- Dana-Farber Cancer Institute (Brookline, MA)
- …is fully remote with the ocassional time onsite as needed.** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Medicare Coverage Analyst functions as a key contact person between UMU clinical research departments and sites/hospitals finance for clinical ... trials coverage analyses (CTCA) issues to ensure billing compliance and mitigate risk; reviews budgets on a per-trial basis to ensure accuracy; develop CTCAs timely; documents and disseminates CCA determinations. ensures that final contract terms are… more
- Elevance Health (Mendota Heights, MN)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is responsible for completing diverse and complex… more
- UTMB Health (Galveston, TX)
- Reimbursement Analyst (Cost Reporting - Medicare /Medicaid) - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & Finance UTMB ... Accounting, Business, or related field. and a minimum of three years of Medicare and Medicaid Cost Report or related experience. An equivalent combination of… more
- Centene Corporation (Madison, WI)
- …play a hands-on role in shaping strategy and performance. **In this Sr. Actuarial Analyst role, you will:** + Assist ** Medicare ** bid review and perform ... workplace flexibility. **Eligibility Requirement:** **To qualify for this Senior Actuarial Analyst role, applicants must be actively pursuing their ASA designation… more
- CVS Health (Austin, TX)
- …Aetna, a CVS Health company, is seeking an analytical professional to join the Medicare Sales and Strategy team. The role involves supporting the Medicare Sales ... Server. Additionally, we are specifically seeking a professional with experience in Medicare Supplement. **Required Qualifications** Minimum 3 years of Medicare … more
- Healthfirst (NY)
- …of material reviews in HPMS. + Actively participates in the annual Medicare Go to Market process, including working with internal stakeholders on developing ... deliverables as needed. + Assists in the preparation of Medicare Part C and D reporting via HPMS, including...knowledge of Microsoft Office Suite applications. + Knowledge of Medicare and CMS guidelines as it relates to member… more
- ERP International (Laurel, MD)
- …( www.erpinternational.com ) is currently seeking Full-Time **Policy & Regulatory** ** Analyst ** to support of the **CMS Division of Enterprise Architecture** in ... **Knowledge and Skills:** + Strong knowledge of CMS enterprise functions (eg, Medicare , Medicaid, CCIIO, CHIP programs). + Expertise in regulatory analysis, business… more
- Molina Healthcare (Green Bay, WI)
- …business analysis, task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business needs and ... translate them into application and operational requirements + Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as… more
- Molina Healthcare (FL)
- …**Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and ... interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and… more
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