- CareOregon (Portland, OR)
- …in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Medicare Encounter Data Analyst Exemption Status Exempt ... but you must reside in one of the listed 9 states. Job Summary The Medicare Encounter Data Analyst leads the process for the end-to-end Encounter… more
- WellSense (Boston, MA)
- Business Encounter Data Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... members, no matter their circumstances. **Job Summary:** The Business Encounter Data Analyst is responsible...and 837 EDI standards. + Experience working with Medicaid, Medicare or commercial encounter , coding and/or regulatory… 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 ... and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human...analysis and reporting activities related to risk score calculation, encounter data submission, chart review programs and… more
- UCLA Health (Los Angeles, CA)
- …testing files from new providers/trading partners. You will be responsible for claim encounter data submissions and the coordination of business transactions for ... this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Business Data Analyst II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Care Management Business Data Analyst II supports quality and process...plan. Previous experience with report generation using health care data with focus on elements from encounter /claims,… more
- CAI (Harrisburg, PA)
- …or similar degree. + Proficiency in financial, demographic, encounter and claims data for both managed care and fee-for-service Medicare and Medicaid, as ... health and human services programs + Processes for the analyses of claim/ encounter data for various initiatives, including reporting on high cost and high… more
- Molina Healthcare (Richmond, KY)
- …well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in designing and ... **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs… more
- MyFlorida (Tallahassee, FL)
- 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 19, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064844 Salary: $1,794.92 -… more
- Sutter Health (Sacramento, CA)
- …coaching, training, and monitoring of clinicians. Monitors training success through encounter audits and ensures corrective action plans are implemented and adhered ... and other internal and external regulatory requirements (eg Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA),… more