- Medical Mutual of Ohio (Brooklyn, OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Senior Medicare Compliance Analyst_ **Location:** _OH-Brooklyn_ **Requisition ID:** ... Implements and manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance -related activities for the… more
- Providence (WA)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible ... to optimize performance + Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements + Collaborating with… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …location for this position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research ... which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical...in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state,… more
- Centene Corporation (Jefferson City, MO)
- …offering quality, competitive product solutions for growth and retention of our Medicare members. Support the development and execution of product changes within the ... performance. Support the development and execution of product changes within the Medicare product life cycle and be responsible for delivering fully compliant… more
- The Cigna Group (Sunrise, FL)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities ... **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market that assists in the growth and development of the provider network.… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job ... Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead… 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...Evaluates and reviews accounting policies and reporting systems for compliance with regulations and reporting requirements; and + Performs… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job ... Description** The Senior Compliance Analyst assists in...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- CareFirst (Baltimore, MD)
- …Preferred or + Lean Six Sigma Certification-IASSC Preferred or + Certified Regulation Analyst Preferred or + Certified Compliance & Ethics Professional (CCEP) ... compliance programs, or related fields. **Preferred Qualifications:** + Healthcare Compliance certification(s). + Experience in CMS programs ( Medicare or… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... Authority (SCRRA), operator of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and… more
- 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 ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst ** to analyze and report… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison between Contracting, Population Health,… more
- HCA Healthcare (Brentwood, TN)
- …and integrity. We care like family! Jump-start your career as a Senior Insurance Collections Operations Analyst today with Parallon. **Benefits** Parallon, ... vary by location._** Come join our team as a Senior Insurance Collections Operations Analyst . We care...delays from various payer products including HMO, PPO, Medicaid, Medicare , Auto and Workers' Compensation. + Effectively utilize ERA… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Reimbursement-Chargemaster Analyst -Chargemaster/Projects -REMOTE** The Senior Reimbursement and Chargemaster Analyst is ... for optimizing reimbursement as well as maintaining competitive pricing. This individual is a senior level analyst who assumes a lead role and works closely with… 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 ... (FPO), Packard Children?s Healthcare Alliance (PCHA) and hospital revenue cycle. The Senior Revenue Cycle Analyst will collaborate with other key functions… more
- Convey Health Solutions (Fort Lauderdale, FL)
- Job Title: Senior Data Analyst Summary: The Senior Data Analyst will develop and maintain production-ready, client-facing visualizations to derive ... to accelerate analytical insights and new features. Collaborating within a team, the analyst will engage with engineers, QA, Data Scientists, and Product teams using… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Senior Pharmacy Analyst supports the operations the Pharmacy Care Management Dept. by working on a variety of assigned projects, reports, ... May be dedicated to primarily supporting a specific product line such as Medicare or Commercial. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Collects and reports data… more
- Point32Health (Canton, MA)
- …who we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Senior Actuarial Analyst will support the financial Forecasting and ... Pricing needs for Medicare Supplement Products as well as the Forecasting and...highly confidential and sensitive material. Must adhere to corporate compliance policy, department guidelines/policies and all applicable laws and… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate is hiring a Payor Contract Analyst , Senior to join our team! This role will be a hybrid position with in office days and work from home. Typically ... to 4:30 PM. Under minimal supervision, the Payor Contract Analyst , Senior is responsible for evaluating and...testing on complex payor claims to ensure accuracy and compliance to contract terms.? Routinely develop, review and analyze… more
- UCLA Health (Los Angeles, CA)
- Description The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information ... regulatory risks, control costs, identify process breakdowns/issues, and ensure compliance with industry standards Salary: $76,200-$158,800 Qualifications + A… more