- Kelsey-Seybold Clinic (Houston, TX)
- …of high dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job ... certifications, etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of education Preferred:… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance ... one of the listed 9 states. Job Summary The Medicare Encounter Data Analyst leads the process...Medicare programs + Knowledge of medical and/or pharmacy claims + Knowledge of CPT, HCPCS, ICD10 coding; revenue… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... medical coding (CPT, HCPCS, Modifiers) along with the application of Medicare /Massachusetts Medicaid claims ' processing policies, coding principals and payment… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...market financial review with senior management. + Trouble shoot claims issues for providers + Investigate member grievances within… more
- Molina Healthcare (Georgetown, KY)
- …experience working on QNXT/ Medicare /NetworX + Must have experience working on SQL. + Medicare claims experience is a huge plus + Medicare Fee Schedule ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- General Dynamics Information Technology (Fairfax, VA)
- …None **Job Family:** Data Analysis **Skills:** Analytical Thinking,Data Science, Medicare ,R Programming,Statistical Analysis **Experience:** 3 + years of related ... Data Scientist to help us support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people...independently and as part of a team. + Analyzes claims data and conducts statistical analysis. + Develops data-driven… more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs ... for electronic claims and other EDI transactions. This will involve working...more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5… more
- Carle (Urbana, IL)
- Claims Analyst Team A + Department: HA - Claims + Entity: Health Alliance + Job Category: Clerical/Admin + Employment Type: Full - Time + Job ID: 45246 + ... Requirements: no Email a Friend Save Save Apply Now Position Summary: The Claims Analyst accurately processes medical, dental, orthodontia and pharmacy claims… more
- Fallon Health (Worcester, MA)
- …the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic reports, ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- The Cigna Group (Bloomfield, CT)
- …goals, and service levels + Proficient knowledge of policies and procedures, Medicare , HIPPA and NCQA standards; + Professional demeanor and the ability to ... Working knowledge of insurance industry, medical coding (CPT/HCPCS/ICD-10), and overall claims process a plus + Knowledge of National Coverage Determinations, Local… more