- CVS Health (Scottsdale, AZ)
- …two days remote per week at our Scottsdale, AZ location **CVS Health is seeking a Senior Analyst , Medicaid Compliance Monitoring and Auditing to join our ... Center of Excellence (COE) team. This position supports the Medicaid compliance monitoring program activities and deliverables.** **The position is responsible… more
- Mathematica (Phoenix, AZ)
- …(HCLS) practice in our Health Business Unit. As a *Business Development Strategy* * Analyst *,** you will be part of the strategy and operations team within the ... groups within Mathematica to provide end‐to‐end business solutions that ensure compliance with contract requirements. * Engage with client executive sponsors and… more
- CVS Health (Phoenix, AZ)
- …state (US). Shift times: 6:00 AM - 4:30 Mountain Standard Time. The Senior Claim Benefit Specialist (OPS) reviews and corrects Encounters through the Edifecs system ... * Works to research and resolve encounter errors * Ensures all compliance requirements are met. * Identifies and reports possible claim overpayments, underpayments,… more
- Banner Health (Phoenix, AZ)
- …assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state ... Medicaid plans, Center for Medicare Services (CMS), Office of...make needed corrections and ensure accurate coding, reimbursement, and compliance . 7. Provides mentoring for less experienced staff members… more
- Highmark Health (Phoenix, AZ)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... Uses functional and organizational knowledge to mentor Associate, Intermediate, and Senior Business Systems Analysts, as well as others outside of immediate… more