- Molina Healthcare (Houston, TX)
- **(Sales) Compliance Analyst ** Molina Healthcare's Medicare Compliance team supports sales operations for the Molina Medicare product lines. It is a ... corporate function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Sales Compliance Analyst position is primarily responsible for Sales… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... requirements development. + Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance + Determine… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other ... to patient insurance and which should be billed to the study sponsor.The Medicare Coverage Analyst determines whether proposed clinical research studies are a… more
- Geisinger (Danville, PA)
- …our team. The ideal candidate will have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. ... data, identify trends, and prepare accurate accounting journal entries, ensuring compliance with federal and state guidelines. Proficiency in Microsoft Excel at… more
- Rush University Medical Center (Chicago, IL)
- …**Summary:** Reporting to the Manager of Compliance audit, the Corporate Compliance Regulatory Analyst plays a critical role in ensuring Rush University ... allegations. 2. Perform targeted reviews of documentation and billing to ensure compliance with Medicare Teaching Physician guidelines and conditions of payment.… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- J&J Family of Companies (Titusville, NJ)
- …Johnson & Johnson Innovative Medicine is recruiting for a Lead Financial Analyst , Government Contract Compliance . This position is based in Titusville, ... for providing strategic support to the Johnson & Johnson Government Contract Compliance (GCC) team within Innovative Medicine US Commercial Finance. Operating in a… more
- Commonwealth Care Alliance (Boston, MA)
- …Working under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... reimbursement, public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical Coding, Compliance , Payment Integrity and Analytics… more
- Hunterdon Health Care System (Flemington, NJ)
- …Promotes education for self and others by means of webinars and teleconferences offered by Medicare + General & Medicare Compliance : Medicare and Coding ... Responsible for application and maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal… more
- Prime Therapeutics (Boston, MA)
- …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...or within a highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
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