- CVS Health (FL)
- …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)
- …the Bureau of Revenue Development and Automation unit. - Manage existing revenue claims , including Medicaid and SNAP compliance projects - Aggregate and analyze ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A...data from HRA's Enterprise Data Warehouse, Medicaid Data Warehouse, Passport and other data sources -… 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
- State of Colorado (Denver, CO)
- …is responsible for all applicable financial and medical benefits (eg Medicaid , Medicare, Social Security Insurance (SSI), Social Security Disability Insurance ... Processes: + Responsible for establishing relationships with community benefits agencies (eg Medicaid , SSA, etc.) and develops assigned contacts to utilize for the… more
- City and County of San Francisco (San Francisco, CA)
- …claims processing and/or collecting healthcare service reimbursements or medical claims from Medi-Cal ( Medicaid ), Medicare, insurance, third-party payors, and ... Essential duties include: + Reviews and edits bills and claims to make sure the information is accurate and...recruitment; therefore, it is their responsibility to contact the Analyst if they update their email address. Applicants will… more
- Nuvance Health (Danbury, CT)
- …The CDM Coordinator supports the Charge Integrity team as well as the CDM Analyst role. Assists the Charge Integrity Team in the development of charge reconciliation ... charges after interfacing them in the system in collaboration with the CDM Analyst . The Charge Integrity Coordinator will be the subject matter expert relating to… more
- Centene Corporation (Cheyenne, WY)
- …**Position Purpose:** Audit medical record coding to ensure high dollar claims are processed appropriately and to identify training needs. Ensure department ... improvement opportunities + Analyze audit results to identify training needs for coding analyst staff + Train new coding analysts and existing coding analysts on new… 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
- City of New York (New York, NY)
- …for over 500 active contracts. - Direct the processing of approximately 30,000 Medicaid reimbursement claims per month, related to a class-action settlement. - ... Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A...Services Payments Unit is recruiting one (1) Administrative Staff Analyst (NM-2) to function as the Director of Human… more
- City of New York (New York, NY)
- Job Description YOU MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE, PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE CHANGE. The ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more