- Molina Healthcare (Columbus, OH)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare… more
- AmeriHealth Caritas (Philadelphia, PA)
- …in data analytics, research, project management, or process improvement. + Familiarity with Medicare , Medicaid , and Affordable Care Act (ACA), or the health ... insurance industry preferred. + Technical experience and understanding of Centers for Medicare & Medicaid Services (CMS) regulatory requirements. + Familiarity… 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
- 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
- Advanced Systems Design (Montgomery, AL)
- Advanced Systems Design is seeking a Business Analyst for our client located in Montgomery, AL. This position is onsite in Montgomery, AL, and requires in-person ... 1. Job Overview: + Our client requires a Senior Business Analyst (SBA) to support their operations....years of experience in MMIS or domain knowledge of Medicare , Medicaid or with a major health… more
- HCA Healthcare (Brentwood, TN)
- …summarize Hospital Trial Balances and compile workpapers necessary in the filing of Medicare , Medicaid and TriCare Cost Reports and assist Reimbursement Managers ... an organization that invests in you as a Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare...and related facilities. + Use HFS for completion of Medicare and Medicaid Cost Reports. + Attend… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …quality ratings across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid ).** **Collaborates with provider engagement and ... quality ratings across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid ).** **Promotes collaboration with provider engagement… 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 (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
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Business Systems Analyst 2 (NYHELPS), Central Office; Occupational Category Other Professional Careers Salary ... Albany State NY Zip Code 12229 Duties Description This Business System Analyst -2 (BSA-2) position will support...to:* Manage systems used to claim a myriad payors ( Medicaid , Medicare , health plans, counties, private pay)… more
- Avera (Sioux Falls, SD)
- …you matter.** **A Brief Overview** Accountable for assisting with the preparation of Medicare , Medicaid , and Tricare cost reports for Avera hospitals, rural ... health clinics and nursing homes. The Analyst assists with net revenue analysis, including the calculation...Cycle Analytics software (RCA). Assist with the preparation of Medicare and Medicaid 3rd Party Settlement Reserves… more
- UNC Health Care (Morrisville, NC)
- …analysis and review, and internal consulting in preparation for filing the annual Medicare , Medicaid , and Champus/Tricare cost reports for UNC Health Care ... members, department heads and senior leaders to furnish the Medicare and/or Medicaid auditors with the supporting...to answer and support their jobs in that the analyst supplies answers to reimbursement questions. Participate in monthly… 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
- CareOregon (Portland, OR)
- …and/or Education Required + 3 years' experience with Medicare and/or Oregon Medicaid + 2 years' experience related to business analysis, process improvement, ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Operations Business Analyst Requisition # 24775 Exemption Status...and PowerPoint + Working knowledge of the Centers of Medicare and Medicaid Services (CMS) guidelines as… 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
- 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
- Takeda Pharmaceuticals (Exton, PA)
- …contract language, which may differ from usual methodology. + Works with Senior Analyst (s) in support of all Commercial and Medicare Part D internal/external ... Price Reporting team. This includes providing detailed reporting to the Centers for Medicaid and Medicare Services (CMS) auditors and/or designees in support of… 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
- BayCare Health System (Clearwater, FL)
- …+ This position is responsible for government payer reimbursement related to Medicare , Medicaid and TRICARE/CHAMPUS, specifically completion of the annual ... remotely?** Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst **Location** Clearwater:BayCare Sys Office West | Business… more
- State of Georgia (Fulton County, GA)
- Enterprise Business Analyst - State Based Exchange Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/64322/other-jobs-matching/location-only) ... for Job Alerts Under general supervision, the Partner Integration Analyst analyzes enterprise-wide customer business needs and...Provides support with implementing changes made by Centers for Medicare and Medicaid Services (CMS) to the… more
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