- Prime Therapeutics (Raleigh, NC)
- …our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** **Description:** The Senior ... Compliance Analyst assists in the implementation of Prime's ...skills **Preferred Qualifications** + PBM/health care experience related to Medicare , Medicaid, Commercial, HIM + Certified Compliance … more
- Humana (Raleigh, NC)
- **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 (Raleigh, NC)
- **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
- HCA Healthcare (Asheville, NC)
- …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting opportunity ... for you to join Parallon which is part of the nation's leading provider of healthcare services,...to work as a Revenue Integrity Clinical Charge Review Analyst RN where your passion for creating positive patient… more
- WCG Clinical (Cary, NC)
- Budget Analyst (Remote) **General Information** **Location:** Cary, NC, Remote **Organization:** PharmaSeek, LLC **Job Type:** Full Time - Regular **Description and ... services companies. We deliver transformational solutions that stimulate growth, foster compliance , and maximize efficiency for those performing clinical trials. WCG… more
- Humana (Raleigh, NC)
- **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 (Raleigh, NC)
- …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
- BlueCross BlueShield of North Carolina (NC)
- …medical records and charts in relation to provider coding. The Coding Analyst identifies physician practices with complex coding patterns and reports relevant data ... to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** +...Medicaid Services (CMS). + Uses all resources to ensure compliance and understanding of the CMS Hierarchical Condition Category… more