- Prime Therapeutics (Baton Rouge, LA)
- …Pharmacy Benefit Management (PBM) or healthcare experience with understanding of Medicare , Medicaid, the Exchanges along with regulatory compliance requirements ... decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also… more
- Robert Half Finance & Accounting (Kansas City, MO)
- …is working with a dynamic healthcare organization that is looking for a Revenue Data Analyst . The Revenue Data Analyst plays a key role in translating complex ... leaders. This position focuses on analyzing revenue-related data from senior care operations, identifying trends, ensuring accuracy, and producing comprehensive… more
- Alameda Health System (Oakland, CA)
- …datasets. Required Experience: Familiarity with healthcare reimbursement models (eg, Medicare , Medicaid, value-based care) and regulatory compliance . Required ... Strategic and Financial Planning Analyst + Oakland, CA + Highland General Hospital...line performance. + Prepare detailed reports and presentations for senior management, integrating financial, market, and growth data to… more
- BayCare Health System (Clearwater, FL)
- …FL (Hybrid) | Full-Time | Exempt | Reimbursement Department **About the Role:** The Senior Revenue Management Analyst plays a key role in BayCare's Reimbursement ... supports accurate net revenue analysis, financial forecasting, and regulatory compliance . The ideal candidate brings strong healthcare finance knowledge, sharp… more
- Humana (Louisville, KY)
- …Corporate Strategy team is a small, high-performing group that works closely with senior leadership to establish the future course for the company. In Corporate ... Team and Board of Directors. We are seeking a highly motivated Corporate Strategy Analyst to join our team. The ideal candidate will blend strong business acumen… more
- University of Utah Health (Murray, UT)
- …quality and trust that are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's risk adjustment program. + This ... collaborate cross-functionally with clinical, coding, and IT teams to ensure compliance , optimize risk adjustment revenue, and help drive provider engagement… more
- WellSpan Health (York, PA)
- …entries using the Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental ... for net revenue projections. + Assists in coordination, preparation, and submission of Medicare and Medicaid cost reports using data from company general ledger and… 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 ... Leadership Team presentations. + Process and reconcile rebate invoices and ensure compliance to contracted terms & conditions, and manage the payment process. +… more
- CareFirst (Baltimore, MD)
- …and/or contract compliance issues and recommend strategies to management or senior level staff for resolution. Use tools or databases created for reimbursement ... This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance with… more
- Sutter Health (Sacramento, CA)
- …staff and root cause correction to support accurate charging and coding in compliance with policies. The analyst assists clinical areas to effectively document ... + Understanding of hospital-based outpatient charging and coding + Knowledge of Medicare APC and OPPS reimbursement structures + In-depth knowledge of medical and… more