Remote Medicaid Data & Claims Researcher
Humana, Inc.
- Remote job
Humana Inc is looking for an Encounter Data Management Medicaid Research Professional based in Nashville, Tennessee. In this role, you will ensure accurate Medicare and Medicaid encounter submissions while utilizing data analysis techniques to improve operational efficiency. This position requires a management of Medicaid claims data and is ideal for candidates with a Bachelor's degree and experience in claims processes. Join us in promoting best health outcomes for our members. #J-18808-Ljbffr Humana, Inc.
- Humana Inc. is seeking a Medicaid Research Professional to ensure accurate Medicare and Medicaid encounter... ...datasets to identify trends, maintain data quality, and develop management... ...candidate has at least 1 year in medical claims and a related degree. This role allows for...Remote jobDataClaims
$65k - $88.6k
Humana Inc. is seeking an Encounter Data Management Medicaid Research Professional responsible for ensuring accurate Medicare and Medicaid encounter... ...Ideal candidates should have over a year of experience in claims adjudication and strong analytical skills. This position...Remote jobDataClaims$96.1k - $128.1k
...Medicaid Researcher Join AIR as a Researcher focused on Medicaid policy... ...team—including economists, data scientists, public health experts... ...has the flexibility to work remotely within the United States (U.... ...data, such as claims, encounters, enrollment, eligibility...Remote workDataClaimsFull timeFixed term contractH1bWork at officeLocal area- ...in Providence, Rhode Island is looking for an Encounter Data Management Medicaid Research Professional to enhance Medicare and Medicaid encounter submissions... .... The role requires minimum 1 year of experience in claims adjudication and a related bachelor's degree. Humana...Remote jobDataClaims
- Humana Inc in Atlanta, Georgia is seeking a Medicaid Research Professional to manage encounter data submissions. This role requires strong data analysis skills... ...'s degree, 1+ year of experience in medical claims, and proficiency in SQL or SAS. Humana offers competitive...Remote jobDataClaims
- Humana Inc. is seeking a Medicaid Research Professional to manage and analyze Medicaid claims data, ensure submission compliance, and support process improvement. The ideal... ...and root cause analysis. The position is remote, but candidates should possess a reliable internet...Remote jobDataClaims
$65k - $88.6k
Humana Inc is seeking a Medicaid Research Professional to enhance operational efficiency through data analysis and process improvements. The successful candidate will manage and analyze Medicaid claims data, ensuring compliance with established quality standards. Qualifications...Remote jobDataClaims- ...Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid... ...matter expert (SME) for Medicaid data and processes while performing... ...program knowledge—eligibility, claims, encounters, provider enrollment...Remote workDataClaimsContract work
- ...experience and should have good knowledge of Medicaid and Medicare. ~2. Candidate should have hands-on experience on claims processing and Adjudication processes. ~... ...Must have good experience in Reference code/data sets required in Claims adjudication. ~4...Remote workDataClaims
- ...seeking a Senior Business Analyst - Medicaid, based in Washington, DC. This... ...expertise to transform data into actionable insights, crucial... .... You'll lead complex claims analysis and support operational... ...key client objectives are met. Remote work is available, with occasional...Remote jobDataClaims
- ...the United States is seeking a Senior Encounter Data Management Professional to lead data operations for Medicare and Medicaid. This role requires strong leadership and... ...candidate will have over 3 years of experience in claims and auditing, along with a strong background...Remote jobDataClaims
$55 - $70 per hour
RGP is seeking an experienced Medicaid Analyst based in Secaucus, NJ,... ...conducting quality checks on claims, and resolving disputes. Candidates... ...school diploma, and strong data manipulation skills. The... ...hour, with the potential for remote work 2 to 3 days a week. #J-18...Remote workDataClaimsHourly pay2 days per week3 days per week$26.15 - $43.58 per hour
...Legal Conflicts Researcher Job Category: Ethics & Business Requisition... ...from potential malpractice claims, motions to disqualify, and the... ...librarian, paralegal, and/or data analytics backgrounds a plus.... ...office two (2) days per week and remote three (3) days per week....Remote workDataClaimsHourly payFull timePart timeWork at officeFlexible hoursAfternoon shift2 days per week3 days per week- Location Atlanta or Remote with 25% travel whenever required Duration 6+ months contract to Hire Skills MMIS, Medicaid, Claims Required Qualifications 10+ years of overall IT experience... ...have good experience in Reference code/data sets required in Claims adjudication including...Remote workDataClaimsContract work
- Postdoctoral Researcher (m/f/x) in Causal Inference & Health - Economics... ..., including support for data science, health economics, and... ...with large administrative or EHR/claims datasets; prior experience with... ...working hours, including partial remote work. Funded extended...Remote workDataClaimsFull timeTemporary workFlexible hours
$122k - $162.7k
