- Humana (Arlington, VA)
- **Become a part of our caring community and help us put health first** The M&A Analyst identifies, researches, analyzes, makes recommendations and negotiates ... reliability of information provided by potential acquisition targets. The M&A Analyst work assignments are varied and frequently require interpretation and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior CBO Appeals Analyst position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including ... fashion. In collaboration with the Underpayment Team manager, the Senior CBO Appeals Analyst will work to further the CBO's goals of enhancing contract compliance… more
- Evolent (Juneau, AK)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is made up of analysts, ... opportunity to make healthcare better. **Collaboration Opportunities:** The Senior Scope Analyst , Scope Management plays a crucial role in supporting the… more
- Prime Therapeutics (Indianapolis, IN)
- …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT...a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources… more
- Henry Ford Health System (Troy, MI)
- Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the ... accuracy and completeness of the CDM. The CDM Analyst also supports the CDM Coordinator and Senior CDM Analysts. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Reviews… more
- Alight (FL)
- …process improvement. Must interact well professionally with colleagues. **Responsibilities** + Maintaining compliance with all Medicare CMS and Compliance ... Enhanced (SME) for Customer Service best practices, Insurance & Compliance processes, and Medicare (AHIP). + Facilitate...us in building a brighter, more inclusive future. As part of this commitment, Alight will ensure that persons… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... mentorship from senior MSHP leaders + Opportunity to be part of a forward-thinking team driving a system-wide transformation...Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding,… more
- Humana (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Intelligence Engineer will be an integral part of the Pricer Business and System Support team...plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing… more
- embecta (Parsippany, NJ)
- …and X (http://twitter.com/embecta) . **Why join us?** A career at embecta means being part of a team that values your opinions and contributions and that empowers ... needs of our diverse and global employees. The Pricing & Contracts Sr. Analyst will support the analytics, operations and contracting functions within US Sales… more
- Grifols Shared Services North America, Inc (Research Triangle Park, NC)
- …while carrying out the accountability of the job. + Responsible for ensuring compliance with all state and federal mandated deadlines to avoid interest/late fee ... accordingly. + Responsible for negotiating dispute resolutions with state analyst /vendors and ensuring proper documentation of the dispute resolution process.… more
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