- Careers Integrated Resources Inc (Atlanta, GA)
- …Price ("nFAMP") and the Federal Ceiling Price ("FCP"). The GP Senior Analyst will be responsible for researching/validating data anomalies & variances and ... Position Summary: . The primary role of the GP Senior Analyst is to perform, validate and...and submit pricing under the Medicaid Drug Rebate Program, Medicare Modernization Act, and Sections 602 and 603 of… more
- ICONMA (Atlanta, GA)
- …high complexity, judgment and scope. Assists the Reimbursement Manager in preparing Medicare and Medicaid cost reports, wage index reviews and other reimbursement ... Prepares workpapers to support the cost reports, as well as analyzing the data for accuracy and additional reimbursement opportunities; is a resource to other… more
- UCLA Health (Los Angeles, CA)
- Description As a key member of the Medicare Advantage Compliance team, the Senior Compliance Data Analyst plays a crucial role in autonomously crafting ... that both functional and non-functional requirements align with the Senior Compliance Data Analyst 's vision...required. + Five or more years' experience in a Medicare or Managed Care Compliance environment, required. + Experience… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...contracted provider demographic records by validating and submitting all data management requests for completion. + Prepare for and… more
- Elevance Health (Hanover, MD)
- **Risk Adjustment Advanced Analyst Senior ** **Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... PulsePoint locations.** **Preferred Location:** Hanover, MD. The **Risk Adjustment Advanced Analyst Senior ** is responsible for creating statistical models to… more
- Providence (OR)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible ... for developing and maintaining actuarial models, analyzing data , and providing strategic insights to support the pricing...to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of… more
- Ventura County (Ventura, CA)
- Behavioral Health Finance Analyst I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4617164) Apply Behavioral Health Finance ... Analyst I/II/ Senior Salary $75,660.36 - $129,463.29 Annually Location Oxnard, CA...State and federal entities; + Extracts and works with data from databases to establish revenue by program; +… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Senior Clinical Data Analyst ** is responsible for managing the collection, ... HMH. **Responsibilities** A day in the life of a ** Senior Clinical Data Analyst ** at...and reporting, particularly those identified by the Center for Medicare and Medicaid Services (CMS), the State of New… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... action employer. **Job Detail** **Job Opening ID** 229901 **Working Title** Reimbursement Analyst Senior **Job Title** Reimbursement Analyst Senior… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will...practices. + Compile, monitor and report on project financial data , including but not limited to, planned spend, actual… more
- Highmark Health (Columbus, OH)
- …The incumbent provides analysis in the develop and support of HEDIS and Medicare Star data analysis. Determines how decision support systems will provide ... MUST BE US Citizen (due to contractual/access requirements) This job understands end-to-end data processes and flows and using that knowledge to design and implement… more
- University of Michigan (Ann Arbor, MI)
- Programmer/ Analyst Senior underfill Intermediate Apply Now **Job Summary** You will work with a highly motivated, collaborative, and innovative team involved in ... action employer. **Job Detail** **Job Opening ID** 254074 **Working Title** Programmer/ Analyst Senior underfill Intermediate **Job Title** App Programmer/… more
- CVS Health (Providence, RI)
- …Summary** The Health Plan Client Engagement Reporting team is looking for a Senior Analyst who will collaborate with key stakeholders to assess business ... robust analytic and reporting solutions that drive efficiency and data accuracy. This Sr. Analyst position will...internal/external partners to ensure effective and accurate communication. The Senior Analyst must have the ability to… more
- The Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...for driving Mount Sinai's Facility models, and reconciling financial data . The Senior Contracting analyst … more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Manager Charge Capture Senior Analyst ** _Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior ... Will Do** Under general direction of the Revenue Cycle Manager Charge Capture the Senior Analyst Charge Capture serves in a role tasked with improving revenue… more
- The Mount Sinai Health System (New York, NY)
- …and Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison between Contracting, Population Health, Clinical Documentation and ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team… more
- The Cigna Group (Bloomfield, CT)
- …position aligned to the Northeast and Central USA market._** The **Business Project Senior Analyst ** serves as an integral member of the Network Development ... termination management process in assigned markets for Commercial, IFP and Medicare Advantage products. Works closely with Contracting, Network Solutions, Network… more
- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuary ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...+ Collaborate with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses,… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and purpose of the job. Reporting to the Director of Physician Revenue Cycle, the Senior Revenue Cycle Analyst (Sr. RCA) is both a transformational leader and an ... cycle functional areas including the extraction and analysis of data impacting the revenue cycle. This includes, but is...Children?s Healthcare Alliance (PCHA) and hospital revenue cycle. The Senior Revenue Cycle Analyst will collaborate with… more
- WellSpan Health (York, PA)
- Reimbursement Analyst Senior Location: WellSpan Health, York, PA Schedule: Full Time Hours: M-F Days Full Time: 40 Hours/Week General Summary Responsible for ... and net revenue accounting. + Coordinates, prepares, and submits Medicare and Medicaid cost reports using data ...submits Medicare and Medicaid cost reports using data from company general ledger and patient accounting systems.… more
