- Dana-Farber Cancer Institute (Brookline, MA)
- …and designates medical procedures/services based on relevant regulations and determinations. The Senior Medicare Coverage Analyst applies subject matter ... The Medicare Coverage Analyst (MCA) is responsible...in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state,… 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 ... to optimize performance + Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements + Collaborating with… 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
- J&J Family of Companies (Titusville, NJ)
- Johnson & Johnson Innovative Medicine is recruiting for a Senior Financial Analyst , Government Contract Compliance Finance. This position is based in ... will be accountable for supporting the Johnson & Johnson Government Contract Compliance (GCC) team that is part of Innovative Medicine US Commercial Finance.… 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
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Addiction Services and Supports, Office of Title Senior Health Care Fiscal Analyst / Trainee (NY HELPS ) Occupational Category Financial, ... Western Avenue City Albany State NY Zip Code 12203 Duties Description Duties-The Senior Health Care Fiscal Analyst (SG-18) supports the DFA rate-setting,… 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
- CVS Health (Irving, TX)
- …to make health care more personal, convenient and affordable. **Position Summary** As a Senior Analyst , Benefits Test, you will be part of an extremely talented ... and state programs that we participate in, such as Medicare Part D and Medicaid, but also the members...also the members we provide service to. As a Senior Analyst , Benefits Test, you will be… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Senior Financial Analyst II (Remote) **Cost Center:** 101651010 Finance-Corporate ... variable days (United States of America) **Job Description:** **JOB SUMMARY** The Senior Financial Analyst II is responsible for collecting, analyzing,… 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
- The Cigna Group (St. Louis, MO)
- …operations accountabilities associated with all regulated lines of business including Medicare , Medicaid, and Marketplace (Exchange / Health Care Reform). The team ... and Grievances oversight, regulatory audit support, issue management and analytics. The Senior Analysts' primary role will be to support the Grievance functions as… 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
- 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
- Prime Therapeutics (Columbus, OH)
- … Analyst (Regulatory Intelligence and Assessment) - Remote **Job Description** The Senior Compliance Analyst assists in the implementation of Prime's ... and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, Executives, Corporate Compliance… more
- University of Rochester (Rochester, NY)
- …individual, and internal equity considerations._ **Responsibilities:** Supports the Compliance Plan through review, analysis, communication and training activities. ... Determines compliance with billing and/or laboratory policies and procedures to...and operational policies and procedures. This position oversees outpatient Medicare , Medicaid and third-party payor audits, and directs all… more
- CVS Health (Overland Park, KS)
- …high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business. The position will ... D Business, with a focus on pricing, modelling, and bid development and compliance activities for MAPD, SNP and PDP products. \#AetnaActuary The colleague will: +… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract terms,… more
- Advanced Systems Design (Montgomery, AL)
- …requires in-person availability starting day 1. Job Overview: + Our client requires a Senior Business Analyst (SBA) to support their operations. + The Senior ... as we move farther down this path. + The Senior Business Analyst will be responsible for...years of experience in MMIS or domain knowledge of Medicare , Medicaid or with a major health care payer… more
- UCLA Health (Los Angeles, CA)
- …performance improvement specialists. Additional responsibilities will include: + Collaborate with Senior Data Analyst to identify opportunities for improvement + ... and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director...will be responsible for coordinating mock RADV audits and compliance audits with the compliance officer and… more
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