US-Remote | US-VA-Arlington | US-NC-Chapel Hill | US-IL-Chicago | US... ...-Austin Join AIR as a Senior Researcher with our Health Innovations... ...psychologists, economists, sociologists, data scientists, and public health... .... Experience analyzing claims and other large or complex...Remote jobDataClaimsFull timeContract workFixed term contractH1bWork at office$50 - $60 per hour
ML Postdoc Researcher - Healthcare AI Innovation Seattle, WA Truveta is... ...’s first health provider‑led data platform with a vision of Saving... ...we celebrate and embrace a remote culture. Participation in the... ...Experience with healthcare data (EHRs, claims, clinical notes) or biomedical...Remote workDataClaimsHourly payFull timeFor contractors$18 - $22 per hour
...Inpatient Medicare & Medicaid Biller - Full Time Remote Job Category: IKS Requisition Number: INPAT001762... ...Responsibilities Generate and submit claims, both electronic and paper claims (UB... ...basis. Ability to analyze claims data and identify discrepancies or errors...Remote workDataClaimsHourly payFull timeWork experience placementInterim roleLocal area$17 per hour
...Representative (Managed Care Medicaid Claims) Join Our Team at Select Medical... ...PA 15317 On-site with Hybrid/Remote Potential after 3 Months of... ...puzzles and conducting research? Are you a results-oriented professional... ...match Additional Data Select Medical is...Remote workDataClaimsHourly payFull timeCasual workWork at officeMonday to FridayFlexible hoursShift workDay shift$16 - $17 per hour
...Benefits! Interested in supporting Medicaid Providers in Montana? Conduent... ...and the medical eligibility and claims process! About the Role Location – REMOTE US Only $16-$17 per hour based... ...flexible hours. As a Medicaid Claims Data Entry Associate on the claims...Remote workDataClaimsHourly payMinimum wageFull timeCurrently hiringLocal areaImmediate startMonday to FridayFlexible hours$70k - $90k
...expertise at the intersection of data, methods, policy, and practice... ...data Develop expertise in Medicaid data, policy, and programmatic... ...in Medicaid enrollment, claims, financial, or program data... ...their appropriate use in policy research and data analysis environments...Remote workDataClaimsContract workLocal areaWork from home$122k - $162.7k
Senior Researcher, Healthcare Innovations US-Remote | US-VA-Arlington | US-NC-Chapel Hill | US-IL-Chicago | US-CA-Sacramento... ..., economists, sociologists, data scientists, and public health... ...proposal writing. Experience analyzing claims and other large or complex data sets...Remote jobDataClaimsFull timeContract workTemporary workFor contractorsFixed term contractFor subcontractorH1bWork at officeLocal area- ...ourselves on our ability to make data access as easy as possible for... ...% of the EMR, including some claims) Unstructured text (e.g.,... ...Role You are a data scientist or researcher with a background in Health... ...quarterly basis. Team Benefits Remote work and flexible hours....Remote workDataClaimsWork experience placementFlexible hours
$90k - $120k
...Delivery Manager (Healthcare - Medicaid & Medicare) Join to apply for... ...successful delivery of technology and data solutions across the U.S.... ...eligibility & enrollment, and claims administration. Proven... ...Flexible working hours in a remote environment. Health insurance...Remote workDataClaimsFull timeFlexible hours$189k - $231k
...MD) to lead and advance a portfolio of Medicaid policy and data analytics initiatives. The MD will... ...insights derived from administrative and claims data, while identifying emerging analytic... ...behavioral and social science research and delivers technical assistance to solve...Remote jobDataClaimsFull timeFor subcontractorH1bLocal area$20 - $25 per hour
...applicable law. Position: Medicaid Billing and... ...reviewing, and submitting claims in compliance with payer... ...arrangement of up to two remote workdays per week following... ...rosters. Research and resolve billing and... ...detail and accuracy in data entry and documentation...Remote workDataClaimsFull timeWork at officeImmediate startFlexible hours$67.9k - $199.14k
...role, you will lead and execute complex data analyses to drive health plan‑level risk... ...initiatives while ensuring alignment with state Medicaid and CMS regulatory requirements.... ...analyses leveraging medical and pharmacy claims, encounter, provider, and membership data...Remote jobDataClaimsHourly payFull timeTemporary workWork experience placementLocal area- ...responsible for accurately processing hospital claims, managing patient accounts, and updating... ..., and the ability to collaborate with a remote or hybrid team through scheduled meetings... ...managing claims and accounts while ensuring insurance data accuracy. Insight GlobalRemote workDataClaimsWork at office
- ...Assurance Analyst II - Medicaid Fee For ServiceApplyremote... ...test plans, data sets, test scenarios, expected... ...special projects.* Analyze claims adjudication results to... .... Ability to research, assess, audit, and apply... ...company location (or from a remote location with management...Remote workDataClaimsFull timeWork at officeLocal areaMonday to FridayNight shiftWeekend work
- ...POSITION PURPOSE Work Remote Position (Pay Range: $1... ...PBS location. Documents claims billed, paid, settled,... ...timely and accurate manner. Researches claim rejections, make... ...supplying additional data as required. May... ...billing follow-up with Medicaid/HM highly desirable Completion...Remote workDataClaimsFull timeWork at officeLocal areaShift workDay shift
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