- CareSource (Dayton, OH)
- Job Summary: The Actuarial Analyst II is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, ... is required Managed Care or healthcare experience is preferred Medicaid experience highly preferred Rate advocacy experience preferred Competencies, Knowledge… more
- DFR (Indianapolis, IN)
- Overview Third-Party Review Analyst The Third-Party Review (TPR) Analyst will be a representative of Knowledge Services, responsible for completing and coaching ... for the Knowledge Services Local Office Eligibility Specialist (ES) Staff. The TPR Analyst will be accountable to the Knowledge Services DFR Program QA Manager in… 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 ... presented throughout the day. 2. Assists management in understanding Medicaid regulatory issues, including reimbursement, Disproportionate Share Hospital (DSH)… more
- Knowledge Builders, Inc. (Austin, TX)
- …Texas Health and Human Services Commission requires the services of 1 Business Analyst 2 , hereafter referred to as Candidate(s), who meets the general ... qualifications of Business Analyst 2, Applications/Software Development and the specifications outlined in...system modernization project and ongoing enhancement efforts for existing Medicaid applications. The Worker will be a part of… more
- 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 ... Curant Health maintains compliance with regulatory requirements, PBM networks, and Medicaid provider agreements. This is a highly administrative role requiring… more
- HonorVet Technologies (Austin, TX)
- Job - Business Analyst 2 Location - Austin, TX 78751, Position will be 3 days remote with 2 day (Tuesdays and Fridays ) required to be onsite Duration - 12 months ... on a major system modernization project and ongoing enhancement efforts for existing Medicaid applications. The Worker will be a part of the team and responsible… 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 ... leave (depending on work location). Key Responsibilities: Review and payment of Medicaid Rebates and working with third-party vendor to resolve any disputes.… more
- York Hospital (York, ME)
- We are currently seeking a Full-time, 40 hour per week, IT Business Analyst to join our Physician Practice Support Team. THIS IS NOT A REMOTE POSITION. REQUIRES ... HEALTHCARE EXPERIENCE IN A HOSPITAL SETTING. The IT Business Analyst is a key supporting resource of York Hospital's...reporting and documentation. Included in this is MIPS, ACO, Medicaid Meaningful Use and other quality programs. Conduct daily,… more
- City of New York (Long Island City, NY)
- …units including Local Services Planning Position Summary: The Senior Planning Analyst supports a variety of planning activities including analyzing and commenting ... policy recommendations, and managing ad hoc planning/policy/research projects. The Senior Planning Analyst will manage the Planning and Policy Analyst and… more
- MetroPlusHealth (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus ... their healthiest life. Position Overview The Payment Integrity (PI) Analyst will assist in the development of a strategic...will drive incremental value year over year. The PI Analyst will employ use of analytics, trends, competitor benchmarking,… more
- East African Healing Services (Minneapolis, MN)
- …Opportunity We're urgently seeking a highly motivated Lead Board Certified Behavior Analyst (BCBA) to join our clinical team. This flexible, hybrid position supports ... and support onboarding and training efforts Ensure compliance with DHS and Medicaid documentation and billing standards What We Offer Flexible hybrid service… more
- Mount Sinai Hospital (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… 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
- RIT Solutions, Inc. (Austin, TX)
- Healthcare Business Analyst Location:- Only send candidates who are currently located anywhere in Texas Employment :: Contract Job Description: We are seeking a ... Healthcare Business Analyst /Immunization systems for a long term contract working remotely...information system without a definitive identifier such as SSN, Medicaid Number or Master Patient Index. - This is… more
- Registry Ally, Inc. (Suwanee, GA)
- …care within the autism community. Job Summary As a Board Certified Behavior Analyst (BCBA) at our client, you will be responsible for conducting detailed behavioral ... Patient Age Group: 18 months TO 10 years old 68% Medicaid Populations Responsibilities Conducting detailed behavioral assessments and analyses. Designing… more
- Step Forward ABA (Orlando, FL)
- …or a related field. Valid BCBA certification and licensure as a Licensed Behavior Analyst in good standing with the relevant state. Minimum 2 years of experience ... to travel. Pass a national background check. Preferred Qualifications: Credentialed with Medicaid . Certification in PCM, Safety Care, or CPI. CPR and BLS… more
- Advancing Beyond the Spectrum (Bel Air, MD)
- …our clients and our communities. JOB SUMMARY The function of the Behavior Analyst (BCBA) is to plan, develop, and monitor treatment plans and behavior intervention ... of interest New provider & maintenance credentialing provided, CAQH support, Medicaid ePrep credentialing In-house billing and scheduling support Extensive field… more
- RIT Solutions, Inc. (Rockville, MD)
- …277U, 999, TA1, 834 etc.) Previous working experience implementing any Marketplace/ Medicaid / MMP Markets. Proficient in validating data generated internally and ... assisting testing / proof of concept validation. Knowledge of CMS / state Medicaid programs and ability to comprehend 5010 837 Implementation Guide and state… more
- University Health (San Antonio, TX)
- …experience are required. Amisys claims processing system experience is preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid , HMO, PPO, ASO. ... Act as consultant to claims staff on complex claim issue resolutions. Work cooperatively with configuration in testing of contracts used in business operations and reporting assuring auto adjudication. Perform in accordance with company standards and policies.… more
- Mindlance (Albany, NY)
- …of experience working with Health Insurance or the Affordable Care Act or Medicaid which includes Eligibility and Enrollment (not Health Care). 60 months of ... experience with ETL tools, batch jobs, Rational Quality Manager, Report Development using IBM Cognos or HIPAA compliant X12 format for EDI transactions 60 months of experience in reviewing and evaluating technical specifications for compliance with business… more
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