- Independent Living Systems (Miami, FL)
- We are seeking a Senior Business Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida ... for all vulnerable populations. About the Role: The Senior Business Analyst in Health Care Services plays...UB04 / CMS-1500 claim adjudication process, including Medicare and Medicaid reimbursement methodologies (ie Per Diem, PPS, FFS, APG,… more
- Reveal Health Tech (New York, NY)
- …and India, we deliver innovative solutions and transformative platforms. We are seeking a Business Analyst with prior experience in life sciences to join our ... mission of revolutionizing healthcare technology. Role Overview As a Business Analyst , you will have a strong...systems Medical coding standards such as FHIR, ICD, CPT Medicare/ Medicaid data (payer and/or provider side) UX Design principles… more
- Childrens Health System of Texas - TRINITY TOWERS (Dallas, TX)
- …Profession Professional Specialty Finance Job ID 16916795 Job Title Managed Care Contract Analyst Weekly Pay $1970.0 Shift Details Shift Days 5x8 Scheduled Hours 40 ... that crosses disciplines within the professional field Interprets internal/external business challenges and recommends best practices to improve products, processes… more
- RELI GROUP INC (Baltimore, MD)
- …critical programs. Position Summary: RELI Group is seeking a detail-oriented Data Analyst / Business Activity Monitoring (BAM) Specialist to support the ... and Privacy Support Services (MSSPSS) contract for the Centers for Medicare & Medicaid Services (CMS). This role supports Task 7, focusing on data analytics,… more
- Genius Road (Austin, TX)
- Procurement Analyst and RFP Writer Contract: 6-12 months Location: Austin, Texas (Hybrid - must already reside in the Austin area for consideration ) Our client is ... seeking an experienced Procurement Analyst / RFP Writer to support high-impact procurement efforts,...Requests for Proposals (RFPs) and coordination with stakeholders across Medicaid & CHIP Services (MCS), IT, and other departments.… more
- Insight Global (Raritan, NJ)
- …in business discipline or related field. * Experience in Medicaid , Rebate Management, and/or compliance is preferred. Knowledge and understanding of product, ... to the Senior Manager, and will oversee the critical operational aspects of Medicaid Payments. The Contractor will provide oversight on all issues relating to rebate… more
- Public Consulting Group (Sacramento, CA)
- …of their user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance **Duties and ... key stakeholders + Provides IT job duties which include Business and Technical Leadership, System Analysis, Code + Development,...of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western… more
- CVS Health (NJ)
- …we do it all with heart, each and every day. **Position Summary** The Sr. Business Analyst supports Medicaid Enrollment Operations by making data accessible ... for improvement. Collaboration with cross-functional teams is key to understanding business needs and delivering data-driven solutions. Ideal candidates bring a… more
- Koniag Government Services (Chantilly, VA)
- **Koniag Services (KSI),** a Koniag Government Services company, is seeking a Medicaid Provider Evaluation Analyst to support KSI and our government customer. ... paid time off, and more. We are seeking a highly skilled and motivated ** Medicaid Provider Evaluation Analyst ** with knowledge and experience in state … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... business process and technical workflow documents. + Understand Medicaid risk score methodology, including risk score calculation, financial risk receivable… more
- Highmark Health (Tallahassee, FL)
- …thinking to identify business needs for growing and sustaining the Medicaid business . Apply SME knowledge and oversee multiple teams' activities related ... :** enGen **Job Description :** **JOB SUMMARY** Support enGen's Diversified Business Solutions leadership in strategic activities to expand IT capabilities for… more
- Centene Corporation (Sacramento, CA)
- …role have the flexibility to work remotely. Due to the needs of the business , work schedule is Pacific Standard Time zone.** **Welcome to Centene!** At **HeathNet,** ... we're seeking a finance professional with strong **FP&A** expertise with ** Medicaid industry experience** to deliver strategic insights and drive operational… more
- CVS Health (Chicago, IL)
- …Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs actuarial functions by applying expanded quantitative skills ... solutions and demonstrate an advanced understanding of actuarial concepts and business acumen. + Set own priorities within pre-established overall deadlines. +… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce ... requested or required data elements. This role will support our Medicaid Clinical operations in multiple markets. This role manages recurring reporting, state… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... York City's three major social services benefit programs: Cash Assistance, Medicaid and the Supplemental Nutrition Assistance Program. oversee reporting for three… more
- General Dynamics Information Technology (Fairfax, VA)
- …ensure today is safe and tomorrow is smarter. Our work depends on a Systems Analyst ( Business Analyst /Tester) joining our team remotely to support the ... Centers for Medicare & Medicaid Services (CMS) activities. HOW A SYSTEMS ...+ 3+ years of hands-on experience as a Salesforce Business Analyst and/or Salesforce Consultant. + 3+… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Business Analyst - Division of Data Services & Analytics** **Location: Albany, NY** ... **Hybrid Schedule: 50% Remote 50% Onsite** **Summary:** The ** Business Analyst ** will work within the Division...organize, and facilitate requests for healthcare data in the Medicaid Data Sponsorship process. The ideal candidate will utilize… more
- MSys Inc. (Austin, TX)
- Job summary: Title: Business Analyst - Hybrid Location: Austin, TX, USA Length and terms: Long term - W2 or C2C Position created on 10/02/2025 08:50 pm Job ... or modify computer programs. Additional job details and special considerations Senior Business Analyst with a strong background in digital transformation and… more
- Prime Therapeutics (Baton Rouge, LA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems ... career in the IT AI space.** The Sr. IT Business Systems Analyst (BSA) is responsible for...Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA… more
