- AmeriHealth Caritas Health Plan (Detroit, MI)
- …Network Management in dealings with provider agreements. The Contract Management Analyst will assist the Manager, Provider Network Management in administering the ... day-to-day business activities of developing, negotiating, and monitoring provider contract...or a related area or similar work experience Michigan Medicaid policies - state and federal managed health care… more
- Spherion (Madison, WI)
- …health policy and a sharp eye for detail? Are you ready to influence how Medicaid services are designed and delivered across Wisconsin? Spherion is seeking a Policy ... Analyst to support key benefit areas in the Division of Medicaid Services (DMS) - all from the comfort of your home. This is a long-term contract position… more
- Highlights Healthcare (Marietta, GA)
- Highlights Healthcare is seeking an experienced and dedicated Board-Certified Behavior Analyst (BCBA) to work as needed as a LEAD BCBA for ABA therapy and ... working in our supportive clinician-driven environment. As a Board-Certified Behavior Analyst (BCBA) at Highlights Healthcare, you will: Provide guidance and… more
- Highlights Healthcare (Marietta, GA)
- …and Federal specific laws, Tricare/Governmental programs, Medical Insurance Providers, Medicaid Waiver Programs and ensure compliance with regulations. Promote the ... growth of Highlights Healthcare and assist in the pursuit of new business opportunities. QUALIFICATIONS Master's Degree from an accredited program in ABA or a… more
- Molina Healthcare (Long Beach, CA)
- …activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation ... all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation… more
- County of Los Angeles, CA (Los Angeles, CA)
- …program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for ... Work, Sociology, Public Health, Nursing, Health Administration, Human Services, Business Administration, Public Administration, or a closely-related field from an… more
- Navvis (Madison, WI)
- …understanding of, and expertise in, all value-based payment models across all lines-of- business including commercial, Medicaid , and Medicare as well as ... develop and present value-based strategies and financial models across all lines of business as they apply to various provider and/or health plan settings; including… more
- Indiana University Health (Indianapolis, IN)
- …role offers an exciting opportunity to work on both 340B and Medicare/ Medicaid reimbursement initiatives, helping to grow our programs and optimize financial ... Communicate and resolve conflicts with physicians, healthcare team members, business /managed care/governmental agencies, insurance company representatives, self-funded employer decision… more
- CVS Health (Topeka, KS)
- …with heart, each and every day. **Position Summary** The Medicaid Intake Business Operations team seeks an analyst with expertise in electronic claim ... This team ensures the quality and integrity of Intake processes for all Medicaid incoming claim transactions. In this position, you will provide initial support for… 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
- Molina Healthcare (Grand Island, NE)
- …on complex claims related issues and service recovery efforts.** Analyzes complex business problems and issues using data from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- NTT America, Inc. (Little Rock, AR)
- …of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations * Minimum 6 years of experience with ... organization, apply now. We are currently seeking a Senior Medicaid / T-MSIS Technical Analyst to join...candidate will work as part of a team providing Business Operations Support (BOS) for a state Medicaid… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory ... communicating rules, regulations, and procedures pertaining to public and private Medicaid payment systems. This position requires an in-depth knowledge of… 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
- 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
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- **Lead Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Virginia, Fairfax **Alternate ... . **Position Description:** CGI Federal is seeking a Lead Business Analyst to help lead the Department...Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The… more
- NTT America, Inc. (Oklahoma City, OK)
- …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Business Analyst to join our team in Oklahoma City, Oklahoma ... (US-OK), United States (US). **Overview of job** **:** The Business Analyst will work as part of...technical analysis, and organizational change management - for the Medicaid Enterprise. She/he will actively participate in the delivery… more
- MyFlorida (Tallahassee, FL)
- 68064376 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jul 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Care Administration Working Title: 68064376 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064376 Salary:...report to work daily and on time. The Florida Medicaid program is one of the five largest in… more
- University of Michigan (Ann Arbor, MI)
- …Team at Michigan Medicine is seeking a candidate to fulfill the role of Business Analyst Senior / Intermediate. The Senior / Intermediate Business ... Business Systems Analyst Senior/Intermediate Apply Now...track, and report on ambulatory Center for Medicare and Medicaid Services (CMS) Electronic Clinical Quality Measures (eCQMs), Promoting… more
- Prime Therapeutics (Eagan, MN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr. Business Systems Analyst **Job Description** The Sr. Business Systems ... are consistent with organization objectives by acting as the bridge between the business systems analyst team, business stakeholders, development team,… more
