- Stanford Health Care (Palo Alto, CA)
- …as well as excellent analytical and communication skills. The Clinical Government Audit Analyst and Appeals Specialist II will collaborate with clinical staff, ... **This is a Stanford Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role in the Revenue Cycle… more
- Intermountain Health (Murray, UT)
- …will be required as well as potential onsite interviews and meetings** This analyst position investigates, examines and reviews appeals and grievances in ... **Job Description:** This position provides expertise in the areas of appeals and grievances for highly regulated insurance plans with unique plan designs,… more
- OhioHealth (Columbus, OH)
- …Manager with updates. CGS audits and auditors Working with our legal vendor for Medicare Appeals . Working with OHA and CBSA facilities on wage index ... Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position… more
- University of Southern California (Los Angeles, CA)
- …with Medicare and Medicaid reimbursement guidelines including audits and appeals processes. + Req Strong analytical, organizational, and communication skills. + ... This Senior Analyst of Government Reimbursement at Keck Medicine of...tasks such as preparing and ensuring compliance with the Medicare Cost Report (MCR) and related Medicaid Cost Reports.… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director...- including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Principal Cost Analyst Hybrid Recruitment # 251120-6328AR-001 Location Hartford, CT Date Opened 11/25/2025 12:00:00 AM Salary $99,570* - $127,418/year (*New State ... are seeking a highly skilled and detail-oriented Principal Cost Analyst (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=6328AR&R1=&R3=) to join our Division of Fiscal Services… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and compiling information to effectively report costs ... reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues and researches… more
- Corewell Health (Grand Rapids, MI)
- …steps of the member appeal and fair hearing processes for all non- Medicare products to thoroughly investigate appeal requests, leveraging critical thinking skills, ... Essential Functions + Responsible for complex and thorough investigation of appeals , external complaints, and fair hearing reviews including: formulate action plan… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... location._** Come join our team as a Benefits Operations Analyst . We care for our community! Just last year,...place comply with all regulations (Summary of Material Modification, Medicare Part D notices, privacy notices, etc.) + Manage… more
- Dignity Health (Bakersfield, CA)
- …knowledge of DHPR and CMS rules for Claim. Submission, Claim Payment, Eligibility, Appeals for Commercial, MediCare and MediCal lines of business. + Bachelor's ... **Job Summary and Responsibilities** The Provider Data Analyst is responsible for the maintenance of the...teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure… more