- 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...in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …of Medicare and its related financial models, including Medicare FFS, Medicare Advantage, Medicare Part D, and Medicare supplemental coverage. ... exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive… more
- Molina Healthcare (Kenosha, WI)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits… more
- Mayo Clinic (Rochester, MN)
- …future. **Responsibilities** The position will assume responsibility for the Medicare Part A and B government reimbursement and compliance activities across ... Clinic Health System. Researches and analyzes new and existing Medicare Part A and B, and other...regulations and policies to identify practice strategies and ensure compliance . May perform Medicare cost reporting responsibilities,… more
- Healthfirst (NY)
- …following up on outstanding deliverables as needed. + Assists in the preparation of Medicare Part C and D reporting via HPMS, including tracking deadlines, ... reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal...review of the website with business owners and ensures compliance with regulatory requirements specific to annual Go to… more
- BlueCross BlueShield of North Carolina (NC)
- …+ Accountable for monitoring daily reports to ensure service timeliness and compliance is met. + Gather clinical information by using established criteria provided ... comply with applicable mandated State (NCDOI) and/or Federal (Centers for Medicare & Medicaid Services (CMS), ERISA, etc.) accreditation agency standards (National… more
- AdventHealth (Maitland, FL)
- …Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, ... of data to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (… more
- OhioHealth (Columbus, OH)
- …health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- Prime Therapeutics (Salt Lake City, UT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance ... the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
- Prime Therapeutics (Frankfort, KY)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more