- Geisinger (Danville, PA)
- …are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate will ... reimbursement regulations. This role requires the ability to analyze financial data , identify trends, and prepare accurate accounting journal entries, ensuring… more
- Humana (Nashville, TN)
- …be a data scientist, financial analyst, economist, or other analytical professional ; though experience in Medicaid or government healthcare programs is ... health outcomes, optimized cost performance and measurable program value across Medicaid . This executive leverages advanced analytical, data science, and… more
- Humana (Baton Rouge, LA)
- …Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing technical financial analysis and data -driven insights to ... in Medicaid claims and premiums. + Deliver project-based and ad-hoc reporting for Medicaid markets; provide insights into membership analysis, provider… more
- Health Care Service Corporation (Richardson, TX)
- …clients., large employers, brokers, or consultants. + 7 years experience requiring data analysis and information reporting relating to healthcare data ... and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for planning, managing and… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... and external SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Financial Reporting Professional 2 ensures all reports and disclosures comply with applicable ... government regulations, professional standards and organization policies. Prepares consolidation journal entries, eliminates intercompany transactions and… more
- Houston Methodist (Houston, TX)
- …reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting , Federal and State Charity Reporting , ... At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist meets all internal and external financial and… more
- Houston Methodist (Houston, TX)
- …and seek maximum reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues ... At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and...to multitask in a fast paced environment + Strong data analytic skills and ability to assess big … more
- Humana (Madison, WI)
- …skills to make an impact** **Required Qualifications** + **Minimum of 2 years' professional experience in Medicaid data management, healthcare operations** + ... Encounter Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting...for ensuring the accurate and timely submission of encounter data to Medicaid , Medicare, and DSNP states,… more
- Volunteers Of America Colorado (Commerce City, CO)
- …we go to lift up and support Colorado's most vulnerable citizens. ** The Senior Data Specialist supports data and reporting functions for the Meals on ... the Serv Tracker database, in addition to any other data or reporting as directed by the...OF POSITION . Experience with aging services, healthcare, or Medicaid -funded programs. . Familiarity with funder reporting … more
- University of Miami (Hialeah, FL)
- …patient safety across the hospital. The incumbent ensures timely and accurate data collection, analysis, and reporting , driving decision-making that enhances ... with The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and other regulatory agencies. + Oversees...for quality management and related activities. Ensures the timely reporting of quality data to appropriate individuals… more
- Datavant (Honolulu, HI)
- …output to enhance productivity and quality, and turn those needs into actionable reporting + Provide real-time data insights to business on-demand through ad-hoc ... Datavant is a data platform company and the world's leader in...problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold… more
- Hackensack Meridian Health (Edison, NJ)
- …is responsible for managing the collection, organization and integrity of clinical data required for quality measure reporting and/or clinical service registry ... resource and serves as the link between quality measures and public reporting objectives and the core technological capabilities the Digital Technology Services… more
- General Dynamics Information Technology (Fairfax, VA)
- …audits of the Medicare Drug Price Negotiation Program. **Responsibilities:** + Performs data analysis, interpretation, and reporting duties. Develops rules and ... Obtain:** None **Public Trust/Other Required:** NACI (T1) **Job Family:** Data Science and Data Engineering **Skills:** ...our team to support the Centers for Medicare & Medicaid Services (CMS) mission to conduct oversight, monitoring, and… more
- Humana (Louisville, KY)
- …processes. This position is responsible for managing and analyzing IT's financial data , ensuring accuracy and completeness across all reporting views. The ... community and help us put health first** The Finance Professional 2 will play a key role in supporting...financial modeling, forecasting, etc) + Proficient in manipulating financial data for analysis and reporting + Intermediate… more
- Waystar (Atlanta, GA)
- …the Sr Manager, Data Science, you will be a technical and operational leader reporting to the VP of Data Science. Your primary responsibility will be to lead ... development of technical documentation and best practices for the data science team. + Support the team's professional...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Humana (Phoenix, AZ)
- …regulatory processes. + Familiarity with payer relations and contract management. + Strong data analysis and reporting skills for program performance metrics. + ... us put health first** The DSNP Senior Provider Engagement Professional plays a critical role in managing operational processes,...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Minimum Data Set (MDS) Nurse Assessment Coordinator is a Registered Nurse accountable for the reporting , billing and documentation related to ... (RAI) process to include the MDS, Care Plans, Medicare and Medicaid reimbursement. Oversees the patient interdisciplinary assessment and care planning process… more
- CVS Health (Richmond, VA)
- …abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with data visualization tools (eg, Tableau, Power BI ... a full time role and is ideal for a data professional with strong coding skills in...to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory & compliance reporting . This is… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- … system applications. + Prepare eligibility decision notices by inputting required data into the corresponding Medicaid application systems, as necessary. + ... data both regionally and statewide. Develop and produce reporting based on appeals data to influence...in lieu of degree. + Minimum two years of professional experience determining Medicaid eligibility. + Minimum… more
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