- Mount Sinai Hospital (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- LanceSoft (Detroit, MI)
- …with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. Required Skills/Experience ... effectiveness. Organizational skills and ability to prioritize; must be able to lead multiple activities with varying timelines. Familiarity with Chapter 2 - … more
- State of Washington (Olympia, WA)
- …customer service, open and honest communication, transparency and accountability, data driven decisions, and business-initiated process improvement. Our commitment ... Division is announcing an exciting opportunity for a Budget Analyst 4 position in Olympia, WA . This position...Duties Some of the duties you will perform are: Lead Budget Development and Monitoring. Coordinate the development of… more
- UHS (Riverside, CA)
- …to work, practice medicine, and receive care. SUMMARY : The Compliance Analyst ensures compliance with the timeliness of decisions, initial notifications, and ... written notifications following the Centers for Medicare and Medicaid Services (CMS), the Department of Health Care Services (DHCS), the Department of Managed Health… more
- Beacon Health System (Granger, IN)
- …Programs (MSSP) and HealtheIntent by delivering standardized reporting and ad-hoc requests for data and analysis. The Financial Analyst will manage and maintain ... The Financial Analyst will define, create, distribute, and support financial...have never been asked before. Uses logical, analytical, and data driven approaches to answer questions and lead… more
- BG Consulting Services LLC (Bethesda, MD)
- …MHS GENESIS, AHLTA, ICD programs, Microsoft Office TEAMS, Appointment booking software, Government data repositories such as P2R2 Virtual Analyst , M2 Data ... check on 100% of patients who request an appointment. 10. Correct demographic data , by performing a mini registration update in DEERS (as necessary). 11. Provide… more
- Elevance Health (Mendota Heights, MN)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …projections, and sharing recommendations based on analytic results. + Initiate and lead efforts to continually improve data and analytic capabilities considering ... exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive… more
- Centene Corporation (Tallahassee, FL)
- …large-scale data mapping and transformation. Familiarity with provider directories and Medicare data is highly preferred. Pay Range: $55,100.00 - $99,000.00 ... business needs and objectives for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II, Senior or Lead ** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead ** **Position… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- … and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Business Analyst Lead is responsible for gathering, managing, and prioritizing the ... ** Lead Business Analyst ** **Category:** Business Analysis...playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position… more
- Aveanna Healthcare (Coatesville, PA)
- Lead Board Certified Behavior Analyst - Full Time Salary Position with Comprehensive Benefits ApplyRefer a FriendBack Job Details Requisition #: 204650 Location: ... Salary: $70,000.00 - $90,000.00 per year Position Details Job Title: Lead Board Certified Behavior Analyst (BCBA) -...as dressing, feeding, and toileting, to promote independence. + Data Collection and Progress Monitoring + Real-Time Data… more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- BlueCross BlueShield of North Carolina (NC)
- … Analyst identifies physician practices with complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What ... to evaluate appropriateness of provider coding and reports relevant data to the Centers for Medicare and...about making health care better for all. Help us lead the charge for better health care by joining… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior...Health System. Serves as mentor to others in the Data Science team and takes the lead role ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- Commonwealth Care Alliance (Boston, MA)
- …this time._** Position Summary: Working under the direction of the SVP Claims, the Senior Data Analyst - Payment Integrity & Claims will provide routine and ad ... hoc analytics to drive impactful material, recommendations, and data driven decision making to support overall payment integrity and claim operations discussions and… more
- AmeriHealth Caritas (Detroit, MI)
- …numbers-it's the foundation of trust, access, and quality care. As a Senior Provider Network Data Analyst , you'll be at the center of that mission, a vital ... and the providers who care for our members across Medicare , Medicaid, and Exchange products. In this role, you...systems, help resolve issues that impact provider satisfaction, and lead initiatives that improve data integrity and… more
- Silicon Valley Power (Santa Clara, CA)
- …and offering competitive rates for all customers. **The Position:** The Senior Resource Analyst is a lead position in the City's Electric Utility Department, ... **Senior Resource Analyst ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4922609) **Senior Resource Analyst ** Salary… more
- University of Michigan (Ann Arbor, MI)
- Business Systems Analyst Senior/Intermediate Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the ... Team at Michigan Medicine is seeking a candidate to fulfill the role of Business Analyst Senior / Intermediate. The Senior / Intermediate Business Analyst is a… more
- Molina Healthcare (Buffalo, NY)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding… more
