• Government Analyst II

    MyFlorida (Tallahassee, FL)
    GOVERNMENT ANALYST II - 48004012 Date: Apr 17, 2024 Location: TALLAHASSEE, FL, US, 32309 The State Personnel System is an E-Verify employer. For more information ... No: 827356 Agency: Department of Education Working Title: GOVERNMENT ANALYST II - 48004012 Pay Plan: Career...and Assistance Programs. * Provides technical support to Government Operations Consultant II in the Unit regarding… more
    MyFlorida (04/17/24)
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  • Technical Project Analyst II

    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 ... 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
    LA Care Health Plan (02/01/24)
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  • Senior Epic Resolute Hospital Billing…

    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
    VHC Health (03/02/24)
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  • IS System Configuration Analyst II

    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
    CareOregon (04/12/24)
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  • Business Analyst II - Remote in…

    Prime Therapeutics (Columbus, OH)
    …fuels our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote in the California market **Job Description Summary** ... + For positions supporting Medicare , requires experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business Analysis… more
    Prime Therapeutics (04/25/24)
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  • Group Underwriting Operations

    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 (04/18/24)
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  • Revenue Integrity Analyst II

    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
    Tufts Medicine (04/27/24)
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  • Data Quality Analyst I-IV

    Medical Mutual of Ohio (Brooklyn, OH)
    …BI and/or Tableau + Good written, verbal & presentation communication skills Data Quality Analyst II Education and Experience + Bachelor's Degree in Business, ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....best possible health and quality of life. Data Quality Analyst I-IV The Data Quality Analyst within… more
    Medical Mutual of Ohio (03/15/24)
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  • Provider Network Performance Analyst

    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
    Medical Mutual of Ohio (04/25/24)
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  • Human Services Analyst

    MyFlorida (Fort Pierce, 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 - 64006332 Date: Apr 26, 2024 Location:...used appropriately. Screens for Medicaid eligibility, PAC Waiver eligibility, Medicare A, B, and D eligibility. Verifies VA benefits.… more
    MyFlorida (04/27/24)
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  • Performance Improvement Clinical Analyst

    HCA Healthcare (Asheville, NC)
    …any other healthcare provider. We are seeking a Performance Improvement Clinical Analyst to join our healthcare family. **Benefits** Mission Hospital, offers a total ... for patient care. Apply today for our Performance Improvement Clinical Analyst opportunity. **Job Summary and Qualifications** Collects data using clinical knowledge… more
    HCA Healthcare (02/25/24)
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  • Research Billing Analyst , Oncology…

    Atlantic Health System (Morristown, NJ)
    …billing workflows (including, hospital, AMG, private practices, third parties), operations , and procedures. Continually evaluates and creates process improvements, ... apply a comprehensive understanding of research regulations with an awareness of Medicare and third-party insurance guidelines. + Responsible for all Research bill… more
    Atlantic Health System (03/29/24)
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  • Manager, Clinical Trials & Charge Capture

    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
    Rush University Medical Center (03/07/24)
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  • Customer Solution Center Appeal and Grievance…

    LA Care Health Plan (Los Angeles, CA)
    …recruitment process. Job Summary The Customer Solution Center Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the ... Care Services (DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National Committee for… more
    LA Care Health Plan (02/20/24)
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  • Manager, Finance

    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
    Atlantic Health System (04/05/24)
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  • Clinical Risk Management Specialist

    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
    Trinity Health (02/28/24)
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