- Molina Healthcare (Sterling Heights, MI)
- …cases, business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business ... needs and translate them into application and operational requirements + Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate… more
- Mount Sinai Health System (Astoria, NY)
- **Job Description** **Provider Enrollment Analyst -Billing-Full Time-Day-Mount Sinai Queens** The Provider Enrollment Analyst (I) is responsible for ... knowledge preferred. + **Experience:** Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing… 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 Corporation ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead** **Position Overview**… more
- Silicon Valley Power (Santa Clara, CA)
- **Senior Resource Analyst ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4922609) **Senior Resource Analyst ** Salary ... rates for all customers. **The Position:** The Senior Resource Analyst is a lead position in the City's Electric...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, and ... or other related field required + Minimum of five years' experience in a Medicare or Managed Care environment managing enrollment , claims or encounters required… more
- Alight (Salt Lake City, UT)
- **Amazing Opportunity and Great Place to Work!** **Are you an experienced Benefit Analyst looking to join a new team?** Our Story At Alight, we believe a company's ... in Salt Lake City, Utah. The Senior Health Benefits Analyst will work directly with and assist client employees,...with employees + Completing employee benefit verification forms (eg, Medicare forms, life insurance forms / retiree death claims,… more
- WCG Clinical (Cary, NC)
- CTMS Analyst (Remote) **General Information** **Location:** Cary, NC, Remote **Organization:** PharmaSeek, LLC **Job Type:** Full Time - Regular **Description and ... skills, education, and geographic location. **JOB SUMMARY:** The CTMS Business Analyst is responsible for providing high-quality calendar builds and accurate… more
- ChenMed (Miami, FL)
- …Care leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position ... we need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data-driven insights and analytical support… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst II collaborates with stakeholders from across the organization to develop sophisticated analytics to provide ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more advanced understanding of the… more
- Molina Healthcare (Long Beach, CA)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... things data related. + Must have member movement or PCP reassignment or Enrollment and Provider termination experience. + Must have intermediate level MS Excel… more
- Aston Carter (Bethesda, MD)
- …identifying and resolving discrepancies, gaps, or issues that may impact provider enrollment and escalating concerns when necessary. You will monitor and maintain ... and validate documentation. + Identify and resolve discrepancies affecting provider enrollment . + Monitor and maintain credentialing files for compliance. + Submit… more
- Corewell Health (Grand Rapids, MI)
- …steps of the member appeal and fair hearing processes for all non- Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, ... documentation from enterprise-wide systems including: claims payments, billing and enrollment , care management, medical, pharmacy and behavioral health authorizations,… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... + Relocation assistance (geographic restrictions apply) + Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing + Mount… more
- Molina Healthcare (Long Beach, CA)
- …the departments goals. + Must have member movement or PCP reassignment or Enrollment and Provider termination experience. + Must have intermediate level MS Excel ... experience, + Familiarity with Enrollment and Managed Healthcare experience is required. + Must...is required. + Experience with QNXT is preferred. + Medicare / medicaid membership exp required Required soft skill include… more
- UCLA Health (Los Angeles, CA)
- …healthcare, or a related field + Five or more years of experience managing enrollment , claims, or encounters in a Medicare or managed care environment required ... all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will develop detailed requirements specifications to meet our… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... various available Clinical Integration Team Programs + Receives NaviCare member enrollment notifications ( enrollment /disenrollment) from the Operations Team and… more
- LA Care Health Plan (Los Angeles, CA)
- …successful auditing strategy for the following end-to-end processes within CSC (ie Enrollment processing timeliness and accuracy of loading members, timeliness of ID ... Care Services (DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National Committee for… more
- Silicon Valley Power (Santa Clara, CA)
- …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + The City...**Dental Insurance:** + Choice of two Delta Dental plans; enrollment is mandatory + City pays lowest cost employee… more
- Silicon Valley Power (Santa Clara, CA)
- …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + The City...**Dental Insurance:** + Choice of two Delta Dental plans; enrollment is mandatory + City pays lowest cost employee… more
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