- Humana (Charleston, WV)
- …errors that result from the data exchange between Humana and its trading partners, Medicare and Medicaid . The Senior Encounter Data Management Professional ... to ensure successful submission and reconciliation of encounter submissions to Medicaid / Medicare . Ensures encounter submissions meet or exceed all compliance… more
- Serco (VA)
- …in federal health program policy and regulations (particularly the Health Insurance Marketplace, Medicare , Medicaid and CHIP), policy research and data ... **Position Description** Serco is seekinga self-starter Senior Health Policy and Research Manager...research on government health programs (such as Marketplace, Medicare , Medicaid ). + Minimum 3 years management… more
- AdventHealth (Maitland, FL)
- …Senior Compliance Analyst will have expertise in Commercial and Governmental ( Medicare , Medicaid , Tricare) payer reimbursement language and methodologies. The ... Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify,… more
- CareFirst (Baltimore, MD)
- …methodologies. This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include ... CareFirst corporate position. + Provide feedback on payment policies related to Medicaid and/or Medicare processing. Participate in workgroup projects around… more
- Huron Consulting Group (Van Buren, AR)
- …+ Ability to interpret and apply clinical guidelines including Centers for Medicare and Medicaid , Federal Drug Administration, National Comprehensive Cancer ... create your future. Your passion and expertise in clinical research will make you a key member of Huron's...and may be implemented in the future. **Position Level** Senior Analyst **Country** United States of America At Huron,… more
- Humana (Jackson, MS)
- …Engineering or related field + Experience in health insurance related data ie. Medicare , Medicaid , Claims, Premium Data, etc. + Experience with Azure Synapse ... health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- New York State Civil Service (Albany, NY)
- …management and medical malpractice; health information technology; managed care; Medicare / Medicaid Conditions of Participation (CoPs) and Conditions for ... Agency SUNY System Administration Title The State University of New York - Senior Counsel - Health Affairs Occupational Category Legal Salary Grade NS Bargaining… more
- 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 ... This includes planning, preparing and reviewing of the annual Medicare / Medicaid cost reports filings. In partnership with...programs and will be asked to assist with regulatory research . The Director will also work closely with finance… more
- Molina Healthcare (NY)
- …needs. Performs analysis across multiple states and lines of business ( Medicare , Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and ... applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA...provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior… more
- Humana (Frankfort, KY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Senior Consumer Service Operations Professional is responsible for the daily activities across… more