- Zelis (Plano, TX)
- …that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer Product team to further ... billing, reimbursement, claim payment or cost reporting. + Experience with Medicare / Medicare Advantage or commercial billing and reimbursement a plus + Ability… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required… more
- Aveanna Healthcare (Atlanta, GA)
- Sr. Paralegal Analyst (Employment Litigation) ApplyRefer a FriendBack Job Details Requisition #: 205891 Location: Atlanta, GA 30339 Category: Administrative/Clerical ... time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all...or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Reimbursement Analyst - SeniorDepartment: Reimbursement Specialist - Finance Location: Riedman Campus SUMMARY: Provide and maintain Hospital reimbursement ... expertise as it relates to Medicare , Blue Cross and Medicaid. Prepare annual institutional cost...and maintain Hospital reimbursement expertise as it relates to Medicare , Blue Cross and Medicaid (as observed by Asst.… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
- Elevance Health (Louisville, KY)
- **Provider Network Analyst Lead** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Provider Network Analyst Lead** reviews and strategizes between data, creates models,...report to track rates paid to providers based on Medicare guidelines. + Creates client reports on provider networks… more
- Insight Global (Houston, TX)
- Job Description We are seeking an Epic Clinical Application Analyst with a focus on Inpatient ClinDoc and Clinical Case Management to join our dynamic care ... to case management and utilization review, including updates driven by Medicare guidelines. Support the upcoming Post-Acute Discharge Platform project, including… more
- Abt Global Inc. (Durham, NC)
- …and oversight. The successful candidate will have a role on a Centers for Medicare & Medicaid Services (CMS) funded project. The candidate enjoys working in a team ... is comfortable with ambiguity and changing direction. **What We Value** + Senior Analyst : Bachelor's Degree + Five years of relevant experience, or Master's Degree +… more
- CVS Health (Boise, ID)
- …with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for the accurate and timely validation and maintenance of ... responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and Availability monitoring as required… more
- Avera (Sioux Falls, SD)
- …4,000 nationwide to achieve a double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great! **Position Highlights** **Position ... Summary** The Denial Prevention Analyst coordinates facility wide denial and denial prevention information for Avera Heart Hospital and North Central Heart. This… more
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