- Cleveland Clinic (Independence, OH)
- Financial Analyst III - Medicare / Medicaid Reimbursement Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide ... most respected healthcare organizations in the world. The Financial Analyst III provides Financial or Revenue Cycle Management (RCM)...analysis and report preparation. + Can prepare and file Medicare and Medicaid cost reports on a… more
- TEKsystems (Montgomery, AL)
- …of healthcare payer data analysis experience with one or more of the following: Medicaid data, Medicare data, Healthcare Exchange data or Commercial payer data * ... Growing together. About the Role: As a Fortune 5 business , we're one of the world's leading healthcare companies....Knowledge of state federal reporting requirements for Centers for Medicare and Medicaid Services (CMS) Additional Skills… 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
- 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 ... and oral and written communication skills with the ability to translate data to business insights (in other words, you are an analytic storyteller) + Team player who… 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
- TEKsystems (Honolulu, HI)
- ALOHA, Seeking a Medicare Analyst with a Data and Business Analyst experience | Full-time, contract to hire | Monday to Friday, 8:00 am- 5:00 pm HST | ... manipulation (nice to have). Qualifications: - Experience as a Business /Data Analyst in the healthcare industry. -...SQL for data analysis (preferred). - In-depth knowledge of Medicare claims processing ( Medicaid is nice to… more
- Kepro (Albany, NY)
- …public sector. This is a hybrid role based in Albany NY Acentra is looking for a Business Analyst Manager to join our growing team. Job Summary: Business ... Analyst Manager is responsible for leading team of Business Analyst in analyzing business ...of experience on large complex project Domain knowledge of Medicare Medicaid and/or healthcare verticals. + Minimum… more
- Kepro (Albany, NY)
- …experience on large complex projects. + You have a Medicaid / Medicare (healthcare) background. + You have Business Analysis Process (SDLC, documentation ... the public sector. Acentra is looking for a Senior Business Analyst to join our growing team....experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals. + Strong… more
- Delta Dental of Iowa (Johnston, IA)
- …measure reporting to manage key contract deliverables and program oversight related to our Medicaid and Medicare Advantage business . You will compile data ... Associate Data Analyst - Government Programs Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply...and other initiatives for both Medicaid and Medicare Advantage. + Analyze data to derive business… more
- Prime Therapeutics (Glen Allen, VA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst ... organization objectives by acting as the bridge between the business systems analyst team, business ...Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid , the Exchanges along with regulatory… 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. ... Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs. The...Accountabilities: 1. Prepares interim and annual cost reports for Medicare , Medicaid and other State or Federal… 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 ... and help us put health first** The Compliance (UM) Analyst / Professional 2 conducts and summarizes compliance audits. The...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …in statistical or data analysis. . Health plan experience preferred. . Medicare or Medicaid managed care experience preferred. **Professional Certification(s):** ... **_The_** **_Government Data Analyst III_** **_position allows you the flexibility to...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Insight Global (Coraopolis, PA)
- Job Description Insight Global is seeking Business Support Analyst to join a large health insurance client of ours. This team member will be responsible for ... premium, medical claims, pharmacy claims, and providers for both Medicare and IFP lines of business . This...experience working with large, complex ecosystems Experience in a Medicare or Medicaid space or environment Experience… more
- Kepro (GA)
- …being a vital partner for health solutions in the public sector. Acentra seeks a Senior Business Analyst to join our growing team. Job Summary: The role of the ... Senior Business Analyst is responsible for analyzing ...experience on large complex project and domain knowledge of Medicare Medicaid and/or healthcare verticals. + Experience… 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
- WellSense (Boston, MA)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ... requirements, completing required configurations, and collaborating with key IT and business representatives. The Applications Analyst III is the primary… more
- Elevance Health (Columbus, OH)
- …knowledge is strongly preferred. + Experience working in Medicaid Line of Business is strongly preferred (Commercial & Medicare experience is a plus). + ... **PBM Clinical/Benefit Testing Analyst III ( Business Analyst ...4+ years of experience in the US Healthcare domain (Commercial/ Medicaid / Medicare ) supporting pharmacy including claims processing and… more
- Houston Methodist (Houston, TX)
- …responsible for identifying and compiling information for various governmental reports, including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal ... ESSENTIAL FUNCTIONS** + Assists in researching government regulations (ie Centers for Medicare and Medicaid Services (CMS), Internal Revenue Service (IRS),… more
- Penn State Health (Hershey, PA)
- …core areas: Revenue and Reimbursement; General Accounting; Third Party Contracting; Medicare / Medicaid Cost Reports; Financial and Statistical Reporting. ... coordination with other finance teams. + Prepares key data for inclusion in the Medicare / Medicaid Cost Report; Builds ad hoc reports utilizing Cerner, Qlik, and… more
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