- Kelsey-Seybold Clinic (Pearland, TX)
- …of benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst ** **Location: Pearland Administrative ... and updates to health plan systems. It determines the order of benefits for individuals with multiple healthcare policies and ensures accurate coordination of… more
- TEKsystems (Honolulu, HI)
- …working closely with a local healthcare company that is looking to become an Analyst . This position will play a crucial role in analyzing data, developing insights, ... and supporting the decision-making process with a focus on Medicare and Medicare claims. This is a...to gather and document business requirements. + Conduct data validation and ensure data integrity. + Provide insights and… more
- BeneLynk (Detroit, MI)
- …team to design, develop, test, validate, deploy, monitor, and manage BeneLynk's Medicare and Medicaid benefits solutions/services being released to the industry. ... thrive in their ability to assist others. BUSINESS WORKFLOW ANALYST I, QUALITY ASSURANCE POSITION SUMMARY BeneLynk, a leading...+ Experience in relevant fields including health plan systems, Medicare , and Medicaid benefits and/or SDoH database… more
- Takeda Pharmaceuticals (Exton, PA)
- …contract language, which may differ from usual methodology. + Works with Senior Analyst (s) in support of all Commercial and Medicare Part D internal/external ... is true to the best of my knowledge. **Job Description** **Rebate Analyst II** **Takeda Pharmaceutical** **Exton, PA** **About the role:** Are you looking… more
- UNC Health Care (Morrisville, NC)
- …and review, and internal consulting in preparation for filing the annual Medicare , Medicaid, and Champus/Tricare cost reports for UNC Health Care System. Prepares ... other staff members, department heads and senior leaders to furnish the Medicare and/or Medicaid auditors with the supporting documentation to minimize adjustments… more
- CVS Health (Irving, TX)
- …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...the members we provide service to. As a Senior Analyst , Benefits Test, you will be accountable… more
- HCA Healthcare (Richmond, VA)
- …an organization that invests in you as a Revenue Integrity Clinical Charge Review Analyst RN? At Parallon, you come first. HCA Healthcare has committed up to $300 ... incredible team members over the course of three years. ** Benefits ** Parallon, offers a total rewards package that supports...looking for a dedicated Revenue Integrity Clinical Charge Review Analyst RN like you to be a part of… 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 ... will be to support the Grievance functions as it relates to the Medicare , Medicaid and Marketplace (Exchange / Healthcare Reform) initiatives to ensure member/client… more
- The Cigna Group (Morris Plains, NJ)
- **Position Summary** The Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and ... needs. This role is highly cross-functional, with the lead analyst working across multiple departments in the company (eg...client paper and online directory usage and network access validation . + Responsible to validate quality of report data… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title: Actuarial Analyst I Department: Finance Title of Manager: Actuarial Services Manager ... Supervises: Non-supervisory position Exemption Status: Exempt Requsition #: 24804 Pay and Benefits : Pay and Benefits : Estimated hiring range $64,130 - $78,390,… more
- University of Miami (Hialeah, FL)
- …high levels of abstraction accuracy for assigned accounts via validation activities for UHealth. Demonstrates strong communication, documentation, organizing, and ... ensure strong leadership of multiple accounts concurrently. Perform data abstraction, validation , and analysis. Ensure an effective feedback loop for continuous… more
- Geisinger (Danville, PA)
- …including requirements gathering, specification and definition documentation, design, testing, validation , analysis, and maintenance for all reporting projects. Job ... initiatives. + Identifying data quality issues while performing data profiling and testing and validation . + Able to act as a data steward and resolve issues or work… more
- Hartford HealthCare (Farmington, CT)
- …organization we now have our own identity with a unique payroll, benefits , performance management system, service recognition programs and other common practices ... denial trends and write-offs. Includesassist in the CPT code validation for charging purposes as it relates to CDM...records and applying NCCI edit rules. . Understanding of Medicare 's Outpatient Prospective Payment System (OPPS) . Experience with… more
- IQVIA (Milwaukee, WI)
- IQVIA is hiring a Analyst of Government Pricing Operations for our Contract Performance Solutions (CPS) Team. This position will report to the Director, CPS ... requirements, including CMS, Public Law, the Federal Supply Schedule, Medicaid, Medicare , PHS/340B and State programs. + Experience in enrollment, registration, and… more
- Molina Healthcare (Columbus, OH)
- …with IT release cycles and production deployment processes, including end-user validation and testing protocols.** + **Experience with User Acceptance Testing (UAT) ... experience, + **Must have worked in US Healthcare government programs such as Medicare , Medicaid, the Affordable Care Act, or similar, with experience in one or… more
- Molina Healthcare (Long Beach, CA)
- …by department leadership. + Must have experience in data analysis, data mining, data validation and reporting using advanced Excel or SQL. + Must be able to conduct ... Porvider claims data.. + Experienced in Healthcare domain specifically Medicare , Medicaid and Marketplace. **JOB QUALIFICATIONS** **Required Education** HS Diploma… more
- TEKsystems (Honolulu, HI)
- We are collaborating with a local healthcare company to find an Analyst . This is an excellent career pivot if you have experience in Healthcare billing and accounts ... in analyzing data, generating insights, and supporting decision-making processes focusing on Medicare and Medicare claims. If you are interested, please apply,… more
- TEKsystems (Chesapeake, VA)
- …from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/CDM Analyst is responsible for performing audits of itemized charges versus the ... appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity/CDM Analyst works directly with revenue producing departments regarding lost charges,… more
- Alameda Health System (Alameda, CA)
- …with the physician, patient, and family, if appropriate; discussing available insurance benefits with the health care team following verification by the Business ... transportation; and referring personal payment issues to the Financial Analyst as soon as possible to minimize reimbursement. Obtains...MDS's to the State with proper follow up on validation errors. Maintains validation records from the… more
- Banner Health (Phoenix, AZ)
- …we can reach out to for support. We offer schedule flexibility with great benefits . Lots of internal growth opportunities. Our Leadership team is diverse in skill ... 7pm can work, with production being the greatest emphasis** Your pay and benefits are important components of your journey at Banner Health. This opportunity… more