- AdventHealth (Altamonte Springs, FL)
- …Manager with the preparation of work papers for the filing of the annual Medicare , Medicaid , and Champus/Tricare cost reports, audit preparation and other cost ... and submission of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for the Adventist Health System's… more
- Carle (Urbana, IL)
- Medicare Compliance Analyst + Department: HA - Compliance & Risk Mgmt + Entity: Health Alliance + Job Category: Professional + Employment Type: Full - Time + Job ... No Email a Friend Save Save Apply Now Position Summary: The Medicare Compliance Analyst is responsible for understanding, researching, interpreting,… more
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... data management and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS). **SALARY (BASED… more
- Kepro (GA)
- …of the importance of data governance and data quality. Preferred Qualifications/Experience: + Analyst experience in Medicare , Medicaid or Heath care ... up to 25% travel*. Job Responsibilities: + Translate your deep experience in Medicaid Health Care from current customers and future customers to software solutions.… 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
- Waystar (Duluth, GA)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... **ABOUT THIS POSITION** The Technical Support Analyst is responsible for providing superior support to our clients with the highest degree of care and client… 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 ... ability to create automated data pulls and manipulations WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender… more
- State of Georgia (Fulton County, GA)
- …+ Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs. + Works with investigative team to ... Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot… 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 (Detroit, MI)
- …with the advocacy they deserve. Currently BeneLynk serves clients representing 12 million Medicare / Medicaid lives in every state in the USA. The Jr. Business ... team to design, develop, test, validate, deploy, monitor, and manage BeneLynk's Medicare and Medicaid benefits solutions/services being released to the industry.… more
- MyFlorida (Tallahassee, FL)
- …state statutes, administrative rules, health care and relevant industry trends, Medicare policies, national Medicaid -related research and demonstration projects, ... 68064814 - GOVERNMENT ANALYST II Date: Sep 20, 2024 The State...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- Delta Dental of Iowa (Johnston, IA)
- …reporting to manage key contract deliverables and program oversight related to our Medicaid and Medicare Advantage business. You will compile data from multiple ... Advantage data submission and Audits to ensure compliance. + Participate in all Medicaid and Medicare Advantage audits and present and defend data provided. +… 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. ... Managers and/or Directors. Accountabilities: 1. Prepares interim and annual cost reports for Medicare , Medicaid and other State or Federal agencies for Dignity… more
- Sanford Health (SD)
- …and support to all operating segments across Sanford. Responsible to review Medicare / Medicaid documentation to assist nursing centers in completing minimum data ... set (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement. Works with executive leadership, administrators, and facility… more
- BeneLynk (Sunrise, FL)
- …with the advocacy they deserve. Currently BeneLynk serves clients representing 12 million Medicare / Medicaid lives in every state in the USA. Business analysts ... to thrive in their ability to assist others. BUSINESS ANALYST POSITION SUMMARY BeneLynk, a leading national provider in...+ Experience in relevant fields including health plan systems, Medicare , and Medicaid benefits and/or SDoH database… more
- Advanced Systems Design (Montgomery, AL)
- …please do not respond.) + 5 years of experience in MMIS or domain knowledge of Medicare , Medicaid , or with a major healthcare payer + 2 years of experience with ... Advanced Systems Design is seeking a Senior Business Analyst for our client located in Montgomery, AL....years of experience in MMIS or domain knowledge of Medicare , Medicaid , or with a major healthcare… more
- American Institutes for Research (Chapel Hill, NC)
- …assistance, and operations projects funded by Federal Agencies (such as Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control ... **Overview** Join AIR as a **Data Analyst ** with ourHealth (https://www.air.org/our-work/health) team. Our Health team...members on various tasks including querying large datasets including Medicare , Medicaid , and commercial payer claims data,… more
- Kepro (Albany, NY)
- …+ Minimum 5+ years of experience on large complex project Domain knowledge of Medicare Medicaid and/or healthcare verticals. + Minimum 5+ years of business ... in Albany NY Acentra is looking for a Business Analyst Manager to join our growing team. Job Summary:...experience in Healthcare Domain knowledge with good knowledge on Medicare / Medicaid - Provider Management and Enrollment System… 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
- 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
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