- Commonwealth Care Alliance (Boston, MA)
- …Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims auditing ... health care reimbursement, public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Medical Coding, Compliance , Payment Integrity… more
- University of Michigan (Ann Arbor, MI)
- Financial or Bus Analyst Sr / Inter Apply Now **Job Summary** We are seeking a Financial or Business Analyst to join our dedicated team of revenue cycle ... Sparrow + Prepare and submit Average Commercial Rates for Medicaid Payment Uplift + Prepare and oversee EFT to...**Job Opening ID** 256385 **Working Title** Financial or Bus Analyst Sr / Inter **Job Title** Financial… more
- Prime Therapeutics (Columbia, SC)
- …passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... and participates in committee review meetings within the Commercial, Medicare, Medicaid , and Health Insurance Marketplace for the assigned department. This position… more
- American Academy of Pediatrics (Itasca, IL)
- …research, policy analysis, and medical liability/risk management. Reporting to the Sr Director, Child Health Financing Strategy, this role will research, develop, ... summarize, and direct the overall policy analysis, issue management, and compliance development for AAP initiatives in child health financing and payment including… more
- Sanford Health (SD)
- …and support to all operating segments across Sanford. Responsible to review Medicare/ Medicaid documentation to assist nursing centers in completing minimum data set ... (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement. Works with executive leadership, administrators, and facility staff in… more
- Prime Therapeutics (Boston, MA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job ... Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in...Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department Potential… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a Senior Insurance Collections Operations Analyst today with Parallon. **Benefits** Parallon, ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...vary by location._** Come join our team as a Senior Insurance Collections Operations Analyst . We care… more
- CareFirst (Baltimore, MD)
- …are subject to eligibility requirements). **Department** Medicare and Medicaid Compliance **Equal Employment Opportunity** CareFirst BlueCross ... Preferred or + Lean Six Sigma Certification-IASSC Preferred or + Certified Regulation Analyst Preferred or + Certified Compliance & Ethics Professional (CCEP)… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Addiction Services and Supports, Office of Title Senior Health Care Fiscal Analyst / Trainee (NY HELPS ) Occupational Category Financial, ... Zip Code 12203 Minimum Qualifications Permanent status as a Senior Health Care Fiscal Analyst , G-18 and...is responsible for the following activities:* Assist in calculating Medicaid and state aid rate setting in accordance with… more
- BeneLynk (Detroit, MI)
- …work in conjunction with BeneLynk's Manager of Business Analysis, Quality Assurance, the Sr . Business Analyst - Quality Assurance, and the Engineering (ENG) team ... they deserve. Currently BeneLynk serves clients representing 12 million Medicare/ Medicaid lives in every state in the USA. The...the Manager of Business Analysis, Quality Assurance and the Sr . Business Analyst - Quality Assurance regarding… more