- 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 (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... more
- TEKsystems (Montgomery, AL)
- …requirements. To support this effort, the AMA is seeking an experienced Business Analyst to be a member of the Medicaid Enterprise Systems (MES) team. The ... more
- Humana (Boise, ID)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... 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
- 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
- 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
- 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 ... 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
- DATAMAXIS (IL)
- The Business /Data Analyst will perform business and data analysis tasks daily. Functions will include analysis, planning, assisting in managing project ... 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
- 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
- AdventHealth (Maitland, FL)
- …Compliance Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid , Tricare) payer reimbursement language and methodologies. The ... more
- Baptist Memorial (Memphis, TN)
- …Nursing. Training Description Minimum Required Preferred/Desired Working knowledge of current medicare , medicaid , and other regulatory IPPS/OPPS guidelines 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 ... more
- HCA Healthcare (Brentwood, TN)
- …discrepancies in the Managed Commercial, Exchange, Managed Medicare and Managed Medicaid books of business that consists of 3700 contracts and generating ... more
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