- Prime Therapeutics (Trenton, NJ)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst - Medicare Part B- REMOTE **Job Description** Job ... Description The Compliance Analyst assists in the implementation of Prime's ...**Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D, Medicaid, and/or Affordable Care… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** We are seeking an Actuarial Analyst 2 to join our Medicare Dental & Vision forecasting ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily...outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education,… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all… more
- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... **Job Description** **Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate 42nd...and new services. Assures that updated fee schedules for Medicare , Medicaid, commercial and managed care carriers are correctly… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing contract compliance… more
- Prime Therapeutics (Trenton, NJ)
- …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... mentorship from senior MSHP leaders + Opportunity to be part of a forward-thinking team driving a system-wide transformation...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team...plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report ... information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an… more
- City of New York (New York, NY)
- …Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid clients who should be part of buy-in ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9. The Department of… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Lead Data Scientist at Humana Healthcare Research uses mathematics, statistics, modeling, ... of experience at a research organization in roles such as researcher, data analyst /engineer, data scientist, or developer. + Expert proficiency in SQL and Python. +… more