- Penn Medicine (Bala Cynwyd, PA)
- …Our employees shape our future each day. Are you living your life's work? ** Data Coordinator, Government Audits and Appeals** Job Summary: + The Data ... Hospital Compliance, Government Audit and Appeals, receives, reviews, and enters data into the audit tracking database according to established procedures. Ensures… more
- RWJBarnabas Health (Oceanport, NJ)
- …applications + Completed the annual Medicaid DSH Surveys. + Manage and optimize the data collection and reporting process for the Medicare , Medicaid and NJ SHARE ... will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across… more
- The County of Los Angeles (Los Angeles, CA)
- …procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery ... procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner....and technical direction at the level of Health Program Analyst III. A Master's degree in Psychology, Social Work,… more
- The County of Los Angeles (Los Angeles, CA)
- …concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery ... procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner....and technical direction at the level of Health Program Analyst III**. A Master's degree in Psychology, Social Work,… more
- The County of Los Angeles (Los Angeles, CA)
- …representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician ... resource person to subordinate staff concerning Federal regulations pertaining to Medicare and Medi-Cal reimbursement, aspects of medical treatment for unusual… more
- University of Utah (Salt Lake City, UT)
- …the College of Health. Dr. Kumar's research focuses on health service research, utilizing Medicare claims data , epidemiological data , qualitative data ... analysis, and electronic health record ( EHR ) data . This Research Analyst will provide a... management of large survey, state, health system, and Medicare claims data * Proficiency with Microsoft… more
- Molina Healthcare (Dallas, TX)
- …cross-functional coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & ... the role. + Validate findings and test assumptions through data , but lead with contextual knowledge of claims processing,...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- City and County of San Francisco (San Francisco, CA)
- …+ Evaluates patient signs and symptoms, reviews laboratory and radiological data , diagnoses complex cases, and institutes treatments as appropriate; serves as ... + Evaluates patient signs and symptoms, reviews laboratory and radiological data , recommends, performs, supervises and consults with other physicians and surgeons… more
- Molina Healthcare (San Diego, CA)
- …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... the role. + Validates findings and test assumptions through data , but lead with contextual knowledge of claims processing,...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Aston Carter (Bethesda, MD)
- Job Title: Credentialing Analyst Job Description The Credentialing Analyst is responsible for reviewing initial and reappointment credentialing applications to ... a timely manner. + Follow up and update provider data in the credentialing database for precision and consistency....such as MDStaff and IntelliSoft. + Familiarity with PECOS ( Medicare database) and EPREP (MD Medicaid portal/database). + Strong… more
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