- Prime Therapeutics (Trenton, NJ)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The Senior ... Compliance Analyst assists in the implementation of...maintained. This role is dedicated to the government program compliance in the Medicare , Medicaid, and the… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily...outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education,… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic ... those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial, economic, and other data to… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all… more
- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd...and new services. Assures that updated fee schedules for Medicare , Medicaid, commercial and managed care carriers are correctly… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing contract compliance… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... mentorship from senior MSHP leaders + Opportunity to be part of a forward-thinking team driving a system-wide transformation...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team...plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing… more
- Intermountain Health (Trenton, NJ)
- …the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II 1.Analyze data, develop reports, review trends, and recommend ... in other areas of the revenue cycle to support the quality and compliance of charges and documentation. 3. Participates, researches and follows-up on topics… more
- City of New York (New York, NY)
- …Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of buy-in ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of… more