- Queen's Health System (Honolulu, HI)
- …monitoring and routine auditing of virtual inventory accumulation, purchasing procedures, Medicaid billing procedures, patient eligibility, new areas of service, and ... business units highly desirable. * Experience with retail prescription claims or hospital billing auditing highly desirable. Equal Opportunity… more
- SSM Health (MO)
- …Pharmacy Affairs (OPA) database changes and updates. + Monitors and audits state Medicaid claims to ensure compliance. + Reconciles contract pharmacy payments ... against revenue posted by Finance. + Evaluates patient eligibility in mixed use areas and clinics in electronic medical records (EMR). + Develops and updates 340B Program reporting packets for SSM ministries. + Reviews ordering, negative and positive… more
- Molina Healthcare (Racine, WI)
- …care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of ... and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding… more
- CVS Health (Richmond, VA)
- …complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate ... We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a...in healthcare fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides...Administration (HASA) is recruiting for one (1) Admin Staff Analyst NMI to function as Director of Budget and… more
- The County of Los Angeles (Los Angeles, CA)
- …program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for ... and technical direction at the level of Health Program Analyst III**. A Master's degree in Psychology, Social Work,...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Lac Vieux Desert Northern Waters Casino Resort (Watersmeet, MI)
- …Patient Benefits Navigator LOCATION: LVD Health Center, Watersmeet, MI SUPERVISION: Data Analyst EMPLOYMENT: Full Time - Non-Exempt SALARY/PAY RATE: $18.26 - $23.55 ... patients in obtaining and maintaining health insurance, working with Medicare, Medicaid , private insurers, and social service agencies. * Monitor PRC eligibility,… more
- The County of Los Angeles (Los Angeles, CA)
- …quality and safety standards consistent with the Centers for Medicare and Medicaid Services requirements. Assisting in the management is defined as providing support ... attaching to your application or sending to the exam analyst . ALL APPLICANTS MUST MEET THE REQUIREMENTS AT THE...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- The County of Los Angeles (Los Angeles, CA)
- …quality and safety standards consistent with the Centers for Medicare and Medicaid Services requirements. To receive credit for your education, include a legible ... application submission, you may email them to the exam analyst at ###@dhs.lacounty.gov within 7 calendar days of filing...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- The County of Los Angeles (Los Angeles, CA)
- …Teletype Phone: ### Exam Number:PH5708D Department Contact Name:Exam Analyst Department Contact Phone:### Department Contact Email:###@ph.lacounty.gov COUNTY OF ... questions about a specific job posting should contact the exam analyst listed on the posting. Equal Employment Opportunity/Non-Discrimination Statement: The County… more
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