Remote Medicaid Certification Analyst - CMS & Compliance
$81.04k - $145kNTT America, Inc.
- Remote job
NTT America, Inc. is seeking a Medicaid Certification Analyst in Springfield, Illinois to oversee compliance and coordination for CMS' certification processes. The ideal candidate will have a Bachelor’s degree and at least 6 years of applicable business analysis experience. This role involves supporting the State of Illinois in its procurement efforts and ensuring accurate adherence to regulations. The position walks a critical line in interaction with multiple stakeholders and offers a salary range of $81,040 to $145,000, complemented by benefits including medical and a 401k matching program. #J-18808-Ljbffr NTT America, Inc.
$81.04k - $145k
...apply now. We are currently seeking a Medicaid Certification Analyst to join our team in Springfield,... ...administration, coordination, and compliance of CMS’ Streamlined Modular Certification... ...roles. The starting pay range for this remote role is $81,040 - $145,000. This...Remote jobCmsTemporary workWork experience placementFlexible hours$81.04k - $145k
NTT DATA, Inc. is seeking a Medicaid Certification Analyst to join our team in... ...modernizing efforts by overseeing CMS’ Streamlined Modular Certification... ...processes, ensuring compliance and accuracy. The ideal candidate... .... The position offers a remote work option with a starting...Remote workCms- ...Medicaid/MMIS Subject Matter Expert Act as a Medicaid/MMIS SME across claims, eligibility... ..., and development teams Ensure compliance with CMS guidelines, HIPAA, and state Medicaid... ...initiatives Mentor business analysts and contribute to Agile delivery Requirements...Remote jobCms
$86.8k - $124k
Advisor Business Analyst - MMIS / Medicaid Pharmacy Location: Any city, DC, US,... ...operational impacts. Ensures compliance alignment by validating... ...and configuration conform to CMS guidance, state policy, and... ...expect in this role Fully remote options from Contiguous US...Remote workCmsFull timeFlexible hours$65k - $75k
...Specialist – Primary Care Location: Remote Employment Type: Full-Time... ...and external audits and ensure compliance with Centers for Medicare & Medicaid Services (CMS) guidelines Stay current on... ...ICD-10-CM and HCC coding ~ Certification such as CRC or CPC preferred...Remote workCmsFull time$49.93k - $97.36k
...Support functions to review compliance-based issues for benefit... ...to work independently in a remote environment. Ability to... ...Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act... ...(ACA). Medical Coding certification. Molina Healthcare offers...Remote workCmsWork experience placementWork at office$49.93k - $97.36k
...Support functions to review compliance-based issues for benefit... ...to work independently in a remote environment. Ability to... ...Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act... ...(ACA). Medical Coding certification. To all current Molina...Remote workCmsWork experience placementWork at office$24.6 - $32.8 per hour
...Centers for Medicare and Medicaid Services (CMS). SKILLS, KNOWLEDGE, EDUCATION... ...documentation and coding compliance with Federal, State and... ...activities to maintain their certification(s) and pertinent to areas... ...periods of time. 100% remote but if local may include some...Remote workCmsFull timeLocal areaShift workDay shift$71.4k - $135k
...seeking a Senior Business Analyst to join our team in Albany... ...contractors with obtaining CMS certification of the Medicaid Enterprise Systems (MES).... ...and subsystems to determine compliance with core CMS Federal... ...starting pay range for this remote role is $71,400 - $135,000...Remote workCmsTemporary workFor contractorsWork at officeLocal areaFlexible hours- ...Maximus is seeking an experienced Certification Lead to oversee the CMS certification process for a large-scale Medicaid IT implementation. The role entails managing certification... ...in CMS certification processes. This is a remote position with travel required to St. Louis,...Remote workCms
$86.8k - $124k
...Advisor Business Analyst - MMIS - Pharmacy... ...technical credentials and certifications while enjoying a... ...within MMIS Medicaid Management Information... ...impacts. Ensures compliance alignment by... ...configuration conform to CMS guidance, state... ...in this role Fully remote options from Contiguous...Remote workCmsFull timeFlexible hours$91.7k - $163.7k
...Reporting Business Analyst plays a pivotal... ...functional bridge between CMS federal reporting... ...how Medicaid programs are funded... ...supporting regulatory compliance efforts. You'... ...to work remotely* from anywhere within... ...work experience, certifications, etc. In addition...Remote workCmsMinimum wagePermanent employmentFull timeWork experience placementWork at officeLocal area- Maximus is seeking an experienced Certification Lead to manage the end-to-end CMS certification process for a Medicaid IT implementation. This role... ...Certification Readiness Plan, and ensuring compliance with CMS standards. The position is remote with travel to St. Louis....Remote jobCms
- Maximus is seeking an experienced Certification Lead to manage the CMS certification process for a Medicaid IT implementation. This remote position requires significant interaction with stakeholders and entails frequent travel to the St. Louis area. Candidates should possess...Remote jobCms
