- State of Minnesota (Vadnais Heights, MN)
- **Working Title: DCT Revenue Cycle Quality Assurance Analyst ** **Job Class: Management Analyst 4** **Agency: Direct Care and Treatment** + **Job ID** : ... join the DCT Finance Team for an exciting and rewarding opportunity as a DCT Revenue Cycle Quality Assurance Analyst ! As the DCT Revenue Cycle Quality … more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain reports, from ad hoc… more
- Evolent (Cheyenne, WY)
- …members, providers + A minimum of 1 years of experience in technical quality assurance and database testing, medical benefits, provider, enrollment, and / ... mission. Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality ** Integration testing in the healthcare ecosystem… more
- New York State Civil Service (NY)
- …supports, and advocacy for people with developmental disabilities. Within the Department of Quality Assurance , the Senior Administrative Analyst will serve ... People With Developmental Disabilities, Office for Title Senior Administrative Analyst Occupational Category Financial, Accounting, Auditing Salary Grade 18… more
- CVS Health (Phoenix, AZ)
- …with CMS and clients. The second component of this role involves year-round quality assurance testing. As new programs, processes, and technology are deployed, ... technical, analytical, and business support for all assigned programs for Medicare , Medicaid, and Commercial products. Programs currently include End-Stage Renal… more
- Prime Therapeutics (Frankfort, KY)
- …requestors to resolve questions regarding requested software changes, and participate with Quality Assurance and UAT resources to review related test cases ... and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT… more
- Houston Methodist (Houston, TX)
- …risk and identify and capture potential revenue opportunities. This position performs quality assurance , detailed claims analysis and medical record reviews of ... claims are being billed to patients and third-party payers. Performs quality assurance . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Proactively stays up-to-date… more
- Beth Israel Lahey Health (Burlington, MA)
- …workflows and above all quality coding functions. Responsible for oversight of Quality Assurance by conducting regular staff audits to ensure that complex ... Reporting to the Coding and Billing Manager, the Coding and Billing Analyst serves as the preeminent analytical coding resource tasked with improving revenue… more
- Zelis (Plano, TX)
- …to determine and document business requirements. + Lead pricer maintenance, quality assurance activities, audits, troubleshooting, and defect corrections. + ... that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the… more
- Humana (Harrisburg, PA)
- …Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance , and compliance + Determining root causes driving issues ... put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
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