• Compliance Analyst - Medicare

    Prime Therapeutics (Nashville, TN)
    …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
    Prime Therapeutics (04/24/25)
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  • Business Analyst - Technical - Senior

    Intermountain Health (Nashville, TN)
    …administration, including but not limited to: Medicare enrollment file processes, Medicare COB file processes, Medicare compliance , annual Medicare ... sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems and… more
    Intermountain Health (05/08/25)
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  • Revenue Integrity Clin Charge Review…

    HCA Healthcare (Hermitage, TN)
    …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting opportunity ... for you to join Parallon which is part of the nation's leading provider of healthcare services,...to work as a Revenue Integrity Clinical Charge Review Analyst RN where your passion for creating positive patient… more
    HCA Healthcare (03/22/25)
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  • Research Analyst GME WFH

    HCA Healthcare (Nashville, TN)
    …fellows with that number growing to nearly 8,000 by 2028. The Research Analyst will assist in translating clinical needs into analytic questions, design and conduct ... for both the department and for assigned projects. + Perform data analyst functions that generate knowledge via data mining, visualization, or other analytics.… more
    HCA Healthcare (05/07/25)
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  • HIIM Data Integrity Analyst

    Community Health Systems (Franklin, TN)
    **Job Summary** The HIIM Data Integrity Analyst is responsible for reviewing medical records for completeness, timeliness, and accuracy, ensuring compliance with ... The Joint Commission (TJC) or other accrediting bodies' standards, the Medicare Conditions of Participation for Hospitals, and other regulatory requirements upon… more
    Community Health Systems (05/06/25)
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  • IT Business Systems Analyst - ScriptMed…

    Prime Therapeutics (Nashville, TN)
    …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
    Prime Therapeutics (04/29/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Nashville, TN)
    **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 (04/30/25)
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