- Phoebe Ministries (Allentown, PA)
- Medicaid Analyst Full-time - Allentown, PA Phoebe Ministries is hiring a Medicaid Analyst to join our long-term care facility in Allentown, PA. We show ... Reimbursement. + Service Awards & Recognition Gift Cards. Responsibilities for a Medicaid Analyst with Phoebe Allentown: The Medicaid Analyst will… more
- Baylor Scott & White Health (Trenton, NJ)
- **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)....with cross functional groups. + Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred. + Experience with… more
- Aveanna (Morrisville, PA)
- Board Certified Behavioral Analyst ApplyRefer a FriendBack Job Details Requisition #: 197127 Location: Morrisville, PA 19067 Category: BCBA Salary: $55.00 - $65.00 ... the clinical team. Requirements + Current, non-restricted, certification by the Behavior Analyst Certification Board. + At least two (2) years verified BCBA… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuary is responsible for providing ... for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in...or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 3 years of experience… more
- Public Consulting Group (Trenton, NJ)
- …for state behavioral health authorities. + Conducts financial analysis for Medicaid rate studies and supplemental payment programs. + Conducts quantitative and ... Bachelor's degree preferred or 4+ relevant years' experience required + 4+ years analyst experience + Office Setting **The above is intended to describe the general… more
- Insight Global (Camden, NJ)
- …of Insight Global's healthcare clients in Camden, NJ is seeking a Revenue Integrity Analyst to join their team. This individual will be responsible for oversight of ... MUE, LCD/NCD, device to procedure, procedure to device) - Knowledgeable of Medicare/ Medicaid regulations - Strong analytical skills and data reporting - using tools… more
- CVS Health (Blue Bell, PA)
- …constant change Preferred Qualifications + Prior Pharmacy, Medicare Part D, Medicare or Medicaid experience + Successful completion of 2 or more Society of Actuaries ... Exams + Experience with SQL, SAS, and/or Python **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this… more
- Virtua Health (Marlton, NJ)
- …and State. IE IRS 990 tax exempt return, NJ Charitable Registration, Medicare, Medicaid , and State Cost Reports, Bond Compliance, AHA Surveys, etc.* Assists in ... ensuring audit compliance through preparation of work papers and analysis for internal and external auditors.* Provides financial analysis assistance to Managers in order for them to adequately monitor operating expenses, budgeting, balance sheet, capital… more
- Public Consulting Group (Trenton, NJ)
- …HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal ... creating or revising programs. + Experience partnering with the Centers for Medicare and Medicaid Services (CMS) for the approval of Medicaid benefits. + Strong… more
- Magellan Health Services (Bethlehem, PA)
- …team as well as providers, and experience delivering ABA in PA with members with Medicaid is preferred. This is a remote position, but candidates must be local to ... - Preferred License and Certifications - Required BCBA - Board Certified Behavior Analyst - Care Mgmt, BSL - Behavioral Specialist License - Care Mgmt, LCSW… more