- Maximus is seeking an experienced Certification Lead to manage the CMS certification process for a large-scale Medicaid IT implementation. This remote role requires frequent travel to St.... ...preparing for reviews, and ensuring compliance with CMS standards. The ideal...Remote jobCmsFlexible hours
$86.3k - $118.7k
...Senior Project Management Analyst / Senior Program... ...Microsoft Access CMS Stars Program experience... ...experience, education, certifications, etc. $86,300 - $118... ...or both Medicare and Medicaid, achieve their best possible... ...action, in compliance with Section 503 of the...Remote workCmsBi-weekly payFull timeTemporary workApprenticeshipLive inWork at officeWork from homeHome office- ...the ICD‑10 code submitted to CMS for reimbursement. Interpret... ...auditing claims for Medicare and Medicaid plans. Extensive knowledge... ...required. Ability to work remotely without direct supervision.... ...mapping and hierarchy) License/Certification: Coding certification...Remote jobCmsFull timeTemporary workLocal area
- ...Senior Business Analyst (IT-Medicaid) Duration: 10+ months contract Location... ...Architecture (MITA), CMS Seven Conditions and Standards, Outcomes- Based Certification (OBC), 21st Century Cures Act... ...Corrective Action Plans for compliance reporting to federal entities...CmsContract workFor contractorsWork experience placementWork at office
- ...for children in Texas is seeking an HIM Coder Analyst II to accurately code medical records, ensuring compliance with ICD-10-CM and CPT guidelines. This role requires... ...at least one year of coding experience and certification in health information. Join a team committed to...Remote workCms
- ...records, assigning diagnosis codes, and ensuring compliance with CMS standards. Required qualifications include relevant certifications and 1-2 years of medical coding experience.... ...for professional growth. This is a fully remote role based in the United States. #J-18808-...Remote workCms
$80.6k - $172.4k
...Business System Analyst - Digital health... ...disease management, remote patient monitoring... ...network, IT, product, compliance, and vendor teams... ...compliance, SOC 2 certification, and... ..., Commercial, and Medicaid lines of business.... ...requirements including CMS telehealth and remote...Remote workCmsFull timeLocal area$73.7k - $117.92k
...seeking a Clinical Risk Management Analyst to enhance risk adjustment... ...education and analytics, ensuring CMS compliance, and collaborating with various teams... ...adjustment expertise, and relevant certifications. This position is remote-flexible and comes with a competitive...Remote jobCmsFlexible hours$27.02 - $41.85 per hour
...to support Medicare Advantage programs. This remote position requires proficiency in HCC coding, in-depth knowledge of CMS guidelines, and 3 years of coding experience... ...recommendations. Candidates should hold certifications such as CPC, CRC, and CCS. Attention to detail...Remote jobCmsHourly pay- ...Manager – Consultant (Medicaid Systems Operations)... ...3 days onsite, 2 days remote Duration: 12 months Interview... ...and vendors. Ensure compliance with security and regulatory standards (CMS, SSA, etc.). Act as... ...Confluence, etc.). AWS Cloud Certifications. Strong presentation...Remote workCmsContract workRelocation
$49.93k - $97.36k
...applies this knowledge to ensure compliance and advocates for necessary... ...environment, preferably in a Medicaid environment, or equivalent... ...standards, such as HIPAA and CMS guidelines. Developed understanding... ...‑care delivery system. Certification in conflict resolution or...Remote jobCmsWork experience placementWork at office- ...seeking a highly experienced Data Analyst to join our Enterprise Data... ...experience working with State Medicaid and CHIP agencies or... ...payer • Basic understanding of CMS reporting requirements for Medicaid... ...tools such as Tableau or Power BI. This is a remote position....Remote workCmsPermanent employment
- ...Business Analyst (AI/Healthcare/FIHR/HIPAA)... ...Years Location: Remote Department: Strategy... ...in regulatory compliance, customer journey mapping... ...regulatory mandates (e.g., CMS, HIPAA) and translate... ...and Visio. Agile certification (e.g., PMI-ACP, SAFe,...Remote workCms
- ...Description: 100% Remote but prefer local candidates (Pittsburgh... ...on resume Business Analyst CMS ONC Interoperability Job Summary... ...engineering, architecture, compliance, and external customers. This... ...interoperability platforms. Certifications in business analysis, data engineering...Remote workCmsLocal area2 days per week3 days per week
$97.97k - $124.2k
...Functional Analyst - Principle Our work is looking for a Functional Analyst - Principle... ...support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people are at the... ...communicate with team members while working remotely Required Skills: ~ Bachelors...Remote workCmsTemporary workFlexible hours$45.22k - $65.6k
...Quality Health Record Analyst Apply Now Job Summary... ..., and regulatory compliance of patient health record... ...g., Joint Commission, CMS). ? Provide support... ...or related field. Certification as a Registered Health... ...for hybrid or mobile/remote work mode are at the discretion...Remote workCmsFull timeTemporary workPart timeMonday to Friday
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