Remote Medicaid/Medicare Integrity Analyst II
Coventbridge Integrity Systems
- Remote job
CoventBridge Integrity Systems seeks a Medicaid/Medicare Program Integrity Analyst II for a REMOTE role. You will evaluate leads, complaints, and investigations to verify allegations of potential fraud and recommend administrative actions to protect programs. This position reports to the Program Integrity Supervisor and can work from Grove City, OH or remotely from a home office. The role emphasizes data analysis, documentation, and collaboration with CMS and state agencies. #J-18808-Ljbffr Coventbridge Integrity Systems
$70k - $77k
Overview Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements appropriate...Remote workFor contractorsH1bH2bWork at officeLocal areaHome office$66.94k - $101.26k
...Payment Integrity Analyst The Payment Integrity Analyst is responsible for accurately reviewing... ...standards and/or CMS guidelines. This is a remote position. Essential Functions and... ...modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$66.94k - $101.26k
...a partner company, who manages all applications and next steps. Our partner is looking for a Payment Integrity Analyst II based in the United States. This remote role focuses on ensuring healthcare claims are reviewed accurately, consistently, and in accordance with...Remote workWork at officeFlexible hours- Role Description VBA is seeking a Data Integration Analyst II to support healthcare client implementations and data integrations across eligibility... ...~All other duties as assigned Benefits ~Remote/Hybrid Schedules (depending on job role) ~12 Paid Holidays...Remote workFull timeTemporary work
$20.5 - $30.8 per hour
Performance Integrity Analyst I, II, or III DOE Work from home within Oregon, Washington, Idaho or Utah {Also open to current BCBSND employees... ...testing implemented system changes. Pay and Hiring Ranges: #LI-Remote Pay ranges vary based on the candidate's work location. The...Remote workContract workImmediate startWork from homeFlexible hours- ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding & Clinical Validation Analyst... ...assigned by management. Level II (in addition to Level I... ...Please note: The opportunity for remote work may be possible for all jobs...Remote workWork experience placement
- CorVel Corporation is seeking a Payment Integrity Analyst to review pre and post pay claim audits, applying CMS guidelines and client policies. This is a remote position with responsibilities spanning audits, documentation review, and coordination with clinical teams....Remote job
- ...job is more than a job REMOTE REQUIREMENT Must be a... ...Charge Description Master) Analyst is responsible for... ...as those from CMS, Medicare, Medicaid, and other payers. Monitor... ...metrics. Ensure the integrity and accuracy of CDM-related... ...CPT-4, HCPCS Level II coding and outpatient...Remote jobWork experience placementWork at officeLocal areaShift work
- Ensign Services, Inc. is seeking an Accounting Reimbursement Analyst II to support Medicare and Medicaid reimbursement analysis from our Dallas service center. The role involves preparing cost reports, analyzing rates, and maintaining financial models for rate setting....
$106.25k - $143.75k
...action as a Sr. Healthcare Data Analyst at GDIT. Your work will... ...to support the Centers for Medicare & Medicaid Services (CMS) mission to... ...within the Medicaid program integrating policy understanding and in... ...Telecommuting Options: Remote Work Location: Any Location...Remote workTemporary workImmediate startWorldwideFlexible hours- ...Architects (CSA) is currently seeking an Analyst II to support onsite in the Arlington, VA... ....For nearly 50 years, CSA has delivered integrated technology and operational support services... ...upon contract award.Onsite/Hybrid/Remote work schedules subject to change based on...Remote workContract workFor contractorsWork at office
$35 - $45 per hour
...DescriptionDewberry is currently seeking a Geospatial Analyst II to join our cadre of skilled... ...an on-call capacity to support national integrated planning capacity to support Federal,... ...automation, and visualization.*Please note, remote work is not permitted for this role....Remote workHourly payFull timeContract workWork at officeLocal area$93.6k - $117k
...Operations. Our Data Scientists, Analysts, and Engineers work together... ...you’ll doAs a Data Analyst II (DA), you will play a central... ...four weeks per year of fully remote work!ResponsibilitiesApply data... ...quality checks to ensure the integrity and robustness of datasets used...Remote workWork at officeWork from home- ...Medicare SME- Payment Integrity Analyst This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios across multiple Medicare service categories to rapidly determine whether any common issues are relevant at Client NC. TriZetto...Remote work
$77.12k - $147.39k
...is founded on the principles of integrity, respect, loyalty, and service, shaping... ...hiring for an Actuarial Analyst II to join our team focused on innovative... ...Senior Actuarial Analyst III (Remote - AZ) Senior Actuary / Principal – Medicaid & Business Development Scottsdale...Remote workFull timeCurrently hiringWork at officeRelocation package$22.78 - $29.62 per hour
