- Curant Health (Smyrna, GA)
- …at the available career opportunities at Curant Health. Position Summary: The Contracts Analyst plays a key role in tracking and managing all pharmacy network ... the ability to manage multiple projects and deadlines. The Contracts Analyst contributes meaningfully to operational success by supporting contract negotiations,… more
- U-Haul (Phoenix, AZ)
- …Ave, Phoenix, Arizona 85036 United States of America he Regulatory Compliance Analyst supports the Compliance, Actuarial, and Finance teams in the administration of ... policyholder communications . This position assists in ensuring compliance with Medicare Supplement regulations, coordinating with internal teams on state filings,… more
- Tennessee Hospital Association (Brentwood, TN)
- …orientation/gender identity/national origin/disability/vet JOB SUMMARY The Financial Policy Analyst performs policy and data analysis and reimbursement research ... reimbursement topics to support member hospitals, including, but not limited to, Medicare and TennCare reimbursement. This position assists with the development of… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... us on LinkedIn; Facebook; and Twitter. The Job The (Senior) Reporting Analyst is responsible for designing, creating, and maintaining reporting and analytic… more
- MetroPlusHealth (New York, NY)
- …including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, ... Yorkers to live their healthiest life. Position Overview The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover,… more
- 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
- Pyramid Consulting, Inc. (Deerfield, IL)
- Immediate need for a talented Financial Analyst III/ Government Price Reporting Associate. This is a 10+months contract opportunity with long-term potential and is ... Skills: Reviewing and validating government pricing which may include (Medicaid (AMP/BP), Medicare Part B (ASP), Public Health Service(340B) and Non-FAMP (VA) to… more
- LanceSoft (Detroit, MI)
- …activities with varying timelines. Familiarity with Chapter 2 - Medicare Advantage Enrollment and Disenrollment guidance Education/Certifications Include: Bachelor's ... Degree in a related field is preferred. more
- State of Washington (Olympia, WA)
- …glance: The WSLCB Finance Division is announcing an exciting opportunity for a Budget Analyst 4 position in Olympia, WA . This position reports to the Budget Manager ... functions. If you have an interest in a Budget Analyst position, we encourage you to apply to be...employees are covered by the federal Social Security and Medicare systems. The state and the employee pay an… more
- UHS (Lewisville, TX)
- Responsibilities Senior Financial Analyst - Behavioral Health Programs Horizon Health, a wholly owned subsidiary Universal Health Services, is a diversified health ... States. Horizon Health is currently seek a self-motivated, well organized Senior Financial Analyst to join our team.The Senior Financial Analyst will be… 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
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... Will Prepare and analyze base period data for the Medicare bids and reconcile it to financials Develop comparisons...needed Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various… more
- Beacon Health System (Granger, IN)
- The Financial Analyst will define, create, distribute, and support financial performance and operational reports and analysis. The Financial Analyst will have ... support Beacon Managed Care including Accountable Care Organizations (ACO) and Medicare Shared Savings Programs (MSSP) and HealtheIntent by delivering standardized… more
- BG Consulting Services LLC (Bethesda, MD)
- …Appointment booking software, Government data repositories such as P2R2 Virtual Analyst , M2 Data Mart, EDW, Population Health Operational Tracking and Optimization ... include DoD Tri-Service Military Healthcare Systems, TRICARE purchased care system, Medicare , Medicaid, VA, Public Health Department, and Regional and local support… more
- UHS (Riverside, CA)
- …to ensure compliance with Federal and State laws and regulations (Centers for Medicare and Medicaid Services, Department of Managed Health Care, Department of Health ... the policy and procedures updates, as necessary. Support the Delegation Oversight Analyst in the development and validation of reports regarding audits, including… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …is fully remote with the ocassional time onsite as needed.** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Medicare Coverage Analyst functions as a key contact person between UMU clinical research departments and sites/hospitals finance for clinical ... trials coverage analyses (CTCA) issues to ensure billing compliance and mitigate risk; reviews budgets on a per-trial basis to ensure accuracy; develop CTCAs timely; documents and disseminates CCA determinations. ensures that final contract terms are… more
- Insight Global (Woonsocket, RI)
- …Bach degree or equivalent 2-4 years or more years of Technical Business Analyst experience Medicare or Health Insurance experience: claims, member benefits, ... Job Description Insight Global is seeking a Technical Business Analyst to support a large health insurance client of ours. Work with business partners and technical… 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...by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is responsible for completing diverse and complex… more
- Centene Corporation (Madison, WI)
- …play a hands-on role in shaping strategy and performance. **In this Sr. Actuarial Analyst role, you will:** + Assist ** Medicare ** bid review and perform ... workplace flexibility. **Eligibility Requirement:** **To qualify for this Senior Actuarial Analyst role, applicants must be actively pursuing their ASA designation… more
