- Cognizant (Augusta, ME)
- **Job Title: Sr. QNXT Configuration Analyst ** **Location:** **Remote** **Job ID:** **00067091141** **About the role** As a **Sr. QNXT Configuration Analyst ** , ... by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a valued member of our… more
- CGI Technologies and Solutions, Inc. (Lafayette, LA)
- **EDI Production Support Analyst ** **Category:** Software Development/ Engineering **Main location:** United States, Tennessee, Nashville **Alternate Location(s):** ... rapidly and are looking for an EDI Production Support Analyst . This is a hybrid role that requires hybrid,...help resolve and fix production issues . Medicaid and Medicare transactions . Dynatrace . ITIL processes - Incident… more
- Harvard University (Cambridge, MA)
- Details Title Research Associate/Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description We ... are seeking a research Data Analyst in the Department of Oral Health Policy and...follow proper procedures for working with confidential data in compliance with institutional and regulatory guidelines, including staying current… more
- BAYADA Home Health Care (Pennsauken, NJ)
- **POSITION SUMMARY:** The Revenue Cycle Analyst supports BAYADA Home Health Care's mission by analyzing, monitoring, and optimizing aspects of the revenue cycle, ... accurate reporting, effective process improvements, and sustained revenue integrity. The Analyst will also provide insights and recommendations to leadership through… more
- Gentiva (Atlanta, GA)
- **Overview** **Ensure Compliance . Support Growth. Drive Regulatory Excellence.** We are seeking a detail-driven Regulatory Analyst to join our growing team. ... this role plays a critical part in maintaining the organization's regulatory compliance by managing a wide range of licenses, governmental enrollments, and… more
- Trinity Health (Gaithersburg, MD)
- …systems; analyze and correct CMS return files, RAPS, and encounter data. + Ensure compliance with Medicare Part D reporting requirements and prepare annual bid ... Health PACE (TH PACE) programs. This role manages revenue cycles for Medicare , Medicaid, and private pay, oversees expense cycles including vendors and medical… 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 ... Review changes in CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization...RBRVUS, MPFS, and managed care o NCCI edits and Medicare LCD/NCDs o health care documentation, coding and billing… more
- Humana (Columbia, SC)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions +… more
- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are ... requiring reprocessing or readjudication in a timely manner to ensure compliance . * Works collaboratively with internal/external stakeholders to define claims… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Position Summary** : The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical ... Departmental Directors and CFOs Assists with the submission of reserve information for compliance with Dignity Health Policy and Procedure Assists in the review of… more