- Staffing Solutions Organization (Albany, NY)
- … needs and requirements. + Interpret guidance and instructions related to Medicaid eligibility , enrollment, appeals processes, and notices from a requirements ... in Albany, NY** **Bureau of System Quality Assurance and Business Requirements (SQA) - Eligibility Systems Modernization...for activities related to the implementation of the new eligibility system for New York's Complex Medicaid … more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …our global workforce is bound by our common values: **Job Summary:** The Rebate Analyst will work closely with Contract Strategy to ensure all payer agreements are ... that processes, evaluates, and analyzes sales contracts for US markets. The Rebate Analyst will be responsible for the overall Contract Administration for Sun Pharma… more
- Alameda Health System (Oakland, CA)
- …+ Highland General Hospital + SYS Imaging Administration + Full Time - Day + Business Professional & IT + $51.83 - $86.39 + Req #:42962-31911 + FTE:1 + ... College of Radiology (ACR), The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and the California Department of Public Health - Radiologic… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... business process and technical workflow documents. + Understand Medicaid risk score methodology, including risk score calculation, financial risk receivable… more
- CVS Health (Santa Fe, NM)
- …heart, each and every day. **Position Summary** This role supports the Medicaid team, specifically price monitoring and behaviorial health analytics across Aetna's ... Medicaid states. Within this role, you will: * Provide...* Demonstrate an advanced understanding of actuarial concepts and business acumen. * Set own priorities within pre-established overall… more
- CVS Health (Hartford, CT)
- …Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs actuarial functions by applying expanded quantitative skills ... solutions and demonstrate an advanced understanding of actuarial concepts and business acumen. + Set own priorities within pre-established overall deadlines. +… more
- Onset Technologies LLC (Austin, TX)
- …brings extensive experience in business analysis, Agile product ownership, Medicaid systems, and complex stakeholder engagement. Eligibility : Must be local ... Summary: Onset Technologies is seeking an experienced Business Analyst / Product Owner to...US without sponsorship or visa transfer. Job Description: The Business Automation Support (BAS) unit within the Medicaid… more
- MyFlorida (Tallahassee, FL)
- 68900188 - OPS GOVERNMENT ANALYST II Date: Nov 13, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency for Health Care Administration Working Title: 68900188 - OPS GOVERNMENT ANALYST II Pay Plan: Temp Position Number: 68900188 Salary: $25.00 Hourly Posting… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... operational requirements for Medicare Advantage(MA), Affordable Care Act (ACA) & Medicaid Lines of Business (LOB). Additional responsibilities include… more
- Idaho Division of Human Resources (Coeur D'Alene, ID)
- Analyst - MED Posting Begin Date: 2025/10/27 Posting End Date: 2025/11/17 Category: Accounting and Finance Work Type: Full Time Remote: Flexible Hybrid Location: ... in making a difference for Idaho's vulnerable population by helping to ensure Medicaid dollars are spent on services they need? Do you have strong analytical… more
- New York State Civil Service (Oxford, NY)
- …related to reimbursement rates, principles, and practices.Senior Health Care Fiscal Analyst : A bachelor's degree in accounting, auditing, business ... NY HELP Yes Agency Health, Department of Title Senior Health Care Fiscal Analyst (NY HELPS) (Veteran Homes Centralized Billing Office) - 90440 Occupational Category… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Management Analyst 2 - ACHIEVE Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5137284) Apply Management Analyst 2 - ACHIEVE Salary $52,790.40 ... to find a highly qualified leader to serve as the Department's Management Analyst . This person will provide key leadership and oversight for the statewide IEP/IFSP… more
- NTT DATA North America (Albany, NY)
- …The Senior Quality Assurance (QA) Analyst will work with the Continuing Medicaid Eligibility Modernization initiative team to establish and execute QA tasks ... now. We are currently seeking a Senior Quality Assurance Analyst to join our team in Albany, New York...of QA processes and procedures to support the Continuing Medicaid Eligibility Modernization initiative + Review processes… more
- MyFlorida (Tallahassee, FL)
- SENIOR CONSUMER SERVICE ANALYST - 41001317 Date: Oct 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Agency: Office of the Attorney General Working Title: SENIOR CONSUMER SERVICE ANALYST - 41001317 Pay Plan: Career Service Position Number: 41001317 Salary:… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Healthcare Data Analyst I - Quality QUALITY (BILLINGS CLINIC ... = 80 hours every two weeks (Non-Exempt) Starting Wage DOE Healthcare Data Analyst is a position within the Quality and Infection Prevention Departments and Quality,… more
- MyFlorida (Fort Pierce, FL)
- …Ensures that any applicable hierarchy of payer sources is used appropriately. Screens for Medicaid eligibility , PAC Waiver eligibility , Medicare A, B, and D ... HUMAN SERVICES ANALYST - 64001718 Date: Nov 7, 2025 The...last resort. Updates all required information regarding payer source eligibility on his/her clients in the CAREWare and HMS… more
- City of New York (New York, NY)
- …recruiting for one (1) Associate Staff Analyst , to function as a Research Analyst for MAP's Business Solutions and Support (BSS) unit, who will: - Coordinate ... Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...EXAM # 9061. The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the… more
- CVS Health (Tallahassee, FL)
- …it all with heart, each and every day. **Position Summary** The **Claim Field Analyst ** acts as the primary resource for groups and providers, within a specific ... provider satisfaction specific to claim submission and payments. The **Claim Field Analyst ** works with the grievance and appeal and claims operations department to… more
- Ascension Health (Austin, TX)
- …Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not ... as a key resource for an assigned customer area to understand and explain business and technical issues and to provide viable technology solutions. + Work with… more
- CVS Health (Tallahassee, FL)
- …data analytics, file preparation, and provider roster loads to support business functions including Request for Proposal (RFP) submissions. Primary responsibilities ... are QuickBase development/maintenance, translation of business requirements into actionable reports and ensuring data accuracy. Other key activities include project… more
