Healthcare BA: Medicaid/Medicare Data & Compliance - Remote
Lumenalta
- Remote job
A healthcare technology firm in Boston seeks a Mid-Senior level Business Analyst to drive digital transformation in the healthcare sector. The role requires expertise in Medicaid and Medicare programs, with responsibilities including requirements gathering, process mapping, and compliance assurance. Candidates should have 5–10 years of relevant experience and a Bachelor's degree. Competitive benefits include flexible hours and health insurance. This position allows for remote work and is open for ongoing applications. #J-18808-Ljbffr Lumenalta
- Pair Team is hiring a founding Compliance Manager to build and scale the compliance function in a fast-moving healthcare company focused on Medicaid/Medicare programs. You will work cross-functionally... ...growth while protecting patients and data. #J-18808-Ljbffr Pair TeamRemote jobData
$90k - $120k
Product Delivery Manager (Healthcare - Medicaid & Medicare) Join to apply for the Product... ...of technology and data solutions across the U.S.... ...bridge technical delivery, compliance requirements, and business... ...Flexible working hours in a remote environment. Health insurance...Remote workDataFull timeFlexible hours- Pair Team is hiring a founding Compliance Manager to build and scale a robust compliance function within a fast-moving healthcare company focused on Medicaid/Medicare beneficiaries. You will partner with engineering, operations, clinical, and growth teams to design compliant...Remote job
- Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate) Virtual Job Description... ...We Are Centauri delivers data-driven technology... ...company addresses critical healthcare challenges for complex... ...regulations, and company compliance standards. Database Navigation...Remote jobDataMonday to Friday
- A healthcare solutions company is seeking a Product Delivery... ...oversee technology and data solutions in the U.S. healthcare... ...projects that enhance Medicaid and Medicare operations, ensuring compliance with regulations, and... .... This is a fully remote position offering a flexible...Remote workDataFlexible hours
- A healthcare technology firm is looking for a Product Delivery Manager... ...delivery of technology and data solutions across the U.S.... ...role involves ensuring compliance with regulations and leading... ...technology, a deep understanding of Medicaid and Medicare operations, and proven...Remote jobDataFlexible hours
$106.25k - $143.75k
...NACI (T1) Job Family: Data Science and Data Engineering... ...turn data into action as a Sr. Healthcare Data Analyst at GDIT. Your work... ...to support the Centers for Medicare & Medicaid Services (CMS) mission to... ...% Telecommuting Options: Remote Work Location: Any Location...Remote workDataTemporary workImmediate startWorldwideFlexible hours- ViiV Healthcare is a global specialty HIV company... ...accountsLeverage data analytics,... ...Understand and follow key compliance and regulatory... ...our goals:BA/BS degree5+ years... ...team members#LI-Remote#LI-GSK#Li-ViiVSkillsAccount... ...the Centers for Medicare and Medicaid Services (CMS)...Remote workDataFull timeLocal areaNight shift
- ...consistent with available data.Serve as a point of... ...and key meetings. Remote-first candidates may... ...biology, Life Sciences, Healthcare Sciences,... ...experience ensuring compliance with applicable regulatory... ...visit the Centers for Medicare and Medicaid Services (CMS) website...Remote workDataFull timeLocal area
- ***Remote and must live in or relocating to Idaho***JOB... ...network adequacy for Medicare, Marketplace, and Medicaid services. • In conjunction... ...templates, and ensures compliance with all contractual... ...Assurance (NCQA), Healthcare Effectiveness Data Information Set (HEDIS)...Remote workDataContract workLive inWork at officeRelocation
- ...our team at Adara Home Healthcare where we pride... ...Specialist (OASIS & Medicare Compliance) Applicants must have... ...Assessment Information Set) data. This position... ...Centers for Medicare & Medicaid Services) regulations... ...This is a hybrid remote position with flexible...Remote workDataMonday to FridayFlexible hours
- ...Executive Consultant - Medicare Strategy and/or Medicaid You will serve as... ...required. Monitors compliance of work activities... ...This position is remote from the following states... ...project management, data analytics. In-... ...presentation skills in Healthcare Industry....Remote workDataWork experience placement
- ...support the Centers for Medicare and Medicaid (CMS), you will be trusted... ...between a portfolio of Healthcare Fraud Prevention... ...and abuse in healthcare data. This position is remote Work visa sponsorship... ...WHAT YOU'LL NEED: ~ BA/BS in health care field,...Remote workDataWork experience placementWork at office
- ...real-world evidence, healthcare economics, and... ...action, clinical trial data, safety profiles,... ...-LI#GSK-Remote#GSKCommercial#GSKOncology2026SkillsAccount Management... ...to ensure GSK’s compliance to all federal and... ...visit the Centers for Medicare and Medicaid Services (CMS)...Remote workDataFull timeContract workLocal area
$106.9k - $147k
...economic, and other data to provide... ...risk arrangements Medicare/Medicare Advantage... ...year). This is a remote position. Work... ...wellness and smart healthcare decisions for you... ...with Medicare and Medicaid, families, individuals... ...action, in compliance with Section 503 of...Remote workDataTemporary workApprenticeshipWork at officeWork from homeHome office$117.6k - $161.7k
