- RELI GROUP INC (Baltimore, MD)
- …We partner with government agencies to solve complex challenges, improve public health , strengthen national security, and make government services more effective and ... critical programs. Position Summary: RELI Group is seeking a detail-oriented Data Analyst / Business Activity Monitoring (BAM) Specialist to support the Information… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …from Washington DC or any state in the US (except Hawaii).** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical...are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... data, submission requirements and performance metrics per the regulatory and health plan guidelines. + Performs analysis and reporting activities related to… more
- Molina Healthcare (Caldwell, ID)
- …the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- Highmark Health (Harrisburg, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Responsible for the Medicare Coverage Analysis (MCA) for sponsored projects within ... responsibility is the creation, revision and management of spreadsheets related to Medicare coverage analysis and compliance with Medicare rules and regulations.… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Financial Analytics Professional manages data to support and influence decisions on ... on business discretion. The MRA Finance team supports Humana's Medicare Risk Adjustment business area. The Finance team develops...Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to ... The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will support the Director… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... of risk adjustment results and quality, accuracy and identification of member health conditions. Update, create and maintain business process and technical workflow… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... and Office of Diversion and Reentry seek qualified candidates to fill emergency Health Care Financial Analyst Community Programs vacancies related to the… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722417) Apply ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT...regulations and result in maximum revenue collection. + Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- MetroLink (Los Angeles, CA)
- Budget Analyst II Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5089984) Apply Budget Analyst II Salary $78,666.00 - $121,932.00 Annually ... the METROLINK Commuter Rail System, is seeking a Budget Analyst II who will perform financial, operational, and budgetary...Employees with active discipline as defined in the HR Policy No. 5.3 Positive Discipline Program and/or with performance… more
- MyFlorida (Tallahassee, FL)
- …Overview: The Agency for Health Care Administration (AHCA) is Florida's chief health policy and planning entity. The Agency is responsible for administering ... 68064828 - MEDICAL/ HEALTH CARE PROGRAM ANALYST Date: Oct...CONTACT: SUZI KEMP ### BACKGROUND SCREENING It is the policy of the Florida Agency for Health … more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …and Medicaid Innovation (CMMI), State and Population Health Group (SPHG). As a Public Health Analyst , GS-0685-13, you will serve as a public health ... Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare...analyst responsible for evaluating and analyzing complex public health programs and policies. Responsibilities Serve as expert … more
- University of Utah Health (Murray, UT)
- …quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's risk adjustment program. + ... **Overview** _As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research… more
- Elevance Health (FL)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... distance from an office. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for completing… more
- Sanford Health (Fargo, ND)
- …with Medicare and other third party payers. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. ... online application, please call ### or send an email to ###@sanfordhealth.org . Sanford Health has a Drug Free Workplace Policy . An accepted offer will require… more
- Option Care Health (Bannockburn, IL)
- …patient information. + Always maintain files and work papers consistent with Option Care Health policy and compliance processes. + Stay abreast of changes in ... Health Services -Company Paid Life Insurance -Award/Recognition Programs _Option Care Health subscribes to a policy of equal employment opportunity, making… more
- Elevance Health (San Juan, PR)
- …delivery organization, providing information technology and business operations services for health plans. **Performance Quality Analyst I** **Location:** This ... A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly...during the training period.** _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
- Alight (Salt Lake City, UT)
- …on-site at the client's office located in Salt Lake City, Utah. The Senior Health Benefits Analyst will work directly with and assist client employees, retirees, ... Great Place to Work!** **Are you an experienced Benefit Analyst looking to join a new team?** Our Story...financially secure workforce by unifying the benefits ecosystem across health , wealth, wellbeing, absence management and navigation. With a… more
