• Bilingual (Spanish) Business Process…

    Serco (VA)
    …for CMS (Centers of Medicare and Medicaid Services). The Bilingual Business Process Analyst II will support the product line by providing research and ... can make a difference every day?Serco is seeking a detail-oriented Bilingual Business Process Analyst II to join our talented, dynamic product team to perform… more
    Serco (10/30/24)
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  • Medicare Compliance Analyst

    Carle (Urbana, IL)
    Medicare Compliance Analyst + Department: HA -...and Medicaid Services (CMS) related to the Medicare line of business . This position is responsible ... No 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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  • BSWHP - Tx Medicaid Encounter…

    Baylor Scott & White Health (Columbus, OH)
    …paced environment independently and with cross functional groups. + Knowledge of ACA, Medicare , Medicaid , MCO, TPA business requirements preferred. + ... **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter ...and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health… more
    Baylor Scott & White Health (11/06/24)
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  • Actuarial Analyst III - Medicare

    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
    Elevance Health (10/30/24)
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  • Analyst , Medicare Sales…

    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
    Healthfirst (11/07/24)
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  • Jr. Business and Workflow Analyst

    BeneLynk (Detroit, MI)
    …conjunction with BeneLynk's Manager of Business Analysis, Quality Assurance, the Sr. Business Analyst - Quality Assurance, and the Engineering (ENG) team to ... they deserve. Currently BeneLynk serves clients representing 12 million Medicare / Medicaid lives in every state in the... Business Analysis, Quality Assurance and the Sr. Business Analyst - Quality Assurance regarding QA/UAT… more
    BeneLynk (11/08/24)
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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 ... research, as necessary on all new and revised coding logic, related Medicare / Medicaid policies for review/approval through the Payment Integrity governance… more
    Commonwealth Care Alliance (10/17/24)
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  • Business Analyst

    BeneLynk (Sunrise, FL)
    …environment for our employees to thrive in their ability to assist others. BUSINESS ANALYST POSITION SUMMARY BeneLynk, a leading national provider in identifying ... to lead healthier lives, is seeking to hire a Business Analyst to join the Product Management...they deserve. Currently BeneLynk serves clients representing 12 million Medicare / Medicaid lives in every state in the… more
    BeneLynk (11/08/24)
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  • Senior Business Analyst

    Advanced Systems Design (Montgomery, AL)
    Advanced Systems Design is seeking a Senior Business Analyst for our client located in Montgomery, AL. This position is onsite in Montgomery, AL, and requires ... in-person availability starting day 1. Job Overview: + The Business Analyst will be working collaboratively with...years of experience in MMIS or domain knowledge of Medicare , Medicaid , or with a major healthcare… more
    Advanced Systems Design (10/23/24)
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  • Business Analyst Manager

    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 (10/11/24)
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  • Business Analyst (Hybrid Work…

    TEKsystems (Seattle, WA)
    **Healthcare Business Analyst / Hybrid Work Schedule / (6 Month Contract)** **Must reside in the greater Seattle, WA area** Top Required Skills + Must reside in ... to work a hybrid schedule + Healthcare environment experience. Medicaid , Medicare , and other health care industry...+ The company is looking to bring on a Business Analyst for a contract to hire… more
    TEKsystems (11/07/24)
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  • Business Analyst , Sr.

    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
    Kepro (10/10/24)
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  • Associate Data Analyst - Government…

    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
    Delta Dental of Iowa (10/30/24)
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  • Sr Reimbursement Analyst

    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
    CommonSpirit Health (10/16/24)
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  • Lead Business Analyst

    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
    Prime Therapeutics (09/15/24)
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  • Provider Network Senior Data Reporting…

    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
    Humana (10/31/24)
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  • Business Analyst , Senior

    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
    Kepro (10/21/24)
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  • Senior Health Care Fiscal Analyst / Trainee…

    New York State Civil Service (Albany, NY)
    …staff, DFA Deputy Director, Division of Budget, and the Federal Centers for Medicare & Medicaid Services (CMS).* Ensure rate methodologies are accurately updated ... Addiction Services and Supports, Office of Title Senior Health Care Fiscal Analyst / Trainee (NY HELPS ) Occupational Category Financial, Accounting, Auditing Salary… more
    New York State Civil Service (10/29/24)
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  • Pharmacy Credentialing Analyst - BioPlus…

    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
    Elevance Health (10/26/24)
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  • Jiva Applications Analyst III

    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
    WellSense (10/11/24)
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