• Medicare Compliance Analyst

    Carle (Urbana, IL)
    Medicare Compliance Analyst - HYBRID + Department: HA - Compliance & Risk Mgmt + Entity: Health Alliance + Job Category: Professional + Employment ... Email a Friend Save Save Apply Now Position Summary: The Medicare Compliance Analyst is responsible for understanding, researching, interpreting,… more
    Carle (10/23/24)
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  • Medicare Provider Performance Enablement…

    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...+ Developing time and cost effective territory management in compliance with department and enterprise goals. + Understanding, developing,… more
    The Cigna Group (10/26/24)
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  • Medicare Provider Performance Enablement…

    The Cigna Group (Sunrise, FL)
    …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities ... **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market...leadership + Developing time and cost-effective territory management in compliance with department and enterprise goals. + Understanding, developing,… more
    The Cigna Group (10/03/24)
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  • Medicare Provider Performance Enablement…

    The Cigna Group (Denver, CO)
    …conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's responsibilities include: + ... leadership + Developing time and cost-effective territory management in compliance with department and enterprise goals. + Understanding,developing,tracking,monitoringandreportingonkeyprogramperformance metrics,… more
    The Cigna Group (08/24/24)
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  • Compliance Analyst I - Remote…

    University of Rochester (Rochester, NY)
    Responsibilities **Position Summary:** **This position oversees outpatient Medicare , Medicaid and third-party payor audits, and directs all responses to assure ... for all internal and external sources regarding routine audits, including Medicare and Medicaid credit balance quarterly audits, audits obtained from the… more
    University of Rochester (09/25/24)
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  • Affordability Data Science Analyst

    State of Colorado (Denver, CO)
    Affordability Data Science Analyst (Statistical Analyst II): DORA/Division of Insurance - Hybrid Print ... Apply  Affordability Data Science Analyst (Statistical Analyst II): DORA/Division of Insurance - Hybrid ...set commensurate with the successful candidate's qualifications and in compliance with the Equal Pay for Equal Work Act.… more
    State of Colorado (10/21/24)
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  • Accounting & Reporting Analyst

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Accounting and Reporting Analyst position is responsible for identifying and compiling information for various governmental reports, ... including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal...and account analysis. **This role will start as a hybrid position with in-office location at our Greenbriar facility:**… more
    Houston Methodist (08/24/24)
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  • Reimbursement Analyst - Hybrid 150…

    Mount Sinai Health System (New York, NY)
    **Job Description** Reimbursement Analyst - Hybrid 150 East 42nd Street The Reimbursement Analyst initiates systems to capture all inpatient and outpatient ... outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications**… more
    Mount Sinai Health System (08/29/24)
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  • Reimbursement (Supply) -Chargemaster…

    Mount Sinai Health System (New York, NY)
    **Job Description** Reimbursement (Supply) -Chargemaster Analyst Hybrid 150 East 42nd Stret The Reimbursement and Chargemaster Analyst is responsible for ... charge description master including updates, setting new charges, reviewing for compliance , and making recommendations for optimizing reimbursement as well as… more
    Mount Sinai Health System (08/08/24)
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  • Clinical Documentation Integrity Educator/…

    Marshfield Clinic (Marshfield, WI)
    …missions in the world!** **Job Title:** Clinical Documentation Integrity Educator/ Analyst (Wisconsin Remote/ Hybrid ) **Cost Center:** 101651052 HIM-Clinical Doc ... experience NEEDED TO APPLY** **JOB SUMMARY** The Clinical Documentation Integrity (CDI) Educator/ Analyst is a CDI professional with a broad clinical knowledge base… more
    Marshfield Clinic (08/15/24)
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  • Coder/ Analyst - Hybrid Schedule

    Chapa-De (Auburn, CA)
    …- $30.70 per hour. Schedule: 24 hours a week, days/hours flexible ( Hybrid schedule opportunity once training is complete) Benefit Highlights: + Health Insurance ... 6% match + Fantastic work/life balance and opportunities for career advancement The Coder/ Analyst must have the ability to perform ICD-10 and CPT coding per… more
    Chapa-De (10/13/24)
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  • Clinical Nurse Analyst - Quality…

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... general direction of the Senior Manager, Clinical Quality, the clinical nurse analyst is responsible for developing and implementing the assigned quality improvement… more
    Fallon Health (08/28/24)
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  • Hybrid - Patient Account Analyst II-…

    Trinity Health (Columbus, OH)
    **Employment Type:** Full time **Shift:** **Description:** Patient Account Analyst II At Mount Carmel, we work to continuously inspire one another. Here, all are ... (https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and… more
    Trinity Health (10/08/24)
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  • Actuarial Analyst 2, Risk…

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Actuarial Analyst 2, Risk and Compliance supports the overall management and oversight of ... develops and recommends controls and cost-effective approaches to minimize risks. The Actuarial Analyst 2, Risk and Compliance work assignments are varied and… more
    Humana (10/12/24)
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  • Health Information Management Analyst II…

    University of Michigan (Ann Arbor, MI)
    HEALTH INFORMATION MANAGEMENT ANALYST II - HEALTH RECORD COMPLIANCE DEFICIENCY MANAGEMENT Apply Now **Job Summary** To assist physicians and other clinicians ... **Job Detail** **Job Opening ID** 253693 **Working Title** HEALTH INFORMATION MANAGEMENT ANALYST II - HEALTH RECORD COMPLIANCE DEFICIENCY MANAGEMENT **Job… more
    University of Michigan (10/16/24)
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  • Benefits Analyst

    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 ... either the New York or Washington, DC office with hybrid work capabilities and will be responsible for the...changes; and communication and carrier liaison duties. The Benefits Analyst is expected to perform all responsibilities with a… more
    Akin Gump Strauss Hauer & Feld LLP (09/07/24)
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  • Business Analyst III- Pharmacy Claims/Query…

    Elevance Health (Morristown, NJ)
    **Business Analyst III** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles from one of ... strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Business Analyst III** is responsible for serving as the liaison between the… more
    Elevance Health (10/15/24)
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  • Clinical Info Analyst Inter

    University of Michigan (Ann Arbor, MI)
    Clinical Info Analyst Inter Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... and exchange match grant from the US Centers for Medicare and Medicaid Services (CMS), supports the Michigan Department...Equity (PHE) and Obstetrics Initiative (OBI) teams are a hybrid workforce. Remote work is supported and expected as… more
    University of Michigan (10/23/24)
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  • Budget/Fiscal Analyst (Fixed…

    University of Washington (Seattle, WA)
    …of Washington (UW) is seeking a** **_Temporary_** **,** **_Full-Time_** **Budget/Fiscal Analyst ** **, based at the Fred Hutchinson Cancer Center (FHCC) for ... in clinical research coordination, revenue cycle development, budgeting, billing compliance , and regulations. This position reports to the Program Operations… more
    University of Washington (08/13/24)
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  • Pharmacy Credentialing Analyst - BioPlus…

    Elevance Health (Altamonte Springs, FL)
    …support throughout the consumer's treatment journey._ **Title** : Pharmacy Credentialing Analyst **Location** - Monday - Friday ONSITE at **380 Northlake Blvd, ... **Build the Possibilities. Make an Extraordinary Impact.** The **Pharmacy Credentialing Analyst ** is responsible for accurate and prompt credentialing for health… more
    Elevance Health (10/26/24)
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