- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions is seeking a Senior Quality Analyst , who will oversee contract and benefit configuration to ensure accurate claims ... processing and network compliance . This is a remote role. Primary Responsibilities +...claims adjudication. + Working knowledge of medical terminologies and coding a plus + Excellent written and oral communication,… more
- PenFed Credit Union (Irving, TX)
- …it's about being a part of the PenFed family. PenFed is hiring a (Hybrid) Senior Data Analyst , Credit Risk Management at our Irving, Texas; San Antonio, Texas ... reporting. + Partner with key stakeholders in various groups (Business Lines, Compliance , Operations, Finance / Credit Risk Modeling, and Enterprise Risk Management)… more
- CVS Health (Lansing, MI)
- …identification of potential claim editing & clinical program enhancements to ensure compliance with Federal and State Legislation. This individual will also provide ... Prepay DRG coding consultations to CCR nurses and other medical ...in collaboration with, colleagues from across organization to monitor compliance strategies + Escalate risks and identified issues timely… more
- Option Care Health (Bannockburn, IL)
- …the best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for ... to summarize and communicate complex findings effectively. Reporting to the Senior Manager, Compliance Auditing, Monitoring and Analytics, this individual… more
- Citigroup (Tampa, FL)
- …teams within Risk and the Business regarding qualitative models to facilitate compliance with our policies, procedures, and guidance. + Assisting with preparing the ... reports and other meeting materials to MRM senior management. + Supporting the process of designing, developing,...and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to… more
- Chewy (Bellevue, WA)
- …Chewy seeks a highly motivated, analytical, and enthusiastic **Sr. Financial Analyst ** to join our Commercial Finance team! Combining an understanding of ... written and oral communication skills + Experience with SQL coding **Bonus (if applicable):** + Hyperion Smartview, Tableau, Oracle...be eligible for paid sick and family leave in compliance with applicable state and local regulations. Base Salary… more
- Citigroup (New York, NY)
- …communication skills required in order to negotiate internally, often at a senior level. Developed communication and diplomacy skills are required in order to ... firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying… more
- Northwell Health (Lake Success, NY)
- …verifies, tracks and reports on financial indicators (eg accounts receivables, account coding and charging, cash flow, budgets, GL, P&L, statistical data and ... data input and accuracy of data. + Conducts internal audits to ensure compliance to departmental policies and procedures, and state and federal regulations. +… more
- Stantec (Minneapolis, MN)
- …focus. - Conducting demographic, economic, and market data analysis utilizing coding and spreadsheet methodologies. - Preparing map exhibits that illustrate patterns ... - Min Salary $ 85,700.00 - Max Salary $ 124,300.00 **Pay Transparency:** In compliance with pay transparency laws, pay ranges are provided for positions in locations… more
- Beth Israel Lahey Health (Charlestown, MA)
- …To educate, give support, and provide guidance to all BILH providers about compliance , billing, coding , and documentation requirements. To perform and monitor ... Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team...ensure that Beth Israel Lahey Health (BILH) is in compliance with all applicable federal and state laws and… more