- Marion County (Salem, OR)
- …opportunities. Model to supervisors and support supervisors to prioritize, assign, review , and give feedback to employees about their work; provide guidance ... skills and confidence that enhances the program and organizational culture. Review supervisors work for completeness, accuracy, quality, and quantity. Provide… more
- Louisiana Department of State Civil Service (Opelousas, LA)
- MEDICAID LTC ANALYST 1 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4472079) Apply MEDICAID LTC ANALYST 1 Salary $3,043.73 - ... development and stimulation of services of others, and the utilization of available resources in the most effective manner....This position has a Special Entrance Rate (SER) of: Medicaid LTC Analyst 1 - $17.56 hr… more
- Comunilife (Bronx, NY)
- Utilization Review Analyst Job Details...by NYS Office of Mental Health (OMH) to bill Medicaid for certain services. The program is designed to assist ... - Social Services Description Comunilife Inc.is looking for aUtilization Review Analystfor its newRehabilitation and Tenancy Support Services Program… more
- MyFlorida (Tallahassee, FL)
- …rules, coverage policies, managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, ... 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Apr 26, 2024 Location: TALLAHASSEE, FL,...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- Highmark Health (Harrisburg, PA)
- …business relationships, impact of other Highmark business decisions on Informatics, personnel utilization and the use of and planning for technology. The position ... units that may assist in the resolution of issues or problems. + Access, review , utilize, contribute content to and participate in the maintenance of the shared… more
- University of Michigan (Ann Arbor, MI)
- Population Health Senior Analyst Apply Now **Summary** This position focuses on providing a combination of strategic and analytic support for the Michigan Medicine ... others) to align business planning and strategy for managing cost, quality and utilization measures as they relate to population health + Assist in leading IT/CDS… more
- HCA Healthcare (Nashville, TN)
- …you want to join an organization that invests in you as a Consulting Product Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in ... difference. We are looking for a dedicated Consulting Product Analyst like you to be a part of our...processes to recommend opportunities for optimizing business process through utilization of technology.** + **Works with IT and Operations… more
- CareOregon (Portland, OR)
- …Nevada, Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title IS Development ... and data integrity of multiple systems: + QNXT, including claims, utilization management, benefits, contracts, member, call tracking, fees and code modules… more
- HCA Healthcare (San Antonio, TX)
- …Nurse (LPN) certification and current licensure. 1 year of experience in Utilization Review , appeals, denials, and experience in performing charge reviews ... cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon...we encourage you to apply for our SWAT Clinical Analyst opening. We promptly review all applications.… more
- MyFlorida (Tallahassee, FL)
- GOVERNMENT ANALYST II - 48004012 Date: Apr 17, 2024 Location: TALLAHASSEE, FL, US, 32309 The State Personnel System is an E-Verify employer. For more information ... . Requisition No: 827356 Agency: Department of Education Working Title: GOVERNMENT ANALYST II - 48004012 Pay Plan: Career Service Position Number: 48004012 Salary:… more
- University of Washington (Seattle, WA)
- …and an understanding of Epic applications, data/business intelligence tools and utilization **PRIMARY JOB RESPONSIBILITIES** + Review , Remediation, and Educate ... Medicine Revenue Integrity** has an outstanding opportunity for a **TEMPORARY REVENUE INTEGRITY ANALYST ** **Work Schedule** + 100% FTE - POSITION IS EXPECTED TO LAST… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Data Analyst 3 - 61608 Occupational Category Financial, Accounting, Auditing Salary Grade 27 Bargaining Unit PS&T - ... Minimum Qualifications:Non-competitive: one year of permanent service as a Data Analyst 2 OR bachelor's degree in data or computer science, informatics,… more
- Walmart (Bentonville, AR)
- …plans to correct deficiencies; and ensuring regulatory certifications for state and federal utilization and bill review are obtained. + Assists with vendor ... Health & Wellness Medical Billing team as a Sr, Analyst , Billing supporting the medical pharmacy. In this role,...and care for our patients. This role will: + review government and commercial payers for coverage criteria updates,… more
- CVS Health (Charleston, WV)
- …* Waiver experience* Foster care experience* Crisis intervention skills* Managed care/ utilization review experience* Case management and discharge planning ... 26+ year history of partnering with the State to provide West Virginia's Medicaid population with top notch health care coordination and service. The plan also… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Data Analyst 2 - 61619, 61620 Occupational Category Financial, Accounting, Auditing Salary Grade 23 Bargaining Unit ... of funding allocations; Facilitate the integration of hospital reporting with other Medicaid and Department of Health data to assess regional and/or hospital… more
- The Cigna Group (Bloomfield, CT)
- **Technical Support Senior Analyst Job Description** Cigna is a health services company committed to helping our nation's Medicare and Medicaid beneficiaries ... with each release. + Support the MHK product support team with configuration review , efficient release/base-lining management + Serve as a point of escalation for… more
- The Cigna Group (Nashville, TN)
- …other weekend (Tuesday ALT Day).** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to ... and organizational skills; effectively manage competing priorities and multiple deadlines. + Review , research and understand how request for plan services and claims… more
- New York State Civil Service (Albany, NY)
- …of capitation reimbursement methodologies, and development of fee schedules.-Performing utilization review of requests for medical treatment including ... care facilities; federal, State, or local health care agencies; hospitals; Medicaid programs; and/or other public or private health insurance programs:-Developing… more
