- UCLA Health (Los Angeles, CA)
- …evolving policies. + Update and validate Medi-Cal Waiver models and address audit and data requests with precision. + Coordinate and lead weekly calls with ... financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on policy and… more
- Beth Israel Lahey Health (Woburn, MA)
- …the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the enterprise, which ... aims to maximize synergies across HMFP departments, initiate and lead revenue integrity and coding process improvement, identify and address risks, monitor key… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Waystar (Louisville, KY)
- …update presentation materials for public company reporting and board meetings, taking a lead role in the process. + Develop financial models and perform scenario ... and present analyses to executive leadership on an ad-hoc basis. + Lead initiatives to identify opportunities for financial and operational improvements. + Enhance… more
- State of Colorado (Denver, CO)
- …compliance with APS requirements regarding CAPS use in coordination with the APS data analyst and APS policy unit; interprets Adult Protective Services policy ... Data System Administrator (Salesforce) - Data ...position will coordinate with leadership and the unit work lead to direct the daily work projects for CAPS… more
- LA Care Health Plan (Los Angeles, CA)
- …system processes, and regulatory data submissions for risk adjustment data management and methodologies for Commercial, Medicare , and Medi-Cal product ... lines. Have an understanding of end-to-end encounters/claims, supplemental, and risk adjustment data software systems. Ability to lead cross functional internal… 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
- Silicon Valley Power (Santa Clara, CA)
- …resources delivering 4,800 GWh of electricity. SVP is growing due to data center expansion, high density developments and electrification initiatives. SVP's peak ... of the required experience must have been in a lead position; and + Three (3) years of the...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
- AmeriHealth Caritas (Newtown Square, PA)
- …directors, managers, coders, auditors, and analyst . ; **Program Oversight:** + Lead the planning and execution of HEDIS data submission and reporting, ... Quality Performance Reporting & Analytics and Risk Adjustment for Medicaid Quality, Medicare Stars, and Exchange QRS. This leader is accountable for driving strategy… more
- General Dynamics Information Technology (Fairfax, VA)
- …an **Operations Director** joining our team remotely to support the Centers for Medicare and Medicaid Services (CMS). Work visa sponsorship will not be provided for ... with development teams to standardize and optimize processes, drive data -informed decisions, and enhance overall operational transparency and accountability. +… more
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