- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality Analyst is responsible for defining, measuring, analyzing, and evaluating population health, while ... prioritizing, developing, and operationalizing innovative initiatives to improve the quality of care and experience, resulting in industry-leading outcomes...who is willing and able to work in a hybrid model. The incumbent will be expected to work… more
- Henry Ford Health System (Troy, MI)
- …Plan's (HAP's): Commercial, Medicare Advantage, Medicare- Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on ... an ongoing basis and provide root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists, Legal department, and other… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …We Are HII - Mission Technologies is seeking a Supply Chain Risk Management (SCRM) Intelligence Analyst for a hybrid of telework and work at the client's site in ... (Woodlawn) MD. As a Supply Chain Risk Management Intelligence Analyst , you will play a vital role in supporting...vital role in supporting our Centers for Medicare and Medicaid (CMS) and Health and Human Services (HHS) Supply… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Accounting and Reporting Analyst position is responsible for identifying and compiling information for various governmental reports, ... including Medicare & Medicaid Cost Reports, Annual Tax Returns, Federal Emergency Management...and account analysis. **This role will start as a hybrid position with in-office location at our Greenbriar facility:**… more
- AmeriHealth Caritas (Manchester, NH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Provider Network Operations Analyst is responsible for the following day to day activities in ... experience using Facets or EXP Macess, is a plus). + Must have Medicaid /Medicare Provider data experience updating the directory, claims payout, etc. + Experience… more
- Highlights Healthcare (NC)
- …seeking a passionate Clinical Supervisor - BCBA/LBA to join our growing team for this hybrid role located in North Carolina. If you are someone who puts the client ... to children with autism. We specialize in serving young learners and families with Medicaid benefits. We believe every child can achieve great things, and we are… more
- Elevance Health (Richmond, VA)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Elevance Health (Durham, NC)
- **Clinical Content Analyst ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 ... MO, Wallingford, CT, Grand Prairie, TX or Louisville, KY. The **Clinical Content Analyst ** will be responsible for driving the development and execution of the… more
- Humana (Columbus, OH)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... health first** Are you ready for a great job? The Value-Based Programs Analyst 2 supports successful value-based provider relationships with a focus on improving the… more
- Wolters Kluwer (Riverwoods, IL)
- …teams in agile ceremonies and story grooming. **Qualifications:** + 3+ years as a Medicare/ Medicaid Compliance Analyst - Revenue Cycle + 1+ years of EHR or ... **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate… more
- University of Michigan (Ann Arbor, MI)
- HEALTH INFORMATION MANAGEMENT ANALYST II - HEALTH RECORD COMPLIANCE DEFICIENCY MANAGEMENT Apply Now **Job Summary** To assist physicians and other clinicians with ... staff bylaws, Joint Commission (JC) standards, Centers for Medicare and Medicaid Services (CMS) regulations and other regulatory agency requirements. Communicate,… more
- Advancing Beyond the Spectrum (Baltimore, MD)
- LOCATION: Baltimore, MD area ( HYBRID ) COMPANY OVERVIEW Advancing Beyond the Spectrum (ABS) was founded in 2014 by two female minority BCBAs who wanted to provide the ... highest quality , evidence-based practices for children with developmental delays from...our communities. JOB SUMMARY The function of the Behavior Analyst (BCBA) is to plan, develop, and monitor treatment… more
- Harvard University (Cambridge, MA)
- … of care for socially vulnerable patient populations, including low-income Medicare- Medicaid beneficiaries + Healthcare quality , outcomes, and disparities among ... Department Office Location:USA - MA - Boston Business Title:Statistical Analyst /ProgrammerSub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) :056Time Status:Full-time Union:00 - Non… more
- Humana (Atlanta, GA)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... and help us put health first** As a Senior Technology Business Management Analyst (aka Senior Business Intelligence Engineer), you will be essential in driving… more
- Humana (Richmond, VA)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... English/Spanish **Additional Information** Work-At-Home Requirements: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided… more
- BlueCross BlueShield of North Carolina (NC)
- …scope as input to functional, architectural and technical design. Ensure the quality , cost effectiveness, and timeliness of key business services and regulatory ... Analysts, Architects, and Developers to ensure end to end quality of the product. + Support program and portfolio...industry experience. Experience with Facets. + Nice to have: Medicaid , DSNP experience **Salary Range** At Blue Cross NC,… more
- Centene Corporation (Austin, TX)
- …Lead initiatives related to these activities. + Creates and performs quality and accuracy audits on Quantitative Treatment Limitation (QTL) Testing Templates, ... (Department of Insurance (state DOI) and Centers for Medicare & Medicaid Services (CMS)). Independently drafts responses to external requests for information… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …the Division of Strategic Information (DSI) in the Center for Medicare and Medicaid Services (CMS) effort. This individual will work full-time on-site in Woodlawn, ... foreign national management programs. + Prepares, produces, disseminates, and conducts quality control over scheduled and unscheduled reports, summaries, and general… more
- Centene Corporation (Jefferson City, MO)
- …with regulatory agencies (Department of Insurance and Centers for Medicare & Medicaid Services (CMS)) related to the commercial filings. Leads responses to DOI ... Audits trackers and deliverable for assigned states to ensure consistency and quality across teams. + Develop trust-based relationships and collaborates with other… more
- Humana (Columbus, OH)
- …they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service ... The Fusion Center (FC) Manager focuses and prioritizes work of the FC analyst team, supervises interaction between Humana Safety & Security (HSS) workstreams. The… more