• Medicare /Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... operations, health care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance,… more
    Commonwealth Care Alliance (08/26/25)
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  • Home Office Reimbursement Analyst

    UCLA Health (Los Angeles, CA)
    …the financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on ... degree preferred). + At least five years of experience in healthcare reimbursement or financial analysis, particularly with Medicare and Medi-Cal regulations.… more
    UCLA Health (07/31/25)
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  • Medicaid Provider Hospital Reimbursement

    Humana (Hartford, CT)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (09/09/25)
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  • Reimbursement Analyst (Remote)

    CareFirst (Baltimore, MD)
    …in DC Medicaid reimbursement . + Knowledge of Maryland Mediciad and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to...may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also… more
    CareFirst (09/12/25)
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  • Senior Reimbursement Analyst

    CareFirst (Baltimore, MD)
    …in DC Medicaid reimbursement . + Knowledge of Maryland Medicaid and Medicare reimbursement . + Excellent verbal and written communication skills. + Excellent ... fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to...may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also… more
    CareFirst (09/11/25)
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  • Reimbursement Analyst

    WellSpan Health (York, PA)
    …entries using the Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental ... reimbursement regulations. Contributes to ensuring the overall continued financial...projections. + Assists in coordination, preparation, and submission of Medicare and Medicaid cost reports using data from company… more
    WellSpan Health (08/27/25)
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  • Reimbursement Analyst II

    CommonSpirit Health (Englewood, CO)
    **Responsibilities** **Position Summary** : The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical expertise ... with Dignity Health Policy and Procedure Assists in the review of new reimbursement /revenue cycle strategies for the purpose of ensuring compliance and promotion of… more
    CommonSpirit Health (08/17/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Supports corporate and ... lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment… more
    Medical Mutual of Ohio (08/16/25)
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  • Behavioral Health Finance Analyst

    Ventura County (Ventura, CA)
    Behavioral Health Finance Analyst I/II/Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5001534) Apply  Behavioral Health Finance ... Analyst I/II/Senior Salary $78,312.00 - $133,993.60 Annually Location Oxnard,...includes a scheduled floating holiday. + Additional Benefits: Tuition Reimbursement , Disability Plans, Employee Assistance Program, LIfe Insurance, Wellness… more
    Ventura County (08/07/25)
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  • Co-Op - Reimbursement and Health Policy…

    Philips (Cambridge, MA)
    …aimed at solving real-world healthcare problems. + Support the analysis of reimbursement trends and review/analyze US regulations including Medicare payment or ... our site in Cambridge, MA. Support the Health Economics, Market Access, and Reimbursement (HEMAR) Global Leadership Team to deliver reimbursement , health policy,… more
    Philips (08/14/25)
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