- Trinity Health (Clive, IA)
- …regarding such regulatory changes. Monitors policies and procedures to ensure reimbursement practices adhere to federal, state and other third-party reimbursement ... system/process improvement recommendations. Prepares analyses and interprets highly complex reimbursement issues. Prepares complex financial models and analyses to… more
- CareFirst (Baltimore, MD)
- …and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to extend that knowledge ... also include assistance with financial analyses used in the development of reimbursement policy, strategies, cost of care impacts and workflows associated with… more
- MaineGeneral Health (MA)
- …MaineGeneral Health is seeking a Senior Financial Analyst to join our Reimbursement team. While this role is fully remote , preference will be given to ... and implement the planning, coordination, reporting, and administration of payor reimbursement and contracting, as well as governmental payor cost reporting. You'll… more
- Cedars-Sinai (Los Angeles, CA)
- …or SHRM (SHRM-CP) preferred. \#LI- Remote **Req ID** : 11351 **Working Title** : Senior HRIS Analyst - Remote **Department** : Oracle HCM **Business ... and scientists in the Los Angeles area. **What will you be doing:** The Senior HRIS Analyst partners with HR management, HR functional areas SME's (subject… more
- Marshfield Clinic (Iron Mountain, MI)
- …the most exciting missions in the world!** **Job Title:** Senior Financial Analyst II - Hospital Reimbursement & Reports **Cost Center:** 101651010 System ... **Job Description:** **JOB SUMMARY** The Senior Financial Analyst II - Hospital Reimbursement & Reports...is up to date by reviewing proposed and final reimbursement rule changes. Location of remote work… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of ... program and Risk Adjustment Data Validation (RADV) audits. The Senior Analyst is responsible for all aspects...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- Molina Healthcare (Scottsdale, AZ)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- The Cigna Group (Bloomfield, CT)
- …required, to develop and promote shared goals. The Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation ... health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time off per year and paid… more