...Location: Remote - Florida Department: Department of Revenue Integrity Work Type: Full Time Shift: Shift 1/7:00:00AM to 3:30:00AM Minimum to Midpoint Pay Rate:... ...Additionally, resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer bulletins...Remote workFull timeShift work- ...Oneadmin Planning And Operations Professional(S) At Analyst Ii Level OneAdmin Planning & Operations has immediate permanent opening... ...enhance existing processes. Draft, finalize and maintain the integrity of the administrative scorecard; develop documentation and...Remote workPermanent employmentImmediate start
$22.78 - $29.62 per hour
...Location: Remote - Florida Department: Department of Revenue Integrity Work Type: Full Time Shift: Shift 1/7:00:00 AM to 3:30:00 AM Minimum to Midpoint... ..., resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer...Remote workFull timeShift work- Horizon Blue Cross Blue Shield of New Jersey is seeking an Actuarial Analyst II to support actuarial analytics across ACA, Medicare Advantage, and Medicaid. You will analyze risk scores, financial impacts, and performance metrics, translating data into actionable insights...Remote job
- ...Contract Analyst II ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines... ...to patients faster. As a values-driven organisation, integrity, collaboration, agility, and inclusion are at the heart of how...Remote workContract work
$100k - $115k
...DescriptionFabletics is looking for a Data Analyst II. How do you fit in?We are looking for... ...processesWhat you can bring:High degree of personal integrity, strong work ethic, & a desire to grow... ...for retail, fulfillment and fully remote roles. The annual base salary range for...Remote workFull timeWork experience placementSummer work- ...Coding Analyst II, Advanced This position may be eligible for remote home work within Central Kentucky after an in office training period of up to six... ...including those from the AMA, the Center for Medicare and Medicaid Services, as well as all non-Medicare commercial...Remote workWork at officeWork from home
- ...Contract Analyst II - Wilmington, NCICON is a global healthcare intelligence and clinical... ...faster.As a values-driven organisation, integrity, collaboration, agility, and inclusion are... ...going projects.Location: Wilmington, NC (Remote, but with onsite training and potential...Remote workContract workWork at office
- ...Oracle HRMS Analyst II The primary role of this position will be to provide techno-functional... ...and resources. Coordinate integration testing, user acceptance testing, training... ...required in office with the ability to work remote once a week. Helix Energy Solutions Group...Remote workWork experience placementWork at office1 day per week
- ...Opportunity Details Full Time Quorum Land Analyst II Quorum Land Analyst II JOB... ...a strong focus on accuracy and data integrity. Job Description Review... ...Requirements ~ Must come onsite, no hybrid or remote schedule GAS Energy...Remote workFull timeContract workLocal area
$6,037.5 per month
...Job Title Geospatial Analyst II Agency Texas A&M Forest Service Department... ...stay ahead of the threat. As part of our integrated technology team in the Applied Technology... ...: environmental geospatial modeling, remote sensing, and/or spatial statistics. -Ability...Remote workWeekend work- ...Job Title Candidate should have strong health care domain experience and should have good knowledge of Medicaid and Medicare. Candidate should have hands-on experience on claims processing and adjudication processes. Must have good experience in reference code...Remote work
$70k - $106k
...GENERAL PURPOSE OF THE JOB An Epic Analyst II works to build and support one or more Epic... ...and able to thrive in a primarily remote environment. General Information about... ...to define, build, test, and troubleshoot integrated workflows Upgrade, enhancement, and special...Remote workMinimum wageCasual workWork at officeNight shift- 100 LCMC Health is seeking a CDM Analyst to support maintenance and optimization of the Charge Description Master (CDM). You will... ...codes, conduct audits, and ensure compliance with CMS, Medicare, Medicaid, and payer guidelines. The role requires collaboration with...Remote job
- Zelis Healthcare Inc. in the United States is seeking an experienced EDI Analyst II to support and optimize healthcare EDI integrations with a primary focus on ANSI X12 5010 835 Electronic Remittance Advice (ERA) transactions. In this role you will troubleshoot complex...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicaid/Medicare Integrity Analyst II. Be the first to apply!
- safety analyst Grove City, OH
- medicare analyst Grove City, OH
- fulfillment analyst Grove City, OH
- health analyst Grove City, OH
- development analyst Grove City, OH
- music analyst Grove City, OH
- accenture analyst Grove City, OH
- analyst market research Grove City, OH
- manufacturing analyst Grove City, OH
- requirements analyst Grove City, OH


