- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote preferably in the Florida market **Job Description ... + For positions supporting Medicare , requires experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business Analysis… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Project Analyst II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los Angeles, CA, US, ... the safety net required to achieve that purpose. Job Summary The Technical Project Analyst (TPA) II will support projects with Project Managers and/or business… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep application understanding and displays excellent verbal and… more
- CareOregon (Portland, OR)
- …Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title IS Development Manager ... or new business requirements as identified by IS or operations teams. + Review and interpret provider contracts for...relating to the medical health insurance industry and the Medicare and Medicaid industry. + Consult with operational departments… more
- Magellan Health Services (Boise, ID)
- …Regulation (FAR) and Cost Accounting Standards) CAS. General Job Information Title Financial Analyst II Grade 24 Work Experience - Required Finance Work ... a thorough understanding of operating infrastructure of Strategic Business Unit(s) (SBUs) operations to be able to proactively analyze and identify opportunities for… more
- Tufts Medicine (Burlington, MA)
- …Profile Summary** This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role ... analysis, collaboration with front and back end revenue cycle operations to understand denials and variances to ensure charge...data sets (CPT, HCPCS, and ICD), NCCI edits, and Medicare LCD/NCDs, and reimbursement standards (DRG, OPPS, HCC, and… more
- Medical Mutual of Ohio (OH)
- …and ad hoc projects. . Performs other duties as assigned. **Group Underwriting Operations Analyst II ** Supporting the underwriting system, collaborates with ... technology. . Knowledge of data analysis and report design/development. **Group Underwriting Operations Analyst II ** . Bachelor's degree in Computer… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst II ** + Conducts quality assurance analysis on data from ... care operations or health care delivery systems. **Provider Network Performance Analyst II ** **Education and Experience:** + Bachelor's degree in healthcare… more
- MyFlorida (Vero Beach, FL)
- …and the Area 15 HIV/AIDS Program Office. This position reports to the Operations Management Consultant II (Ryan White Case Management Supervisor). Completes ... HUMAN SERVICES ANALYST - 64006336 1 1 1 Date: May...used appropriately. Screens for Medicaid eligibility, PAC Waiver eligibility, Medicare A, B, and D eligibility. Verifies VA benefits.… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …follows confidentiality and security guidelines + Works in collaboration with the Coding Analyst assigned to the Operations area, as well as the Manager ... support of proactive data analysis efforts. In addition, this position applies Medicare and Medicaid criteria guidelines in making clinical determinations as to the… more
- Rush University Medical Center (Chicago, IL)
- …revenue secured by Clinical Trials Research Revenue Cycle, work closely with operations , sponsors, and accounting throughout each month to ensure invoices and ... costs. * Review accuracy of the Clinical Research Coverage Analyst and Clinical Research Financial Analyst daily...processes related to research billing. * Stays current on Medicare , National and local, regulations and guidelines, policies and… more
- Atlantic Health System (Morristown, NJ)
- …health. The ideal candidate is curious about numbers, data, business, and healthcare; Operations -based mindset is a plus. This is an excellent opportunity to learn ... annual operating budget for the site. Work with budget analyst and CFO in troubleshooting any issues. + Work...and assess key performance indicators (KPIs) related to hospital operations , revenue generation, and expense management. + Contribute to… 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 ... ENVIRONMENT AND HAZARDS:** Office and/or Clinical Setting. Exposure Class I or II - dependent on service. **PHYSICAL DEMANDS:** Sedentary work: requires sitting,… more