- CenterWell (Lincoln, NE)
- …Director, the Senior Strategy Advancement Professional will bring a combination of operational support , analyst skills, and strategy oversight to the role. This ... issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large....programs via the Center for Medicare and Medicaid Services ( CMS ), such as ACO REACH, MSSP, and future models.… more
- Molina Healthcare (Grand Island, NE)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... CMS and internal audit activities. This position contributes to...collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory… more
- Highmark Health (Lincoln, NE)
- …areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management ... subject matter expert, providing insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and… more
- Molina Healthcare (Kearney, NE)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... strategy and execution of CMS and internal audit activities. This position is responsible...all required elements are neatly organized or centralized. The analyst will be expected to investigate and connect disparate… more
- Intermountain Health (Lincoln, NE)
- …the chargemaster. + Partners with the Chargemaster Service Line Partner to support EPMO projects, enterprise and system initiatives utilizing intermediate level ... **Job Description:** The RCO Rev Integrity Chargemaster Analyst II independently handles EPIC build, maintenance, and implementation of charge codes, fee schedules,… more
- Molina Healthcare (Bellevue, NE)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model...financial analysis to assist in delivering optimal health care management and decision making + Understanding and applying data… more
- Evolent (Lincoln, NE)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management ** The Specialty Scope Management team is made ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst , Scope Management plays a crucial role… more
- Mass Markets (NE)
- …partner in the industry. We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role is crucial in ... center or customer service environment. + Proficiency in workforce management tools such as IEX, Beeline, CMS ,...we offer a variety of benefits and incentives to support and reward our team members. What You Can… more
- Molina Healthcare (NE)
- …Create and maintain monthly and quarterly Key Performance Indicator (KPI) reports. + Support the management of the regulatory memo distribution process Ability ... activities at individual state health plans. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsibility for supporting the day to… more
- Banner Health (NE)
- …and anesthesiologists. Refers inconsistent patient treatment information or documentation to coding support tech, coding quality analyst or coding manager for ... Coding Education team and your hiring manager, with continued support throughout your career here! _*This position is for...agencies for state Medicaid plans, Center for Medicare Services ( CMS ), Office of the Inspector General (OIG) and the… more