- Idaho Division of Human Resources (Boise, ID)
- Medicaid Utilization Review Analyst - DMS Posting Begin Date: 2024/09/27 Posting End Date: 2024/10/20 Category: Accounting and Finance Sub Category: Medical ... identify and deter fraud, waste and abuse in the Medicaid program. As an analyst , you will...hours and/or telecommuting EXAMPLE OF DUTIES: + Analyzes claims data and reports to identify Medicaid provider… more
- Elevance Health (Miami, FL)
- **Business Information Analyst Senior- Medicaid ** **Location:** This position will work a hybrid model (remote and in office 1-2 days per week). Ideal candidates ... of our Pulse Point location in Miami, FL. The **Business Information Analyst Senior- Medicaid ** is responsible for analyzing, reporting, and developing… more
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS)....processing and submission issues and develops recommendations based on data and industry standards. + Performs various financial… more
- Elevance Health (Miami, FL)
- …for Medicaid business. + Works closely with analytical team to analyze Medicaid data . + Analyzes complex end user needs to determine optimal means ... **Business Analyst III- Medicaid ** **Location:** This position will...strongly preferred. + Experience using Pivot Tables to analyze data strongly preferred. + Experience with SharePoint strongly preferred.… more
- State of Georgia (Fulton County, GA)
- … Fraud Division. Job Summary Assists in performing various audit and financial investigative procedures on Medicaid providers suspected of having committed ... case. + Analyzes data and summarizes findings on audit procedures and financial matters related to the case. + Collects, evaluates and analyzes evidence obtained… more
- NorthWest Senior & Disability Services (Salem, OR)
- … financial tools for efficient use of data . 4. Facilitate confidence in Financial Analyst , and therefore the Agency and programs + Embrace and exhibit the ... including periodic budget amendments; perform research and provide requested financial data . + Prepare monthly financial...Agency Expectations In order to best serve consumers, the Financial Analyst must have, know, or be… more
- Dignity Health (Bakersfield, CA)
- …lives within the California region. The responsibility for the Senior Financial Analyst includes monitoring monthly capitation revenue, preparing monthly ... of industry experience working in a role such as financial analyst or business analyst ,...actionable manner. - Knowledge of data governance data modeling data integration and financial… more
- Johns Hopkins University (Baltimore, MD)
- …encouraged. + Experience with Python or SQL encouraged. Classified Title: Research Data Analyst Role/Level/Range: ACRP/04/MC Starting Salary Range: $48,000 - ... Johns Hopkins University have an opening for a **_Research Data Analyst_** . The Research Analyst will...determinants of Medicare plan choices, and the impact of Medicaid policy on health services. Dr. Ettman's work focuses… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- OMF Financial Analyst 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4653297) OMF Financial Analyst 3 Salary Depends on ... + Description + Benefits Minimum Qualifications Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Baton-Rouge-La/OMF- Financial - Analyst -3\_R-001513?q=omf%20financial) to apply. + Provide primary… more
- State of Georgia (Fulton County, GA)
- Financial Analyst 2 Georgia - Fulton (https://careers.georgia.gov/jobs/57870/other-jobs-matching/location-only) New (https://careers.georgia.gov/landingpages/ ... Community Health, Financial Management Division, is seeking a qualified Financial Analyst II responsible for performing professional accounting duties… more
- UNC Health Care (Kinston, NC)
- …or related field. **EXPERIENCE** o Minimum of two years' experience as a financial analyst , preferably in a hospital or healthcare environment. This experience ... is responsible for the calculation, analysis, and review of clinical and non-clinical financial and statistical data to produce biweekly Productivity Tracker and… more
- Spokane County (Spokane, WA)
- Data Information Analyst (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4658590) Apply Data Information ... depending upon each employee's enrollment choices. Examples of Duties + Ensures data processing projects are prioritized, timely and accurate. Ensure scheduling and… more
- MyFlorida (Tallahassee, FL)
- …program. * Ability to assess budgetary needs. * Ability to collect and analyze financial data . * Ability to formulate policies and procedures. * Ability to ... 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 19, 2024 The State Personnel...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- University of Michigan (Ann Arbor, MI)
- …Revenue Cycle Analytic (RCA) software + Ability to present hospital facility month end financial data in clear and succinct manner to various finance leaders + ... affiliated hospitals, payers, outside agencies and government entities. The reimbursement analyst will maintain current knowledge of Medicare, Medicaid and… more
- CAI (Harrisburg, PA)
- …Mathematics, Economics, Statistics, Information Systems or similar degree. + Proficiency in financial , demographic, encounter and claims data for both managed ... Consultant, you will analyze and support business operating decisions related to Medicaid , Managed Care, and other health and human services programs **Job… more
- Fallon Health (Worcester, MA)
- …on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Medical Economics Data / Financial Analyst will partner with Medical Economics team ... healthcare environment + Experience with data analysis and reporting of clinical and financial data + Experience with Microsoft Excel, ACCESS, SSMS or SQL +… more
- State of Michigan (Lansing, MI)
- IT Business Analyst Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4546782) Apply IT Business Analyst Salary $32.48 - $46.69 Hourly ... maintenance, information technology, centralized contracting and procurement, budget and financial management, space planning and leasing, construction management, motor… more
- J&J Family of Companies (Raritan, NJ)
- …and completeness of payment packages, claim review, commentary and approval for all analyst payments, per the Medicaid Operational Guidelines + Assist in ... Senior Analyst , Government Rebate Operations (GRO) - 2406214136W **Description**...ensuring efficient and compliant participation in base and supplemental Medicaid , Medicare Part D Coverage Gap Discount Program (CGDP)… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for...and report outcome results on edits implemented. + Utilize data to examine large claims data sets… more
- City of New York (New York, NY)
- …the eligibility requirements are met and comprehensively documented to avoid potential financial sanctions being levied against the Medicaid Program. OQI/ MAQC ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The Medicaid Audit and Quality Control's primary responsibility is to… more