- The Computer Merchant, LTD. (West Mclean, VA)
- …improving the application performance preferred JOB DESCRIPTION The role of the Systems Analyst , Senior is to work under minimal supervision with wide latitude ... and gives both negative and positive feedback. Guides and mentors junior Systems Analyst staff in ensuring compliance with operations release standards and best… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and designates medical procedures/services based on relevant regulations and determinations.The Senior Medicare Coverage Analyst applies subject matter ... The Medicare Coverage Analyst (MCA) is responsible...in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state,… more
- Geisinger (Danville, PA)
- …our team. The ideal candidate will have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. ... data, identify trends, and prepare accurate accounting journal entries, ensuring compliance with federal and state guidelines. Proficiency in Microsoft Excel at… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... and other business teams involved in the administration of Medicare business at Humana. The Senior Business...+ Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance … more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Prime Therapeutics (Columbia, SC)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst (Regulatory Change Management) - Remote **Job ... Description** The Senior Compliance Analyst assists in...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) Must… more
- Prime Therapeutics (Little Rock, AR)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** The Senior ... Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily ... and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject… more
- Houston Methodist (Bellaire, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback… more
- Centene Corporation (Austin, TX)
- …and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. + Leads ... fully remote. The ideal candidate will have experience or working knowledge of compliance laws and regulations, specifically related to Medicare , D-SNP, and… more
- New York State Civil Service (Oxford, NY)
- NY HELP Yes Agency Health, Department of Title Senior Health Care Fiscal Analyst (NY HELPS) (Veteran Homes Centralized Billing Office) - 90440 Occupational ... general ledger accounts. Ensure financial records are maintained in compliance with accepted policies and procedures.* Prepare and post...or 70.4 of the Civil Service Law to a Senior Health care Fiscal Analyst (G18), Health… more
- Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst Lead** to analyze and… more
- Highmark Health (Concord, NH)
- …:** **JOB SUMMARY** This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or ... trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance related processes. + Monitor governance and compliance of… more
- Centene Corporation (Jefferson City, MO)
- … compliance required + Risk Adjustment/HCC coding required + Medicare experience required + Demonstrated understanding of risk adjustment regulatory landscape ... in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring… more
- CVS Health (Hartford, CT)
- …every day. **Position Summary** CVS Health is seeking a Senior Financial Analyst to join our Medicare FP&A Organization. This role supports development and ... annual Medicare CMS bid/pricing process, driving best practices, regulatory compliance , and competitive cost structure. The ideal candidate is a self-starter… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Financial Analyst , Enterprise CDM -Patient Financial Services-Corporate 42nd Street-Full-Time- Days- Hybrid** The Senior ... to ensure accurate and compliant charge capture and professional CDM compliance . The ideal candidate will possess advanced knowledge of professional charging,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Financial Analyst /CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We seek an experienced Senior Financial Analyst / ... CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance , and optimization of the hospital Charge Description Master (CDM). The… more
- Saint Francis Health System (Tulsa, OK)
- …area. + Relocation assistance is available to support the transition. Job Summary: The Senior Internal Audit Analyst plays a critical role in evaluating and ... control gaps, and providing actionable recommendations to enhance efficiency and compliance . Minimum Education: Bachelor's Degree in Accounting or related field.… more
- Highmark Health (Frankfort, KY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Senior Marketing Analytics Analyst plays a critical role in transforming customer, ... analytics skills, and deep understanding of healthcare customer journeys-including Medicare , Medicaid, Commercial, and provider engagement pathways. Experience with… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a...teams. + Detail-oriented with a focus on accuracy and compliance . **Preferred Skills:** + In-depth knowledge of healthcare revenue… more
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