- Strategic Staffing Solutions (Grand Rapids, MI)
- …a highly skilled Risk Adjustment Business Analyst who can bridge regulatory requirements with operational execution across Medicare Advantage and other ... as Medicare Advantage, and their specific compliance requirements. o Regulatory Compliance: Knowledge of healthcare regulations and laws, including HIPAA, and… more
- DaVita, Inc. (Denver, CO)
- …care organization, and play a critical role in driving strategic growth across the Medicare Advantage (MA) portfolio. As the Analyst for IKC's Program Management ... 2000 16th Street, Denver, Colorado, 80202, United States of America Analyst , IKC Program Management (Innovation) Join DaVita's Integrated Kidney Care (IKC)… more
- LanceSoft (Detroit, MI)
- …research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Ability to communicate effectively with ... procedures for analyzing, interpreting data and applying contract and regulatory provisions. Required Skills/Experience Excellent analytical and problem-solving skills… more
- YAI (New York, NY)
- …benefits and entitlements in the healthcare and/or I/DD field including Medicaid, Medicare and applicable regulatory agencies. Strong written and oral ... for assigned region(s), regularly collaborating with applicable program leadership, financial analyst and/or other finance staff to support complete and accurate… 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
- 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
- Insight Global (Mayfield Heights, OH)
- …and Managed Care Organizations' end to end process for Medicare /Medicaid/Dual Eligibility/D-SNP/Marketplace/Tricare Regulatory reporting experience for IMO ... the hands of the State and: 1. Create initial regulatory reporting features for IMO Implementations that align with...and features to be passed off to a systems analyst who will write the user stories for the… more
- MyFlorida (Tallahassee, FL)
- REGULATORY ANALYST SUPERVISOR - SES - 43003055 Date: Jul 10, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 856218 Agency: Financial Services Working Title: REGULATORY ANALYST SUPERVISOR - SES - 43003055...and reporting practices for compliance with federal (Centers for Medicare & Medicaid Services - CMS) requirements and state… 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
- Tidelands Health (Pawleys Island, SC)
- …Reimbursement Analyst will ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the ... 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
