- CVS Health (Topeka, KS)
- …day. **Position Summary** The Corporate Medicaid Compliance team is looking for a Sr . Analyst to support the Medicaid Business Compliance Office (BCO) ... will have a successful background in supporting cross-functional projects. The Sr . Analyst will support compliance oversight of market-specific implementations… more
- Prime Therapeutics (Baton Rouge, LA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . AI Business Analyst - Remote **Job Description** **Are you a Business ... grow your career in the IT AI space.** The Sr . IT Business Systems Analyst (BSA) is...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr … more
- NTT DATA North America (Concord, NH)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Sr . Business Analyst to join our team in Concord, New Hampshire ... (US-NH), United States (US). The Sr . Business Analyst will play a key...Business Analysis and User Acceptance Testing (UAT) for the Medicaid Management Information System (MMIS). This position will be… more
- Prime Therapeutics (Santa Fe, NM)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & ... Complaints Senior Compliance Analyst assists in the implementation...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... independently and with cross functional groups.Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred.Experience with healthcare encounters,… more
- Waystar (Atlanta, GA)
- …are seeking an opportunity to advance their leadership and analytical capabilities. The Senior Corporate Financial Analyst plays a critical role in driving ... for internal and external stakeholders, and communicating insights to senior leadership. Senior Analysts are expected to...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Catholic Health Initiatives (Lufkin, TX)
- …current with respect to government payer reimbursement methodology changes (ie Traditional Medicare/ Medicaid /Tricare). + Other duties: * Assist National Tax team ... performance of the service lines. * Make recommendations to Senior Management for action to improve such vulnerabilities and...of annual tax returns and tax payments. * Assist National Enterprise Net Revenue team and local Financial Services… more
- CVS Health (Chicago, IL)
- …Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs actuarial functions by applying expanded quantitative skills ... with others to meet/exceed expectations. **Preferred Qualifications** + Experience in Medicaid + Experience with SQL + Experience with PowerPoint **Education** +… more
- Molina Healthcare (Everett, WA)
- …sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk ... **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model,… more
- Public Consulting Group (Sacramento, CA)
- …required + 3 + years of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western region of the US - Sacramento ... do not discriminate on the basis of race, color, religion or belief, national , social, or ethnic origin, sex, gender identity and/or expression, age, physical,… more
- Insight Global (Raritan, NJ)
- Job Description The Contractor, Government Rebate Operations will report to the Senior Manager, and will oversee the critical operational aspects of Medicaid ... of payment packages, claim review, and commentary per identified metrics and the Medicaid Operational Guidelines. * Use various sources of data, state updates and… more
- Centene Corporation (Sacramento, CA)
- …health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on ... we're seeking a finance professional with strong **FP&A** expertise with ** Medicaid industry experience** to deliver strategic insights and drive operational… more
- OhioHealth (Columbus, OH)
- …Experience with Medicare/ Medicaid cost reporting 4 - 6 years as a Sr . Reimbursement Analyst or similar position(s). **Work Shift:** Day **Scheduled Weekly ... Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be… more
- HCA Healthcare (Richmond, VA)
- …of each individual is recognized. Submit your application for the opportunity below: Senior Collections Analyst at Parallon **Benefits** Parallon, offers a total ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...benefits may vary by location._ We are seeking a Senior Collections Analyst for our team to… more
- HCA Healthcare (Nashville, TN)
- …TX, UT, VA). Do you want to join an organization that invests in you as a Senior Appeals Analyst ? At Parallon, you come first. HCA Healthcare has committed up to ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...make a difference. We are looking for a dedicated Senior Appeals Analyst like you to be… more
- Commonwealth Care Alliance (Boston, MA)
- …. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims auditing ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
- NTT DATA North America (Albany, NY)
- …**_Senior Quality Assurance Analyst_** The Senior Quality Assurance (QA) Analyst will work with the Continuing Medicaid Eligibility Modernization initiative ... inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Quality Assurance Analyst to join our team in Albany, New… more
- CVS Health (AL)
- …And we do it all with heart, each and every day. **Position Summary** The Sr . Business Analyst supports Medicaid Enrollment Operations by making data ... report on vendor performance data. + Familiarity with Medicare and Medicaid regulations. **Education** + Associates degree or equivalent experience. **Anticipated… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... on how to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. Assists with research, development, and completion of special… more