- Aveanna Healthcare (Manchester, CT)
- …files, as required by the clinical team. Maintain daily notes and compliance documentation Ensure compliance with regulatory and organizational policies and ... in Behavior Analysis (BCBA), in good standing with BACB Valid Licensed Behavior Analyst in CT Strong understanding of ABA principles and techniques, including DTT,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 4, 2025 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're ... people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for ...is accountable for submitting payments within deadlines and in compliance with CMS guidelines and Teva rebate contract terms.… more
- State of Colorado (CO)
- CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148793) Apply CO ... Medicaid Enterprise Solution (CMES) Integration Business Analyst Salary $58,872.00 - $76,536.00 Annually Location Statewide, CO...and data is kept up to date and in compliance with ESI standards. + Researches, develops and analyzes… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root… more
- CVS Health (Columbus, OH)
- …of our RFP responses and the efficiency of the whole team. The quality analyst continuously strives to increase their knowledge of Aetna Medicaid , products ... strategic, quality edits at every milestone of the proposal process. The quality analyst drives and supports the value of quality by performing, measuring, and… more
- Geisinger (Danville, PA)
- …We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate will have a ... strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the ability to analyze… more
- New York State Civil Service (Newark, NY)
- …No Agency People With Developmental Disabilities, Office for Title Standards Compliance Analyst 1 Developmental Disabilities Occupational Category Health Care, ... at exit conferences; and reviewing providers' plans of corrective action. The Standard Compliance Analyst 1 Developmental Disabilities (SCA 1 DD) work under the… more
- UNIVERSAL Technologies, LLC (Albany, NY)
- …services, or related field. + Minimum of 2 years of experience as a Healthcare Compliance Analyst , Auditor, Care Manager, Medicaid Provider, or similar role ... UNIVERSAL Technologies is seeking a Health Care Compliance Analyst for a remote role...reviews, or ensuring quality of care. + Experience with Medicaid fee-for-service and/or Managed Care billing. + Extensive knowledge… more
- Humana (Louisville, KY)
- …performance, Value-Based Payment (VBP) strategy, audits, and NCQA accreditation. + Ensure compliance with Medicaid requirements and regulatory standards. + Drive ... caring community and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational leadership for clinical… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... health care reimbursement, public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Medical Coding, Compliance , Payment Integrity… more
- HCA Healthcare (Dallas, TX)
- …NC, SC, TN, TX, UT, VA). Do you have the PRN career opportunities as a Compliance Analyst PRN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Compliance Analyst PRN where your passion for...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Prime Therapeutics (Tallahassee, FL)
- …Come build the future of pharmacy with us. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The ... Senior Compliance Analyst assists in the implementation of...**Preferred Qualifications** + PBM/health care experience related to Medicare, Medicaid , Commercial, HIM + Certified Compliance and… more
- Prime Therapeutics (Jefferson City, MO)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance ... execution of the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business with internal… more
- OhioHealth (Columbus, OH)
- …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 responsible for… more
- Clark County, NV (Las Vegas, NV)
- …oversight of all Medicaid operations, billing/authorization processes, and Medicaid compliance . Responsibilities include comprehensive Medicaid program ... 5 years + More than 5 years 33 Indicate your full-time professional experience with Medicaid compliance , audits and case reviews. + No Experience + Less than 2… more
- Prime Therapeutics (Boston, MA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Option Care Health (Bannockburn, IL)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for ... Medicaid reimbursement. + Experience evaluating information to determine compliance with policies, standards, laws, and regulations. + Intermediate level… more
- Prime Therapeutics (Trenton, NJ)
- …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 key internal… more
- MyFlorida (Tallahassee, FL)
- 68900198 - OPS HUMAN SERVICES ANALYST Date: Dec 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... for Health Care Administration Working Title: 68900198 - OPS HUMAN SERVICES ANALYST Pay Plan: Student/Gradte Assnt Position Number: 68900198 Salary: $18.00 Hourly… more
- Commonwealth Care Alliance (Boston, MA)
- …Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance , ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements… more
