- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **Job Summary** The Pharmacy 340B Program Analyst is responsible for providing ongoing program development ... knowledge, drug purchasing, inventory processes, monthly reporting and audits, split- billing software maintenance, pharmacy department relationships, dispensing… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Centralized Pharmacy **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** ... will be responsible for managing performance improvement projects involving our Centralized Pharmacy and Hospital Pharmacy departments to increase our efficiency… more
- Nuvance Health (Danbury, CT)
- *Description* Summary The Pharmacy 340B program integrity analyst is responsible for maintenance, compliance, and operations of the 340B program at assigned ... to help maintain compliance and optimal utilization of our 340B enrollment. The Pharmacy 340B program integrity analyst will evaluate the required… more
- Insight Global (Camden, NJ)
- …One of Insight Global's healthcare clients in Camden, NJ is seeking a Revenue Integrity Analyst to join their team. This individual will be responsible for ... process. They will report to the Manager of Revenue Integrity and work with the CDM Analysts for all..., revenue cycle management - Experienced with coding related billing edits (CCI, MUE, LCD/NCD, device to procedure, procedure… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity / CDM Analyst is responsible for performing audits of itemized ... appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity / CDM Analyst works directly with revenue...requests, coding reviews, and denials + Ensure accuracy and integrity of charge data prior to billing … more
- Essentia Health (Superior, WI)
- …including, but not limited to, HRSA/OPA, and state Medicaid. + Maintains relationships, billing services, and compliance with contracted 340B pharmacy PSAs. + ... **Job Description** **Job Description:** The 340B Analyst is a remote position that reports to the Pharmacy Business Services Director. As a member of the 340B… more
- AbbVie (North Chicago, IL)
- …years of experience in the healthcare industry with knowledge in reimbursement, billing , prior authorization, appeals, and specialty pharmacy operations + 1-2 ... Must have a thorough understanding and knowledge of commercial and government pharmacy and medical insurance programs, billing , alternate funding resources,… more
- Roper St. Francis (Charleston, SC)
- …(United States of America) 8:00am-5:00pm **Job Summary** **:** The Pharmacy Analyst 340B is responsible for compliance, program integrity , and financial ... validate, and document completed audits related to program compliance. The Pharmacy Analyst will ensure program management and coordination, configuration,… more
- Penn Medicine (Bala Cynwyd, PA)
- …future each day. Are you living your life's work? **Senior Hospital Compliance Analyst ** Job Summary: + Responsible for the performance and validation of medical ... a process, in collaboration with hospital departments to include Finance, Revenue Integrity , Information Services and hospital clinical areas, to assure the Charge… more
- New York State Civil Service (New York, NY)
- …HELP No Agency Attorney General, Office of the Title Legal Nurse: Medical Analyst Support Medicaid Fraud Cases (6345) Occupational Category Legal Salary Grade NS ... an experienced Registered Nurse to serve as a Medical Analyst in its New York City (NYC) office. Medical...premier law enforcement agency charged with ensuring the financial integrity of New York State's $100 billion Medicaid program… more
- Beth Israel Lahey Health (Westwood, MA)
- …revenue report and various operations reports in support of the Director of Pharmacy Finance. Acquires necessary data from multiple billing services and hospital ... support to the Director of Revenue Cycle, Revenue Cycle Analyst for BILH Pharamy. Prepares and distributes revenue cycle...for BILH Pharamy. Prepares and distributes revenue cycle and pharmacy operations reports on a weekly, monthly, quarterly and… more
- The Cigna Group (St. Louis, MO)
- …MyMatrixx Revenue Cycle Management team. MyMatrixx is our Workers' Compensation Pharmacy Benefit Management solution for clients. Responsible for following standard ... issues and prevent future aging receivables. Responsible for training and coordinating with Billing & Reimbursement Specialists who are tasked with billing &… more
- Henry Ford Health System (Troy, MI)
- …(Business Administration or Healthcare related field) or 5 years medical billing , coding, auditing, compliance, CDI, revenue integrity , healthcare/business ... care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast… more