• Risk Adjustment Encounters Analyst

    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
    Elevance Health (03/04/25)
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  • Sr Analyst , Business - Member Enrollment…

    Molina Healthcare (Columbus, OH)
    …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... more
    Molina Healthcare (03/13/25)
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  • Medicaid Business Analyst *Must…

    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
    TEKsystems (03/13/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Columbus, OH)
    **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
    Humana (03/04/25)
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  • Analyst - Medicaid Supplemental…

    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
    Baptist Memorial (02/20/25)
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  • Medicaid Reporting and Data Analyst

    Humana (Columbus, OH)
    …independent determination of the appropriate courses of action. **Job Description** The Medicaid Data and Reporting Analyst integrates data from multiple sources ... more
    Humana (03/13/25)
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  • Medicare Regulatory Pricer Analyst

    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
    Zelis (02/01/25)
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  • Actuarial Analyst III - Medicare

    Elevance Health (Richmond, VA)
    …would provide an equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is ... more
    Elevance Health (03/15/25)
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  • SR Reimbursement Analyst

    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
    Methodist Health System (02/21/25)
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  • Investigative Auditor - Medicaid Fraud

    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
    State of Georgia (01/29/25)
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  • Finance Reimbursement Analyst

    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
    AdventHealth (01/23/25)
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  • Healthcare Medical Claims Coding Sr.…

    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
    Commonwealth Care Alliance (03/04/25)
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  • Sr Reimbursement Analyst

    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
    CommonSpirit Health (01/31/25)
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  • Senior Management Analyst II - SES

    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 (03/15/25)
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  • Medical/Health Care Program Analyst

    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
    MyFlorida (03/12/25)
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  • Senior Business Analyst

    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
    Advanced Systems Design (01/27/25)
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  • Sr Reimbursement Analyst

    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
    CommonSpirit Health (01/25/25)
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  • Pro-Fee Compliance Analyst (40 hours/week)

    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
    Penn Medicine (03/04/25)
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  • Standards Compliance Analyst 1…

    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
    New York State Civil Service (03/07/25)
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  • Data Analyst , Senior Professional Research…

    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
    University of Colorado (02/14/25)
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