- CVS Health (Irving, TX)
- …goods for our clients and helping to make pharmaceuticals more accessible. The Senior Analyst works with multiple internal and external stakeholders to generate, ... of document types and across many contracted relationships. The Senior Analyst will also track document status...all current regulatory requirements. This position reports to the Senior Manager - Contract Operations helping to… more
- CVS Health (Phoenix, AZ)
- …obligations as a Medicare Advantage organization + In partnership with other senior members of the team, assist with the oversight and monitoring activities used ... systems and tools used to track, monitor, review, communicate Medicare Advantage Part C and D contract ...Support external and internal audit processes in conjunction with senior members of the team; including but not limited… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... action employer. **Job Detail** **Job Opening ID** 229901 **Working Title** Reimbursement Analyst Senior **Job Title** Reimbursement Analyst Senior… more
- Scripps Health (San Diego, CA)
- …manage time efficently and work to meet the needs of demand. The Chargemaster Senior Analyst provides assistance and analysis to all levels of clinical ... education. **Job:** **Business Office* **Organization:** **Scripps Health Corp* **Title:** * Senior Chargemaster Analyst * **Location:** *Central San Diego… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** + This role does not… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Management Analyst is responsible for supporting, facilitating, and training associates on third-party ... for each respective third party relationship inclusive of delegated vendors for Medicare and Medicaid plans. + Provide support to the Medicaid Integrated Compliance… more
- Hartford HealthCare (Wethersfield, CT)
- …across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling process for ... 2. Develops modeling process to benchmark reimbursement rates to Contracted Commercial, Medicare and Medicaid reimbursement levels. 3. Builds contract terms in… more
- HCA Healthcare (Richmond, VA)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Senior Collections Analyst with Parallon you can be a part of an ... in our organization. We are looking for an enthusiastic Senior Collections Analyst to help us reach...delays from various payer products including HMO, PPO, Medicaid, Medicare , Auto and Workers' Compensation. * Effectively utilize ERA… more
- Sanford Health (Fargo, ND)
- …- $44.00 **Department Details** Hybrid, remote work **Job Summary** The Senior Reimbursement Analyst provides critical analytical and reimbursement related ... functions including estimating, modeling and reimbursement functions, which includes Medicare , Medicaid or other third party cost reports, related audits,… more
- Martin's Point Health Care (Portland, ME)
- …party software as well as the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge and analytical expertise to guide ... making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst in our Health...+ In compliance with MPHC's Department of Defense government contract , any/all persons hired for this position will need… more
- ERP International (Laurel, MD)
- …( www.erpinternational.com ) is currently seeking a Senior Enterprise Business Analyst /Modeler to support the Centers for Medicare & Medicaid Services (CMS) ... Enterprise Architecture Support Services contract out of Laurel, MD corporate office area or...work experience of 2-3 years in healthcare areas of Medicare and Medicaid + Experience with Sparx Platform products… more
- CVS Health (Woonsocket, RI)
- …care more personal, convenient and affordable. POSITION SUMMARY: The Strategic Procurement Senior Analyst Vendor Management manages Print and Direct Mail ... oversight of, and engagement with; Ariba, Contracts, Third Party Risk, Medicare Compliance, AP, Sourcing, and internal/external Auditors. Lead annual supplier… more
- Providence (Portland, OR)
- **Description** ** Senior Actuarial Analyst \*Remote Reporting to the Actuarial Manager VBC, Sr. Actuarial Analyst , leads and/or assists in developing, ... of value-based care (VBC) and risk arrangements at the contract level, at the portfolio level, and at the...(FSA or ASA) upon hire. + Experience with Commercial, Medicare , and Medicaid revenue methodologies. **Salary Range by location:**… more
- Walmart (Bentonville, AR)
- …What you'll do Join the Health & Wellness Medical Billing team as a Sr, Analyst , Billing supporting the medical pharmacy. In this role, you will assist the medical ... feet if ** + You have experience in project management, payer research including Medicare Part B and state Medicaid's. + You possess strong collaboration skills and… more
- Medical Mutual of Ohio (OH)
- …Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II** Provides analytical support during contract negotiation ... training. . Performs other duties as assigned. ** Senior Provider Analyst ** Provides analytical support during contract negotiation process. Assists… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst III** + Develops Value Based Contract (VBC) amendments in ... value based contracting initiatives. + Orients, trains, and assists more junior level Analyst . + Performs other duties as assigned. ** Senior Provider Network… more
- Advanced Systems Design (Montgomery, AL)
- …that is configured to meet business needs. + This will require the Business Analyst to be very comfortable understanding the contract , the business, and the ... to the program, project, or software. + The Business Analyst must also understand the contract and...Required Qualifications: + 7 years of experience as a Senior Business Analyst with 3 years working… more
- Rush University Medical Center (Chicago, IL)
- …Revenue Cycle, this position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... of related guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing efforts to conduct… more
- Rush University Medical Center (Chicago, IL)
- …PM) **Summary:** This position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the ... of related guidance and their effect on research billing processes. The analyst will provide high-level professional support in the growing efforts to conduct… more
- Navient (IN)
- …. THESE POSITIONS ARE REMOTE (WORK FROM HOME). Our Healthcare Data Analyst - REMOTE employees have data analytics, informatics or business backgrounds. They ... assist EY's clients in complying with Medicare , Medicaid and other regulatory requirements, in addition to...Analytics, Finance, Accounting, or a related field or a senior pending graduation in 1 year. + Intermediate level… more