- 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 ... compliance with applicable coding and billing guidelines, and optimization of reimbursement . * Support departments with analyzing services for coverage and … more
- Centene Corporation (Austin, TX)
- …candidate will have:_** + **_Knowledge of dual contract requirements (eg, Medicare -Medicaid plans)_** + **_Experience managing external audits and communicating with ... for its Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to… more
- Hackensack Meridian Health (Edison, NJ)
- …Hackensack Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement , Employee Discounts and much more The Patient Access ... Analyst is a revenue cycle expert in the areas...Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper… more
- embecta (Parsippany, NJ)
- …needs of our diverse and global employees. The Pricing & Contracts Sr. Analyst will support the analytics, operations and contracting functions within US Sales ... State FFS Medicaid programs, Medicaid PBM's, Managed Medicaid payers and Medicare payers. + Candidate should demonstrate excellent verbal and written communication… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- MVP Health Care (Schenectady, NY)
- …improvement. To achieve this, we're looking for a **Professional, Sr. Risk Adjustment Analyst ** to join #TeamMVP. This is the opportunity for you if you have ... of CMS risk adjustment and reinsurance payment processes and audits for Medicare and Commercial programs required + Experience in risk adjustment payment models… more
- System One (Tulsa, OK)
- …in a fast-paced environment. + Knowledge of healthcare billing and reimbursement processes ( Medicare /Medicaid) preferred. Location: Tulsa, Oklahoma 74136 System ... System One is seeking an experienced Internal Audit Analyst for a Tulsa-based organization. This role plays a key part in strengthening the organization's control… more
- Cognizant (Long Beach, CA)
- …improving everyday life. **Job Title: Sr QNXT and NetworX Configuration Analyst ** **Applicants will be accepted till 9/26/2025** **Role and Responsibilities:** . ... seek clarification when gaps are identified. . Interpret paper contracts for reimbursement . . Troubleshoot and remediate/workaround for claim pend issues. . QNXT… more
- Atrius Health (Newton, MA)
- …methodologies . Reviews and monitors contract/payer performance . Compares expected reimbursement data to negotiated rates from contract . Develop analysis in ... . Develop and deploy subject matter expertise in public payer ACO models ( Medicare and Medicaid) and create analyses to assess ACO performance and inform… more
- Novant Health (NC)
- …coding practices including CPT4, ICD10CM, and DRGs, as well as current Medicare reimbursement methodologies. + Knowledge of pricing, healthcare finance, managed ... of 2 teams: payor relationship management and financial strategy. The Sr. Pricing Analyst role is in the financial strategy group. This group partners with the… more