- Mount Sinai Health System (New York, NY)
- …compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- Providence (OR)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...coding edits from external agencies such as AMA, CMS, Medicaid , and specialty societies, and assists with implementation of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and Blue Shield of Minnesota Position Title: Principal Risk Adjustment Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & Business ... Have Blue Cross and Blue Shield of Minnesota is hiring a Principal Healthcare Analyst on our Risk Adjustment team in Eagan, MN.The Principal Healthcare Analyst … more
- Molina Healthcare (Rio Rancho, NM)
- JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely ... implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules… more
- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely ... implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- LA Care Health Plan (Los Angeles, CA)
- Core Systems Configuration Analyst III Job Category: Administrative, HR, Business Professionals Department: Enterprise Configuration Location: Los Angeles, CA, US, ... net required to achieve that purpose. Job Summary The Core Systems Configuration Analyst III is responsible for the more complex technical and analytical work… more
- CentraCare (St. Cloud, MN)
- …Professional Job Schedule: Full time Find your purpose as a Financial and Regulatory Analyst at CentraCare. The Financial and Regulatory Policy Analyst serves as ... payer policies, government reimbursement regulations, and healthcare legislation. The analyst partners with managed care, revenue cycle, government reimbursement,… more
- Johns Hopkins University (Baltimore, MD)
- …Health Initiative to manage, analyze, and interpret large healthcare datasets, including Medicaid , Medicare, commercial, and all-payer claims . We are seeking a ... and managing a plan to translate data into insights. The Sr. Data Analyst will provide expertise in data analysis and illustrations to articulate and monitor… more
- Catholic Health Services (Rockville Centre, NY)
- …and annual CFR & CBR reports and requests. + Prepare and review OASAS/OMH monthly claims and support County audits. + Medicaid DSH Audit preparation. + Prepare ... Health was named Long Island's Top Workplace! Job Details The Senior Financial Analyst reports to the Reimbursement team within the Corporate Finance department, and… more
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