- State of Indiana (Indianapolis, IN)
- Medicare Claims Analyst Date Posted: May 8, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... is fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve...or corrective action, coach, and develop employee skillsets. Supervisory Responsibilities/ Direct Reports: This role may serve as a team… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager ... candidates residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process...Medicare programs + Knowledge of medical and/or pharmacy claims + Knowledge of CPT, HCPCS, ICD10 coding; revenue… more
- CareOregon (Portland, OR)
- …Nevada, Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title IS Development ... Manager Direct Reports n/a Requisition # 24205 Pay & Benefits...and data integrity of multiple systems: + QNXT, including claims , utilization management, benefits, contracts, member, call tracking, fees… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Managed Care Analyst Date: May 21, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 56101 **Who we are** Together, ... new people to make a difference with. **The opportunity** The Managed Care Rebate Analyst is responsible for the processing of Managed Care Commercial, Medicare … more
- LA Care Health Plan (Los Angeles, CA)
- Technical Project Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Technical Project Analyst (TPA) II will support projects with Project Managers...small to large projects with at least 5 years direct experience developing small scale technical solutions to streamline… more
- University of Rochester (Rochester, NY)
- …the scientific literature. + Must have at least 1 year of experience with Medicare claims . Familiarity with the US healthcare system and Department of Veterans ... through September 2022, with possibility of extension.** **Position Summary** Under direct supervision and with some latitude for independent judgement, creates data… more
- New York State Civil Service (Albany, NY)
- …Aging (AAAs) to support their role in advising Medicare beneficiaries on Medicare , Medigap, Managed Care, Medicare claims , prescription drug programs ... the appropriate eligible list for this title. Duties Description Under the direct supervision of the Health Insurance Information, Counseling and Assistance Program… more
- General Dynamics Information Technology (Fairfax, VA)
- …using advanced business intelligence applications such as Tableau to analyze healthcare claims across Medicare , Medicaid and private payers within a ... differentiator. Our work depends on a Senior Business Intelligence Analyst joining our team to support the Centers for... joining our team to support the Centers for Medicare and Medicaid Services (CMS) anti-fraud activities. As a… more
- University of Washington (Seattle, WA)
- …financial assets and collaborate as necessary with others in the management of claims .This position provides both strategic direction and direct intervention in ... pursuits and natural beauty. **POSITION PURPOSE** The Risk Manager's (Compliance Analyst (ES 10)) primary responsibility is to proactively manage adverse events,… more
- Bausch Health (Bridgewater, NJ)
- …and other vendors. **Areas of responsibility -** + Review and approve rebate claims data received for managed care contracts, Medicare Part D contracts, ... is responsible for managing and accounting for Commercial and Medicare Part D contracts and will oversee the daily...rebate team to process formulary validations and exclusions with direct supervision of two rebate analysts and oversight of… more
- The County of Los Angeles (Los Angeles, CA)
- …hospitals and expanded network of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff, and has an ... Education in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency… more
- HCA Healthcare (Austin, TX)
- …environment. + Experience with large health care data sets including, electronic health records, Medicare claims , or other health care claims data sets ... for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining, visualization, or other analytics.… more
- Northern Light Health (Brewer, ME)
- …providing training opportunities, monitoring system compliance with managed care contracts, claims issues resolution, and provider relations to both Northern Light ... and measurements. Additionally, this position will be responsible for all NLH Medicare Advantage or Managed Medicaid and Exchange products. This responsibility will… more
- Adelante (Phoenix, AZ)
- …Financial Planning and Analysis, Value Based Care and Payer Contracts teams under direct supervision of the Chief Financial Officer. This position will require the ... field with at least 5 years in a financial analyst or similar role. + Must have supervisory experience....combined with large sets of clinical data including encounter, claims , and patient data to communicate economic trends and… more
- The County of Los Angeles (Los Angeles, CA)
- …spot reviews of health facilities in the district. + Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions related to ... will make an individualized assessment of whether your conviction history has a direct or adverse relationship with the specific duties of the job, and consider… more