- Elevance Health (Grand Prairie, TX)
- **Risk Adjustment Encounters Analyst - Medicare / Medicaid ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate ... more
- Molina Healthcare (AZ)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... more
- TEKsystems (Montgomery, AL)
- …and the requirements. To support this effort, the AMA is seeking an experienced Business Analyst to be a member of the Medicaid Enterprise Systems (MES) team. ... more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... more
- Baptist Memorial (Memphis, TN)
- Overview Summary The Analyst - Medicaid Supplemental Program is responsible for providing financial and analytical support for the Corporation through collecting ... more
- Humana (San Juan, PR)
- …independent determination of the appropriate courses of action. **Job Description** The Medicaid Data and Reporting Analyst integrates data from multiple sources ... more
- Zelis (TX)
- Position Overview: The Medicare Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the company's goals by ... more
- Elevance Health (Richmond, VA)
- …would provide an equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is ... more
- Methodist Health System (Dallas, TX)
- …:** 5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the Manager ... 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 ... more
- 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 ... 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 ... more
- CommonSpirit Health (Phoenix, AZ)
- …reimbursement services of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal regulations. The Sr. ... more
- MyFlorida (Tallahassee, FL)
- 68048410 - SENIOR MANAGEMENT ANALYST II - SES Date: Mar 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... more
- MyFlorida (Tallahassee, FL)
- …models for Legislative Planning. Also, coordinate with outside vendors and Centers for Medicare and Medicaid Services (CMS) on audit requests and annual ... more
- Advanced Systems Design (Montgomery, AL)
- …critical for this position.) + 5 years of experience in MMIS or domain knowledge of Medicare , Medicaid or with a major health care payer + 2 years of experience ... more
- CommonSpirit Health (Phoenix, AZ)
- …reimbursement services of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal regulations. The Sr. ... more
- Penn Medicine (Lititz, PA)
- …validate and re mediate problems. + Participate in external audits from the Center of Medicare and Medicaid Services CMS , Recovery Audit Contractors RAC and ... more
- New York State Civil Service (New York, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continuedemployment will depend on maintaining ... more
- University of Colorado (Aurora, CO)
- …research using Cancer Registry (state or SEER) datasets and medical claims (eg, SEER- Medicare , Medicare and/or Medicaid claims, All-Payer Claims Databases) ... more
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