- 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 ... THE POSITION Rancho Palos Verdes seeks a Senior Administrative Analyst to join a talented team that is launching...Security program for full time employees; however, participation in MEDICARE is mandatory. The 1.45% mandatory contribution is paid… 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 ... compliance across systems Assist in resolving problems causing payer denial or failed Medicare edits as they involve the chargemaster Coordinate with IT and clinical… more
- Trinity Health (Livonia, MI)
- Employment Type: Full time Shift: Description: Claims Analyst Location: Trinity Health PACE Corp Michigan, Livonia, MI Status: Full time Shift: 730 am to 4 pm or 8 ... HYBRID, will work in the office each Wednesday. Position Purpose: The Claims Analyst is responsible for analyzing and reviewing claims for accuracy, completeness and… more
- Georgia Department of Community Health (Atlanta, GA)
- …and secure. The Department of Community Health is seeking a qualified Financial Analyst 2 with the Office of Financial Services within Division of Financial ... (1) year of experience at the lower level Financial Analyst 1 (FIP060) or equivalent position Preferred Qualifications: Bachelor's...of experience do you have in reviewing and analyzing Medicaid/ Medicare cost reports? None Less than 1 year 1+… 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 ... Work Experience - Preferred Education - Required A Combination of Education and Work Experience May Be Considered., Bachelor's Education - Preferred License and Certifications - Required License and Certifications - Preferred Salary Range Salary Minimum:… 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 300,000 members in California, Arizona, Texas ... system issues. Develop routine and ad hoc Sales Leadership reports. Key analyst for sales business processes. You Will Support and maintain system performance… more
- Netpace, Inc. (Charlotte, NC)
- …high complexity, judgment and scope. Assists the Reimbursement Manager in preparing Medicare and Medicaid cost reports, wage index reviews and other reimbursement ... maintains the data used in the preparation of the Medicare and Medicaid cost reports and provides to outside...the work papers and cost reports. Prepares the quarterly Medicare /Medicaid cost report settlement estimates and maintains the general… more
- RIT Solutions, Inc. (San Mateo, CA)
- Title: Data Analyst Location : Hybrid 2-3 days onsite in Mason, OH Length: 9-month Contract Industry: Healthcare (Vision) Need to be local to Mason, OH Top 3-5 ... Minimum Requirements: 4 years SQL/Database experience Experience with Medicaid and/or Medicare programs and reporting Experience with health provider and network… 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
- 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. Utilization Management experience is a plus. Engagement Description: We are seeking… more
- Healogics (Jacksonville, FL)
- …accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Duties and ... Responsibilities Prepare monthly financial reports Track expenses and revenues vs. budget and reforecast and analyze fluctuations Prepare monthly consolidation and executive financial package Assist in budget and reforecast process Maintain budget and… more
- City of Santa Clara, CA (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 contributes...Pay: Employees in the classification of Electric Utility Programmer Analyst , Electric Utility Network Administrator, and Senior Energy Systems… more
- eSimplicity (Columbia, MD)
- …drill down to get details as needed Collaborate with the development and analyst to ensure implementation of the needed business, functional, and system requirements ... Constantly refine and stay current with emerging themes in larger Medicare policy and provider community. Perform Behavior-Driven Development Testing, API testing,… more
- Pearl Health (New York, NY)
- …care across patient panels, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage. We are a team of physicians and ... Elevate Pearl's presence in the healthcare ecosystem through original content, PR, analyst relations, and executive visibility efforts. Position the company and its… more
- Peak Vista Community Health Centers (Colorado Springs, CO)
- …Quality Assurance RN works closely with the Quality Oversight RN and Health Informatics Analyst , as well as clinic staff and leadership to identify areas of focus ... staff and clinic leadership regarding their performance Monitor organizational performance of Medicare Annual Wellness Visits (AWVs) and provide training to all new… more
- County of San Mateo, CA (San Mateo, CA)
- …principles, and trauma informed care, for examples. Knowledge of Medi-Cal and Medicare regulations and managed mental health care. Strong knowledge of Avatar, EPIC ... employer committed to fostering diversity, equity, and inclusion at all levels. Analyst : Ximena Burns (12302024) (Supervising Mental Health Clinician - F005) We… 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
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