...an organization's raw data to create insightful... ...Abuse in either the healthcare or banking industryAdvanced... ...: While this is a remote position, occasional... ...life for people with Medicare and Medicaid, families,... ...affirmative action, in compliance with Section 503 of the...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$117.6k - $161.7k
...an organization's raw data to create insightful... ...Abuse in either the healthcare or banking industry... ...Travel: While this is a remote position, occasional... ...life for people with Medicare and Medicaid, families, individuals... ...affirmative action, in compliance with Section 503 of...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$41.6k - $66.56k
...operational and/or healthcare functions supporting members in the Medicare Advantage and ACA... ...confidentiality per HIPAA compliance guidelines. Coach,... ..., tracking and/or data analysis as... ...to work remotely with intentional in... ...Eligibility Verification Medicaid Documentation Operations...Remote workDataWork at officeLocal areaFlexible hours2 days per week$115.2k - $158.4k
...operational execution of Medicaid Revenue... ...Management, Encounters, Compliance, Market Leadership... ...ESRD Medicare and non-dual to dual... ...market leadership. Data-Driven Decision Making... ...: While this is a remote position, occasional... ...and smart healthcare decisions for you...Remote workDataFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$91.7k - $163.7k
...improving the flow of health data and information to create a... ...practice and supports Medicare and Medicaid payer clients through actuarial... ...the flexibility to work remotely * from anywhere within the... ...Medicare Advantage and related healthcare programsYou'll be rewarded...Remote workDataMinimum wageFull timeWork experience placementWork at officeLocal area$86.3k - $118.7k
...community The Senior Compliance Professional ensures... ...of situations or data requires an in-depth... ...Travel: While this is a remote position, occasional... ...personal wellness and smart healthcare decisions for you and... ...life for people with Medicare and Medicaid, families,...Remote workDataBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome office$65k - $88.6k
...we believe quality healthcare starts with... ...Illinois HealthChoice Medicaid program, you'll play... ...and review daily compliance dashboards. Support... ...of assessment, data, conversations with... ...experience with Medicare & Medicaid recipients... ...: This is a remote position that requires...Remote workDataFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayFlexible hours- ...to prepare and analyze Medicare and Medicaid cost reports while ensuring compliance with reimbursement regulations... .... This is a primarily remote position with... ...operational, and statistical data. •... ...Knowledge of healthcare finance and reimbursement...Remote workData
$115k - $130k
...company reimagining how Medicaid and Medicare serves the most... ...equitable, community-driven healthcare. Our Values... ...initiative This is a fully remote position (PST... ...effectiveness Use data, trends, and business... ...challenges Ensure compliance with applicable employment...Remote workDataTemporary workLocal areaWork from homeFlexible hours$150.75k - $251.25k
...Buffalo to Albany ViiV Healthcare (VHC) is a global... ...payer channels including Medicare Parts B, C, D, Medicaid, and commercial insurance... ...relationships. #LI-Remote Skills Data to Insights, Digital Fluency... ...to ensure ViiV's compliance to all federal and state...Remote workDataWork at officeLocal area$125k - $130k
...health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive... ...reconciliation, and submission of healthcare encounter data to the Commonwealth of Massachusetts... ...used for reimbursement, regulatory compliance, and quality reporting.The position...DataPermanent employmentLocal area$65k - $88.6k
...Home. While this is a remote position, occasional... ...degree • 2 years of healthcare fraud investigations... ...with ability to analyze data to metrics •... ...life for people with Medicare and Medicaid, families, individuals... ...affirmative action, in compliance with Section 503 of the...Remote workDataFull timeTemporary workFor contractorsApprenticeshipWork at officeWork from homeHome officeMonday to Friday$50k
...Remote Field Reimbursement ManagerValeris is a fully... ...that span the entire healthcare value chain. Formed... ...Valeris provides the data and strategic... ...regulations (e.g., Commercial, Medicare, and Medicaid)Work and compliantly... ...in Compliance with HIPAA within program...Remote workDataFull timeTemporary workWork at officeLocal areaImmediate start$129.3k - $177.8k
...economic, and other data to provide accurate and... ...This is a remote position. Work at Home... ...personal wellness and smart healthcare decisions for you and... ...life for people with Medicare and Medicaid, families, individuals... ...affirmative action, in compliance with Section 503 of...Remote workDataFull timeTemporary workApprenticeshipWork experience placementWork at officeWork from homeHome office- ...Description Performs compliance activities focused on... ...with Centers for Medicare & Medicaid Services (CMS) and U.... .../HHS Risk Adjustment Data Validation (RADV) audits... ...degree required in healthcare administration, nursing... ...are available as remote work, Sentara Health...Remote workDataFull timeTemporary workWork at officeShift work
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