- Dana-Farber Cancer Institute (Brookline, MA)
- …from Washington DC or any state in the US (except Hawaii).** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical...are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and… more
- Baylor Scott & White Health (Austin, TX)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... data, submission requirements and performance metrics per the regulatory and health plan guidelines. + Performs analysis and reporting activities related to… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Financial Analytics Professional manages data to support and influence decisions on ... on business discretion. The MRA Finance team supports Humana's Medicare Risk Adjustment business area. The Finance team develops...Us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... of risk adjustment results and quality, accuracy and identification of member health conditions. Update, create and maintain business process and technical workflow… more
- Centene Corporation (Raleigh, NC)
- …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... risk assessments and conducts related ongoing compliance monitoring activities. + Assist health plans in managing relationships with regulatory agencies and seek to… more
- Humana (Honolulu, HI)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue… more
- State of Indiana (Indianapolis, IN)
- HCBS Reporting/ Policy Analyst Date Posted: Oct 22, 2025 Requisition ID: 464505 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... 50,000 individuals with disabilities between four HCBS waivers. Role Overview: The HCBS Reporting/ Policy Analyst serves as the subject matter expert on the HCBS… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... and Office of Diversion and Reentry seek qualified candidates to fill emergency Health Care Financial Analyst Community Programs vacancies related to the… more
- State of Minnesota (St. Paul, MN)
- **Working Title: T-MSIS Data Quality Analyst ** **Job Class: Agency Policy Specialist** **Agency: Human Services Dept** + **Job ID** : 89686 + **Location** : St. ... exists to support Minnesota's compliance with federal Centers for Medicare and Medicaid Services (CMS) requirements for the Transformed...+ Experience in health services research, public health data, or healthcare policy . + Knowledge… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
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