- Molina Healthcare (San Antonio, TX)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits… more
- Prime Therapeutics (Austin, TX)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance ... the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
- Prime Therapeutics (Austin, TX)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
- Prime Therapeutics (Austin, TX)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints ... Senior Compliance Analyst assists in the implementation of...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and ... reviews and identifying potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback… more
- Centene Corporation (Austin, TX)
- …and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. + Leads ... organization for its Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and… more
- CVS Health (Austin, TX)
- …via provider engagement and bring provider relationships to a whole new level! Be a part of our Aetna team- an industry leader serving the Medicare and ... improve the quality of care across the country. **Position Summary/Mission** The Analyst , Outreach Coordinator utilizes several tools to help close care gaps… more
- HCA Healthcare (Pearland, TX)
- …is recognized. Submit your application for the opportunity below: Senior Collections Analyst at Parallon **Benefits** Parallon, offers a total rewards package that ... Fund that offers free employee-only coverage to full-time and part -time colleagues based on income. Learn more about Employee...vary by location._** We are seeking a Senior Collections Analyst for our team to ensure that we continue… more
- Molina Healthcare (Houston, TX)
- **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 ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the… more
- Elevance Health (Grand Prairie, TX)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... healthcare encounter data submissions to CMS (Centers for Medicare & Medicaid Services). This role involves ensuring the accuracy and completeness of data,… more