Member Management Platform + **Agile Product Owner** Proven… more
- MyFlorida (Fort Pierce, FL)
- HUMAN SERVICES ANALYST - 64006332 Date: Jul 2, 2024 Location: FORT PIERCE, FL, US, 34950 The State Personnel System is an E-Verify employer. For more information ... Requisition No: 832614 Agency: Department of Health Working Title: HUMAN SERVICES ANALYST - 64006332 Pay Plan: Career Service Position Number: 64006332 Salary:… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design and delivery requirements...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment ,… more
- State of Georgia (Fulton County, GA)
- Compliance and Reporting Analyst - State Based Exchange Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/53891/other-jobs-matching/location-only) ... Up for Job Alerts Under general supervision, the Compliance and Reporting Analyst , coordinates the rollout of new or updated reporting requirements and mechanisms… more
- LA Care Health Plan (Los Angeles, CA)
- Lead Systems Configuration Product Analyst Job Category: Information Technology Department: IT Enterprise Data Management Location: Los Angeles, CA, US, 90017 ... to achieve that purpose. Job Summary The Lead Systems Configuration Product Analyst manages the core system application and affiliated products for Configuration.… more
- WCG Clinical (Princeton, NJ)
- CTMS Analyst (Remote) **General Information** **Location:** Princeton, NJ, Remote **Organization:** ThreeWire, Inc. **Job Type:** Full Time - Regular **Description ... $69,840 to $108,500 GPS level: P3 **JOB SUMMARY:** The CTMS Business Analyst is responsible for providing high-quality calendar builds and accurate financial entry… more
- Madison Core Laboratories (AL)
- …News & World Report for 2022-2023. We are recruiting for a Lead Revenue Cycle Analyst for our Revenue Cycle Department. FLSA: Full-Time | Exempt | Salary The Lead ... Revenue Cycle Analyst will have at least 5 years of experience...of experience dealing with all types of payers including Medicare , Medicare Advantage, Medicaid, and Commercial medical… more
- Mathematica (Columbus, OH)
- …of Medicare or Medicaid program and policy issues. * Familiarity with Medicare or Medicaid enrollment , claims, financial, or program data is preferred. * ... Projects may span across several policy and programmatic areas: implementing Medicare alternative payment models, operating peer-to-peer learning systems for … more
- CVS Health (Irving, TX)
- …or other project management software Experience in the healthcare industry with a Medicaid/ Medicare enrollment focus SAFe Agile certification is a plus Project ... health care more personal, convenient and affordable. Position Summary The Senior Analyst , Project Management will support the Medicaid Enrollment teams with… more
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