• Compliance Analyst

    AmeriHealth Caritas (Newtown Square, PA)
    …insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. At AmeriHealth Caritas, we're passionate about helping people get ... however must understand CMS regulations, health risk assessments and corrective actions for Medicare . ; Will need an understanding of the 7 elements of compliance. ;… more
    AmeriHealth Caritas (07/02/25)
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  • Managed Care Analyst II

    Sutter Health (Sacramento, CA)
    …practices, and procedures. + Knowledge of managed care payment/ reimbursement methodologies (eg, Medicaid/Medi-Cal, Medicare , fee-for-service, ... capitation/sub-capitation) for various types of healthcare entities (eg, hospital, skilled nursing facilities, physician, ancillary and professional service providers). + Knowledge of healthcare/hospital accounting systems and audit processes. + Familiar with… more
    Sutter Health (06/17/25)
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  • Revenue Integrity Analyst

    UCLA Health (Los Angeles, CA)
    …systems, processes and procedures + Maintain compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR ... Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare /Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim… more
    UCLA Health (05/28/25)
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  • Research Analyst

    City of New York (New York, NY)
    …Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement and Pre-Tax Benefits & Citywide Programs ... including the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies with regard to workforce labor issues and works with the Municipal Labor Committee (MLC) to pursue… more
    City of New York (05/03/25)
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  • Director, Corporate Reimbursement

    RWJBarnabas Health (Oceanport, NJ)
    …will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies ... and evaluate changes in reimbursement regulations and policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report… more
    RWJBarnabas Health (06/20/25)
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  • Mental Health Program Manager I/Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …and procedures concerning administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... and technical direction at the level of Health Program Analyst III. A Master's degree in Psychology, Social Work,...and selecting new staff, and performance management. Health Program Analyst IIIis defined as supervising a team of analysts… more
    The County of Los Angeles (07/23/25)
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  • Mental Health Program Manager II / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …procedures concerning program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum ... and technical direction at the level of Health Program Analyst III**. A Master's degree in Psychology, Social Work,...and selecting new staff, and performance management. **Health Program Analyst III is defined as supervising a team of… more
    The County of Los Angeles (07/24/25)
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  • Utilization Review Nurse Supervisor I

    The County of Los Angeles (Los Angeles, CA)
    …representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement . + Analyzes cases for referral to the ... technical resource person to subordinate staff concerning Federal regulations pertaining to Medicare and Medi-Cal reimbursement , aspects of medical treatment for… more
    The County of Los Angeles (05/22/25)
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  • Electric Utility Network Administrator

    Silicon Valley Power (Santa Clara, CA)
    …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + The City...MOU for details) + Tools: $500 per fiscal year reimbursement for Auto Foreperson classification + Phone allowance of… more
    Silicon Valley Power (07/22/25)
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  • Senior Engineering Technician

    Silicon Valley Power (Santa Clara, CA)
    …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + The City...MOU for details) + Tools: $500 per fiscal year reimbursement for Auto Foreperson classification + Phone allowance of… more
    Silicon Valley Power (07/09/25)
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