- Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst Lead** to analyze and… more
- Highmark Health (Concord, NH)
- …:** **JOB SUMMARY** This job partners with business units to ensure compliance to rules, regulations, policies, and procedures of governmental, contractual, and/or ... trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance related processes. + Monitor governance and compliance of… more
- CVS Health (Hartford, CT)
- …every day. **Position Summary** CVS Health is seeking a Senior Financial Analyst to join our Medicare FP&A Organization. This role supports development and ... annual Medicare CMS bid/pricing process, driving best practices, regulatory compliance , and competitive cost structure. The ideal candidate is a self-starter… more
- Centene Corporation (Jefferson City, MO)
- … compliance required + Risk Adjustment/HCC coding required + Medicare experience required + Demonstrated understanding of risk adjustment regulatory landscape ... in the Continental United States.** **Position Purpose:** Supports the Risk Adjustment Compliance program elements, with a focus on the auditing and monitoring… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Financial Analyst , Enterprise CDM -Patient Financial Services-Corporate 42nd Street-Full-Time- Days- Hybrid** The Senior ... to ensure accurate and compliant charge capture and professional CDM compliance . The ideal candidate will possess advanced knowledge of professional charging,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Financial Analyst /CDM Chargemaster -Corporate-Full-Time Days (REMOTE)** We seek an experienced Senior Financial Analyst / ... CDM Chargemaster with strong medical coding expertise to support the maintenance, compliance , and optimization of the hospital Charge Description Master (CDM). The… more
- Saint Francis Health System (Tulsa, OK)
- …area. + Relocation assistance is available to support the transition. Job Summary: The Senior Internal Audit Analyst plays a critical role in evaluating and ... control gaps, and providing actionable recommendations to enhance efficiency and compliance . Minimum Education: Bachelor's Degree in Accounting or related field.… more
- Highmark Health (Frankfort, KY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Senior Marketing Analytics Analyst plays a critical role in transforming customer, ... analytics skills, and deep understanding of healthcare customer journeys-including Medicare , Medicaid, Commercial, and provider engagement pathways. Experience with… more
- Mount Sinai Health System (New York, NY)
- …and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject ... across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a...teams. + Detail-oriented with a focus on accuracy and compliance . **Preferred Skills:** + In-depth knowledge of healthcare revenue… more
- Beth Israel Lahey Health (Woburn, MA)
- …(HMFP) at the Beth Israel Deaconess Medical Center (BIDMC), the Revenue Integrity Senior Analyst contributes to Revenue Integrity and Coding oversight at the ... Review changes in CPT, HCPCS, and wRVUs for accuracy, compliance with applicable coding and billing guidelines, and optimization...RBRVUS, MPFS, and managed care o NCCI edits and Medicare LCD/NCDs o health care documentation, coding and billing… more