- Gentiva (Atlanta, GA)
- …Support Growth. Drive Regulatory Excellence.** We are seeking a detail-driven Regulatory Analyst to join our growing team. Reporting directly to the Vice President ... and track a variety of healthcare regulatory applications including state licensure, Medicare , Medicaid, NPI, CLIA, CON, and accrediting bodies + Maintain detailed… more
- University of Utah Health (Murray, UT)
- …quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's risk adjustment program. + This ... data. + Ability to perform complex research and analysis of healthcare claims, enrollment , and other related data, to report on network utilization, cost structure,… more
- Healthfirst (NY)
- …during the annual Medicare Go to Market project in preparation for the Medicare Annual Enrollment Period (AEP). + Contributes to the development of the ... Requirements:** + BA/BS from an accredited institution + Knowledge of Medicare Communications and Marketing Guidelines, New York State Managed Long-Term Care… more
- Molina Healthcare (Long Beach, CA)
- …the departments goals. + Must have member movement or PCP reassignment or Enrollment and Provider termination experience. + Must have intermediate level MS Excel ... experience, + Familiarity with Enrollment and Managed Healthcare experience is required. + Must...is required. + Experience with QNXT is preferred. + Medicare / medicaid membership exp required Required soft skill include… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …for the timely and accurate resolution of discrepancies identified in the Enrollment , Billing and/or Reconciliation processes. The analyst will review ... identify trends and document resolutions. ESSENTIAL DUTIES AND RESPONSIBILITIES Enrollment Processing + Process queue items, inter-departmental and customer requests… more
- LA Care Health Plan (Los Angeles, CA)
- …successful auditing strategy for the following end-to-end processes within CSC (ie Enrollment processing timeliness and accuracy of loading members, timeliness of ID ... Care Services (DHCS), Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), LACC - CalHers, and National Committee for… more
- Aston Carter (Bethesda, MD)
- Job Title: Credentialing Analyst Job Description The Credentialing Analyst is responsible for reviewing initial and reappointment credentialing applications to ... credentialing standards, and identifying discrepancies that may impact provider enrollment . Responsibilities + Review initial and reappointment credentialing applications… more
- Silicon Valley Power (Santa Clara, CA)
- …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + The City...**Dental Insurance:** + Choice of two Delta Dental plans; enrollment is mandatory + City pays lowest cost employee… more
- Silicon Valley Power (Santa Clara, CA)
- …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + The City...**Dental Insurance:** + Choice of two Delta Dental plans; enrollment is mandatory + City pays lowest cost employee… more
- Silicon Valley Power (Santa Clara, CA)
- …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + The City...**Dental Insurance:** + Choice of two Delta Dental plans; enrollment is mandatory + City pays lowest cost employee… more