- Excellus BlueCross BlueShield (Dewitt, NY)
- …ability to explain same. Level III - performs similar functions as the Network Services Analyst I & II and can be differentiated by the following: + Facilitates ... with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan… more
- LA Care Health Plan (Los Angeles, CA)
- Technical Project Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... safety net required to achieve that purpose. Job Summary The Technical Project Analyst (TPA) II supports projects with Project Managers and/or business partners… more
- University of Michigan (Ann Arbor, MI)
- Health Information Analyst II - Compliance & Auditing Apply Now **Job Summary** Use the EPIC EHR Release Module within specified timeframes to find, review, and ... for on-site audits by agencies like CMS (Centers for Medicare & Medicaid Services), OIG (Office of Inspector General),...Detail** **Job Opening ID** 262956 **Working Title** Health Information Analyst II - Compliance & Auditing **Job… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …written, verbal & presentation communication skills. **Master Data Management Analyst II ** . Bachelor's Degree in Business, Operations and/or Supply Chain or ... . Performs other duties as assigned. **Master Data Management Analyst II ** The MDM Analyst ...Performs other duties as assigned. **Qualifications** **Master Data Management Analyst I** **.** Bachelor's Degree in Business, Operations… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply ... MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES...quality and safety standards consistent with the Centers for Medicare and Medicaid Services requirements. Assisting in the management… more
- The County of Los Angeles (Los Angeles, CA)
- …One year of professional accounting** or responsible staff experience in health care financial operations . PHYSICAL CLASS: Physical Class II - Light: This class ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722417) Apply HEALTH CARE… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... ANALYST /COMMUNITY PROGRAMS Salary $76,615.68 - $103,240.32 Annually Location Los...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- AdventHealth (Maitland, FL)
- … Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid, Tricare) payer reimbursement language and methodologies. The Senior Compliance ... Springs, FL** **The role you'll contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify,… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply HEALTH CARE ... FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $76,615.68 - $103,240.32...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- State of Massachusetts (Quincy, MA)
- …is seeking qualified applicants for the position of Community Health Center Program Analyst . The Community Health Center Program Analyst will be responsible for ... regulations and reimbursement policies for assigned programs to ensure effective operations and compliance with established standards. . Review and analyze… more
- Trinity Health (Albany, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Risk Management Analyst ** **FT Days- M-F onsite** **Mission Statement:** We, St Peter's Health ... healing presence within our communities. **POSITION SUMMARY** The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk… more
- LA Care Health Plan (Los Angeles, CA)
- Appeals & Grievances Regulatory Audit Readiness Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, ... purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the guidelines… more
- Medical Mutual of Ohio (OH)
- …the resolution of hardware and software problems. Performs Helpdesk functions. **IT Operations Technician II ** Maintains, monitors, executes, and contributes to ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....is issued. + Performs other duties as assigned. **IT Operations Technician II ** + Applies technical concepts… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER III, FACILITIES OPERATIONS AND CRAFTS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4855820) Apply MANAGER III, FACILITIES ... OPERATIONS AND CRAFTS Salary $136,076.88 - $183,393.84 Annually Location...pertinent local, state, and federal regulations and codes. Option II : A Bachelor's degree from an accredited college in… more
- The County of Los Angeles (Los Angeles, CA)
- …implementation, and management of the budget for the program support service operations , clinic, or programs overseen; ensures that budget and contract allocations ... procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery… more
- The County of Los Angeles (Los Angeles, CA)
- …State and Federal mandated standards and are in compliance comply with Medicare and Medi-Cal rules for reimbursement claiming. Oversees revenue generation in ... task forces, etc. focused on internal departmental business needs or operations . Develops and maintains cooperative working relations with Federal, State, and… more
- The County of Los Angeles (Los Angeles, CA)
- …periodic spot reviews of health facilities in the district. Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions related ... the Los Angeles County class of Health Facilities Evaluator, Nursing** -OR- Option II : One year of work experience* as a registered nurse enforcing local licensing… more
- The County of Los Angeles (Los Angeles, CA)
- …laws, regulations and standards governing licensing, accreditation and certification for Medicare and Medi-Cal and in various acceptable methods of maintaining, ... improving, or modifying nursing operations . + Plans, develops, and conducts orientation and in-service...in an administrative*, Supervisory**, or consultative capacity. OR Option II : A Master's Degree in Nursing from an accredited… more
- The County of Los Angeles (Los Angeles, CA)
- …of subordinate supervisors and other personnel. + Monitors and evaluates program operations for compliance with licensure and regulatory standards. + Manages the ... enforcement actions for the Division, including processing license revocations, Medicare and Medi-Cal de-certifications, and criminal complaints; and provides… more
- The County of Los Angeles (Los Angeles, CA)
- …laws, regulations and standards governing licensing, accreditation and certification for Medicare and Medi-Cal and in various acceptable methods of maintaining, ... improving, or modifying dietetic and food service operations . + Reviews and analyzes written reports prepared by...carry out job-related essential functions. PHYSICAL CLASS: Physical Class II - Light: This class requires light physical effort… more