- ERP International (Laurel, MD)
- …) is currently seeking Full-Time ** Policy & Regulatory ** ** Analyst ** to support of the ** CMS Division of Enterprise Architecture** in ... AL and San Antonio, TX - plus project locations nationwide. **Responsibilities** + ** Regulatory Review and Impact Analysis:** + Analyze CMS laws, regulations,… more
- Highmark Health (Boston, MA)
- …to healthcare (payer and provider) business processes + Knowledge of relevant regulatory guidelines, vendor management , sourcing and procurement, and completing ... of a broad range of frameworks including NIST, HITRUST, PCI, HIPAA, SOC, MAR, CMS , JCAHO, NCQA, the BCBSA, etc., in addition to owning projects and initiatives… more
- State of Colorado (Denver, CO)
- Budget & Policy Analyst III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4929487) Apply Budget & Policy Analyst III Salary ... structure, management , program priorities and funding, and legislative and regulatory mandates or constraints. This program also assesses and analyzes the… more
- Methodist Health System (Dallas, TX)
- …5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT(MEDICARE) ANALYST will assist the Manager of Regulatory Compliance, the Manager of ... required for the Director of Reimbursement and Manager of Regulatory Compliance * Keeping aware of changing Medicare and...Friendly(R) Employer, 2023 Equal Opportunity Employer It is the policy of Methodist Health System (MHS) to… more
- Central Maine Medical Center (Lewiston, ME)
- …with outside regulatory requirements are documented (ie Pricing Transparency, CMS regulations, Managed Care contract terms) Management Reporting and ... day. Central Maine Healthcare is seeking a Revenue Integrity Analyst to join our team! This is a full...benchmarks and coverage issues. + Maintains current knowledge of regulatory developments involving agencies such as CMS … more
- LA Care Health Plan (Los Angeles, CA)
- …changes. The updated Policy and Procedure is reviewed and approved by management prior to submission for Regulatory Affairs & Compliance and Legal review. ... Senior Health Care Audit Analyst Job Category: Accounting/Finance Department: Financial Compliance Location:...The position is the liaison in external and or ( CMS ) claim audits Organization Determination, Appeals & Grievances (ODAG)… more
- University of Michigan (Ann Arbor, MI)
- …and State law and National Uniform Billing Committee standards. Stay current with CMS and other regulatory and payor mandated charge capture guidelines, ... Revenue Chrg Intgrty Analyst Apply Now **Job Summary** The Charge Integrity...Revenue Cycle. Analysts maintain charge and charge-related functionality, provide system and departmental support, and help to ensure the… more
- Blue Foundry Bank (Parsippany-Troy Hills, NJ)
- …to ensure adherence to federal and state regulatory requirements through the effective management of the Compliance Management System ( CMS ). This ... with internal departments to interpret and apply regulations, assisting in policy and procedure development, supporting regulatory examinations, monitoring … more
- University of Washington (Seattle, WA)
- …dispute resolution, etc.). The Senior Analyst must maintain awareness of changes in regulatory policy , government policy and University policy to ... * Maintain current and accurate agreement files of record. * Other duties as assigned. ** Regulatory and Government Policy (10%)** * Stay abreast of the changing … more
- Heritage Financial Credit Union (Middletown, NY)
- …support the Compliance and Risk Management Program with a primary focus on the CMS and Regulatory Lending Compliance. The Analyst will maintain broad and ... salary, comprehensive employee benefits package, including a very generous PTO policy . POSITION PURPOSE Regulatory Compliance is responsible for developing… more
- NTT America, Inc. (Little Rock, AR)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Privacy Analyst to join our team in Little Rock, Arkansas (US-AR), United States ... (US). The Junior Privacy Analyst , working closely with the senior privacy analyst...regulations for security and privacy requirements * Assist on policy reviews under direction of the Privacy Officer *… more
- The Cigna Group (St. Louis, MO)
- …requests (including audit support), issue management , adjustment processing, and regulatory communications. The Lead Analyst will support initiatives to ... Product Management Lead Analyst - Centene Operations...with subject matter experts to deliver response on all regulatory contract assessments, policy verifications, requests for… more
- Medtronic (Minneapolis, MN)
- …**A Day in the Life** The role of Reimbursement Principal Reimbursement Analyst offers the opportunity to establish reimbursement for innovative new products and ... deep venous disease, and superficial venous disease. The **Reimbursement Principal Reimbursement Analyst ** will serve in a highly visible and impactful role as a… more
- Intermountain Health (West Valley City, UT)
- …charge capture accountability and revenue monitoring. + Performs extensive data mining, regulatory and payer policy review, abstracting of financial and clinical ... **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned...of consistent charge capture or charge edits to ensure regulatory compliance and revenue optimization for assigned service line(s).… more
- Insight Global (Philadelphia, PA)
- …Description A large healthcare insurance company is looking to hire a Quality Management Credentialing Analyst to their Final Optical Check Quality Management ... health field. Responsibilities include developing, implementing, and facilitating the regulatory and accreditation credentialing investigation process. They will Identify… more
- American Express (New York, NY)
- …growth and progress by creating a culture of risk awareness and proactivity around regulatory matters. As an Analyst in the Compliance Policies and Standards ... governance expectations (eg, reviewed annually, updated as part of CMS lifecycle, etc.) + Ensure consistency in content...support to Line of Business Compliance Officers relating to policy and standards management + Leverage various… more
- Motion Recruitment Partners (Durham, NC)
- Appeals Analyst Durham, North Carolina **100% Remote** Contract $20/hr - $25/hr Our client, a nationally recognized and award-winning company in the health insurance ... vertical, has a contract opening for a Appeals Analyst . They have over 4 million customers and 5,000+ employees dedicated to providing innovative solutions that… more
- Geisinger (Danville, PA)
- Job Summary The Research Compliance Analyst will work with the leaders of Research and other stakeholders in the system to help research and develop the ... research departments to coordinate and monitor compliance with applicable research regulatory requirements and reports of audit results. + Develops and implements… more
- Avera (Sioux Falls, SD)
- …order to identify and implement prevention opportunities. Furthermore, the Denial Prevention Analyst works accounts in Denial Management desktop to provide ... achieve a double 5-star rating from the Centers for Medicare and Medicaid ( CMS ). Be apart of something great! **Position Highlights** **Position Summary** The Denial… more
- City of New York (New York, NY)
- …via accreditation and regulatory bodies (ie, NYS health department, JACHO, CMS ). Conduct literature and policy reviews to support MHQIN programming and ... Microsoft Office, including Word, Excel, PowerPoint, and Access; Project management tools; excellent analytical, interpersonal, written, and oral communication… more