- Community Health Systems (Franklin, TN)
- …to improve revenue cycle processes and optimize payer relationships. As a Payment Compliance Analyst at Community Health Systems (CHS) - PCCM, you'll play a ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst ...with financial, clinical, and operational teams to address contract compliance issues and enhance payer relations. +… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Reporting to the Director of Payer Finance and Strategy, the Senior Analyst , Payer Finance will provide analytic support to the Payer Contracting and ... Health teams to support the execution of a cohesive payer strategy. The Senior Analyst will support...initiatives related to reimbursement models, provider reporting, and regulatory compliance . + Assist in creating a standardized framework for… more
- CVS Health (Lansing, MI)
- …and Clinical Operations to drive contract accuracy, operational efficiency, and payer compliance . **Key Responsibilities** Contract Implementation & Maintenance ... with heart, each and every day. **Position Summary** The Payer Integrity Analyst plays a key role...Integration + Collaborate with departments such as Credentialing, Billing, Compliance , Legal, Marketing, and Call Center teams to ensure… more
- The Cigna Group (Chattanooga, TN)
- The Evernorth Payer Solutions Implementation team is seeking an Account Installation Lead Analyst . Incumbent will provide leadership and support on complex ... to Client Service departments for post-implementation management. Supports the Payer Solutions Implementation process and Account Installation Advisors. Key… more
- Arkansas Children's (Little Rock, AR)
- …Administration **Summary:** Monday - Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to ensure ... analysis, implementation and maintenance of fee schedules, monitoring and adherence to payer policies, and resolution of reimbursement issues to optimize revenue and… more
- Highmark Health (Boston, MA)
- …Highmark Health clinical areas to support clinical quality auditing, The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and ... utilization management activities to ensure compliance with internal policies, state, CMS, and federal regulations. This role serves as a clinical subject matter… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Sr Compliance Coding Analyst **Location** US:IL:Chicago **Req ID** 19006 ... to improve coding quality. Prepares various reports for administration and the Compliance Council. Represents Health Information Management and RUMC at forums that… more
- Highmark Health (Pittsburgh, PA)
- …**JOB SUMMARY** This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of frameworks ... CMS, JCAHO, in order to identify, assess, prioritize, evaluate and address compliance , financial, information security, privacy, and other areas of risk. Prepares… more
- Highmark Health (Pittsburgh, PA)
- …**JOB SUMMARY** This job works collaboratively to support of all risk and compliance assessment activities of Highmark Health across a broad range of frameworks ... budgets.Collaborate and communicate with Information Security, Privacy, Procurement, Audit, Compliance , and other teams across the Enterprise to align risk… more
- State of Minnesota (Vadnais Heights, MN)
- …and/or coding, which demonstrates the following: + Experience in healthcare regulations, payer contracts, and compliance standards (HIPPA, Medicare, Medicaid). + ... **Working Title: DCT Revenue Cycle Quality Assurance Analyst ** **Job Class: Management Analyst 4**...areas of improvement and ensure adherence to regulatory and payer requirements. Primary responsibilities: + Focus on conducting audits… more