- 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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, ... and executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are met in a… more
- Humana (Columbus, OH)
- …Server, Oracle, etc.) and understanding database structure and design **Preferred Qualifications** + Direct experience working with Medicare claims + Working ... put health first** The Medical/Financial Risk Evaluation Professional 2 / Analyst is responsible for supporting the development, implementation and...CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or… 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
- 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
- MyFlorida (Tallahassee, FL)
- 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: May 7, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064844 Salary: $1,742.64 -… more
- State of Indiana (Indianapolis, IN)
- …Plan descriptions and ensure the distribution of annual compliance notices. + Coordinates Medicare Secondary Payer claims with CMS. + Leads informational and ... Benefits Analyst Date Posted: Apr 29, 2024 Requisition ID:...administering complex state-wide programs and initiatives that have a direct financial impact to the state. + Independently resolved… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** The role of the EDI Analyst is to work with trading partners to ensure timely and accurate posting of all responses to claim submission, ... to ensure issues/changes are communicated and addressed + Implementation of new direct connections and industry mandates + Manage of current route connections and… more
- Mathematica (Princeton, NJ)
- …at a time, with many projects requiring work with multidisciplinary teams and direct client contact. Projects may span across several policy and programmatic areas: ... include: * Assisting with quantitative analyses using Medicaid enrollment, claims /encounter, financial and program data to support program monitoring, improvement,… 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
- 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 ... 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
- Trinity Health (Syracuse, NY)
- …healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk ... Presentation skills, team player, ability to influence change without direct authority, and negotiation skills. **WORK ENVIRONMENT AND HAZARDS:** Office… more