- CareOregon (Portland, OR)
- …in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Medicare Encounter Data Analyst Exemption Status Exempt ... but you must reside in one of the listed 9 states. Job Summary The Medicare Encounter Data Analyst leads the process for the end-to-end Encounter… more
- WellSense (Boston, MA)
- Business Encounter Data Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... members, no matter their circumstances. **Job Summary:** The Business Encounter Data Analyst is responsible...and 837 EDI standards. + Experience working with Medicaid, Medicare or commercial encounter , coding and/or regulatory… more
- Baylor Scott & White Health (Richmond, VA)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human...analysis and reporting activities related to risk score calculation, encounter data submission, chart review programs and… more
- UCLA Health (Los Angeles, CA)
- …testing files from new providers/trading partners. You will be responsible for claim encounter data submissions and the coordination of business transactions for ... 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… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Business Data Analyst II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Care Management Business Data Analyst II supports quality and process...plan. Previous experience with report generation using health care data with focus on elements from encounter /claims,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …responsible for completing the Medical Policy activities outlined in BCBSLA's Medicare Advantage Medical Policy Development Policies & Procedures locating, tracking ... will also support on an as needed basis support the Medical Policy Project Analyst position when medical policy volume is elevated or the primary Analyst … more
- CAI (Harrisburg, PA)
- …or similar degree. + Proficiency in financial, demographic, encounter and claims data for both managed care and fee-for-service Medicare and Medicaid, as ... health and human services programs + Processes for the analyses of claim/ encounter data for various initiatives, including reporting on high cost and high… more
- Fallon Health (Worcester, MA)
- …**Primary Job Responsibilities:** + Analyze, prioritize & support resolution of Claims/ Encounter data errors by triaging to the appropriate internal departments ... 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
- Molina Healthcare (Richmond, KY)
- …well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in designing and ... **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs… more
- MyFlorida (Tallahassee, FL)
- 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Sep 19, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064844 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064844 Salary: $1,794.92 -… more