- CapB InfoteK (Minneapolis, MN)
- …looking for an Agile Medicaid Program (RAMP) consultant to act as Business Analyst and provide strategic experienced based consultative suggestion to the ... For one of our ongoing Medicaid Enterprise System (MES) modernization project we are...years' experience providing consultation and guidance to a State Medicaid program Three (3) years' experience supporting the creation… more
- Children's National Hospital (Silver Spring, MD)
- Under direction of the Reimbursement Manager, The Senior Reimbursement Analyst will be responsible for preparing and filing the annual Medicare and Medicaid cost ... various reimbursement departments functions. Qualifications: Minimum Education Bachelor's Degree Business , health care or related field (Required) Minimum Work… more
- TEEMA (Austin, TX)
- …systems modernization and Medicaid IT application enhancement initiative as a Business Analyst supporting Agile-based projects. You'll analyze business ... Job Title: Business Analyst 2 Job ID: 81840...working in Agile project environments Preferred: 2+ years with Medicaid /CHIP or Texas HHSC systems Preferred: 2+ years in… more
- AmeriHealth Caritas Health Plan (Detroit, MI)
- …Network Management in dealings with provider agreements. The Contract Management Analyst will assist the Manager, Provider Network Management in administering the ... day-to-day business activities of developing, negotiating, and monitoring provider contract...or a related area or similar work experience Michigan Medicaid policies - state and federal managed health care… more
- Highlight Health (Philadelphia, PA)
- …where the medical billing and pricing skeletons are found, and is tired of business as usual. Your deep knowledge has likely been developed over decades of diverse ... individual to guide and optimize the most crucial department of our business -claims analysis and resolutions. In addition to an extensive background in medical… more
- MetroPlusHealth (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus ... Yorkers to live their healthiest life. Position Overview The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover,… more
- Spherion (Madison, WI)
- …health policy and a sharp eye for detail? Are you ready to influence how Medicaid services are designed and delivered across Wisconsin? Spherion is seeking a Policy ... Analyst to support key benefit areas in the Division of Medicaid Services (DMS) - all from the comfort of your home. This is a long-term contract position… more
- Better-Health-Group (Tampa, FL)
- Overview Position Objective: The Quality Analyst - Risk Adjustment ("Quality") and HEDIS (Healthcare Effectiveness Data and Information Set) is responsible for ... in Quality and HEDIS processes related to Medicare Advantage, Traditional Medicare, Medicaid , and Commercial healthcare programs, with a keen eye for detail and… more
- CCS (Clearwater, FL)
- …efficiency, and lasting change. The position will work closely with business leaders to facilitate initiatives aimed at operational efficiencies through streamlined ... Wyoming , Illinois; residents are not eligible. Responsibilities Partner with business leaders to identify inefficiencies and lead cross-functional efforts to… more
- Cynet Systems (Raleigh, NC)
- … Medicaid Detailed Budget Summary Tables (MDBT). Work alongside the DHB business units, Medicaid Enterprise System (MES) project teams, technology teams, and ... Job Description: Responsibilities: Work closely with business stakeholders to understand their needs, objectives, and challenges. Elicit, document, and analyze … more
- Convey Health Solutions (Chicago, IL)
- SUMMARY The Sr. Data Analyst will be responsible for utilizing technical and industry knowledge to accelerate analytic insights and new feature enhancements to ... solution suite. Additionally, the ability to understand / contribute to business requirements and documentation standards, supply critical thinking to deliverables,… more
- Takeda Pharmaceutical Company Limited (Exton, PA)
- …following job opportunity: JOB LOCATION: Exton, PA POSITION : Government Pricing Analyst I POSITION DESCRIPTION : Takeda Pharmaceuticals America, Inc. is seeking a ... Government Pricing Analyst I with the following duties: perform the end-to-end...the statutory time frames - Centers for Medicare & Medicaid Services (CMS), state agencies as required by statute… more
- Molina Healthcare (Long Beach, CA)
- Job Description Job Description Job Summary The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... on how to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. Assists with research, development, and completion of special… more
- CGS Administrators, LLC (Nashville, TN)
- …family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to ... buildings and out of town. Centers for Medicare and Medicaid Services (CMS) Requirements: Certain divisions within BlueCross BlueShield...of the last five (5) years. This is a business requirement - government contracts, not an HR requirement.… more
- JPS Health Network (Fort Worth, TX)
- …www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org. Job Title: Sr Financial Analyst Reimburse Requisition Number: 38860 Employment Type: Full ... Division: PLANNING, LABOR & DECISION SUPPORT Compensation Type: Salaried Job Category: Business / Professional Hours Worked: 8:00AM - 5:00PM Location: JPOC 1350… more
- Talent Software Services (Columbia, SC)
- …or e- business systems experience. *Background in healthcare operations (preferably Medicaid ) and business processes *Proficient in Atlassian tool suite ... and data ingestion endpoints. *Work closely with data engineers, analysts, and business users to clarify requirements and understand data flows. *Perform regression… more
- UF Health (Jacksonville, FL)
- Overview Job Duties Under limited supervision, the Physician Billing Compliance Analyst (" Analyst ") will perform physician coding/documentation audits for ... ("COM-Jax") and the University of Florida Jacksonville Physicians Group ("UFJPI"). Analyst will also perform abbreviated reviews on newly hired providers'… more
- Healogics (Jacksonville, FL)
- …and projections. Responsibilities will also include interfacing directly with the Business Intelligence (BI) department on accessing data, building new metrics and ... federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Duties and Responsibilities Prepare… more
- Collabera (Dallas, TX)
- …skills. PC skills required - Must be proficient with MS Office Suite for Business . Job Requirement data entry clerk data entry operator data entry specialist data ... entry assistant data entry analyst data entry operators data entry technician data entry...data entry operators data entry technician data entry medicare medicaid medical healthcare Medical Billing Medical coding Reach Out… more
- Macpower Digital Assets Edge (Los Angeles, CA)
- …to management for continuous process improvements. Collaborates with Customer Solution Center Business Analyst to track, trend, and analyze results of QA ... request and coverage determination, Appeals and Grievances across all lines of business ). This position is responsible for the ongoing progression and maintenance of… more
