- City of Rancho Palos Verdes, CA (Rancho Palos Verdes, CA)
- …to join the newly established Public Safety Division as a Senior Administrative Analyst . This is your chance to shape innovative public safety programs, enhance ... of life for residents. THE POSITION Rancho Palos Verdes seeks a Senior Administrative Analyst to join a talented team that is launching a new Public Safety Division.… more
- Strategic Staffing Solutions (Detroit, MI)
- …strong foundation in medical terminology, medical coding and billing, CMS Medicare regulations, and clinical practices are necessary. *Health Insurance experience: ... Must have Medicare Advantage experience working for a health insurance provider....incorporating feedback from subject matter experts, project stakeholders, and regulatory reviewers to ensure document quality and compliance with… more
- Mount Sinai Hospital (New York, NY)
- Job Description Senior Financial Analyst /CDM Chargemaster -Corporate-Full-Time Days (REMOTE) We seek an experienced Senior Financial Analyst / CDM Chargemaster ... clinical, financial, coding, and IT teams to ensure accurate and regulatory -compliant charge capture. Responsibilities New Charge Requests & Clinical Documentation… more
- Magellan Health, Inc. (Frisco, TX)
- …in Medicare Operations. General Job Information Title Senior Business Analyst - Encounter Operations Grade 26 Work Experience - Required Business Analysis ... and security controls unique to their position; and comply with all applicable legal, regulatory , and contractual requirements and internal policies and procedures. more
- The University of Miami (Miami, FL)
- …& Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while leading the ... the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that… more
- Peak Vista Community Health Centers (Colorado Springs, CO)
- …organization that align with goals set forth by HCPF, CHPA, AAAHC and other regulatory entities. The Quality Assurance RN works closely with the Quality Oversight RN ... and Health Informatics Analyst , as well as clinic staff and leadership to...clinic leadership regarding their performance Monitor organizational performance of Medicare Annual Wellness Visits (AWVs) and provide training to… more
- Healthfirst (NY)
- …marketing, educational, and ad hoc material reviews including assisting the Regulatory Affairs Manager by reviewing, finalizing, submitting, and tracking approvals ... of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing… more
- Molina Healthcare (Boise, ID)
- …regulations pertaining to the Health Care environment. **Knowledge/Skills/Abilities** The Operational/ Regulatory Oversight Analyst works with health plans and ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Analyst develops and performs...with State and Federal regulatory guidelines. The Analyst develops and performs audits and oversight functions involving… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …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 ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare ... Accounting, Fraud Investigations, Investigation Techniques, Investigative Analysis, Job Interviews, Regulatory Analysis, Risk Assessments, Testifying in Court **About Us**… more
- U-Haul (Phoenix, AZ)
- …2721 N Central Ave, Phoenix, Arizona 85036 United States of America he Regulatory Compliance Analyst supports the Compliance, Actuarial, and Finance teams in ... systems. Growth Path:This role provides an opportunity to grow into a Regulatory Compliance Manager or Senior Compliance Analyst with additional experience… more
- Zelis (Plano, TX)
- …interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... an accurate and timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver programs and bulletins… more
- SSM Health (IL)
- …**Worker Type:** Regular **Job Highlights:** **Qualifications:** Ideal candidate has regulatory and compliance experience in addition to certification (determined by ... + Identifies and evaluates emerging compliance, coding, and financial risks. Utilizes regulatory guidance, resources, and data analytics on an ongoing basis to… more
- OhioHealth (Columbus, OH)
- …Description 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… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare /Medicaid Reimbursement. + The Director will have advanced level of knowledge of ... not listed above. + Planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with the Vice President of Corporate… more
- Molina Healthcare (Buffalo, NY)
- …experience on researching, presenting and documenting is required, + Experience with Medicare , Medicaid and Marketplace is required. + Medical coding experience is ... highly preferred. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of education and experience **Required Experience** 7-9 years **Preferred Education** Graduate Degree or equivalent experience **Preferred Experience**… more
- CommonSpirit Health (Phoenix, AZ)
- …Team Orientation Flexibility Communication Ability Reasoning Required Technical Competencies: Medicare Medicare Regulatory Reporting Medicaid (Medi-Cal) ... **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit… more
- Insight Global (Georgetown, SC)
- …Reimbursement Analyst will ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the ... work product. What you will do Prepare various required regulatory submissions. This includes but is not limited to:...years of progressive healthcare experience working as a Reimbursement Analyst in a hospital, a Medicare Administrative… 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
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The **Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and other ... duties related to the regulatory reimbursement services of Dignity Health. The position maintains...of Dignity Health. The position maintains current knowledge of Medicare , Medicaid and other State and Federal regulations. The… more
