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
$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- ...(FRI's) according to Medicare/Medicaid certification and State standards for compliance with Federal, State, and... ...and regulations for Healthcare Quality. Reviews... ...correspondence, documentation, and data entry. Participates... ...to work partially remote or adjusted work hours...Remote workDataPart time
- 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
$168.75k - $281.25k
...Bronx/Yonkers ViiV Healthcare is a global specialty... ...limited to emerging data discussions, clinical... ...training to colleagues. Compliance and Documentation:... ...communication skills #LI-Remote #LI-GSK #LI-ViiV... ...the Centers for Medicare and Medicaid Services (CMS) website...Remote workDataLocal area- 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
- ...Description Healthcare Fraud Investigator - Medicaid Remote, U.S. Based @Orchard LLC is retained by a not-... ...protocols. This role involves collecting data for audits/investigations into... ...findings, ensuring accuracy and compliance with legal and regulatory...Remote workData
- ...This role will be assisting our Medicare team with STARS compliance. The largest portion of the responsibilities... ...of Case Management tasks. Reviews data to identify principal member needs... ..., office assistant or other healthcare service administrative support role....Remote workDataWork at office
- ...Solutions LLC is seeking a Senior Data Analyst to support enterprise analytics initiatives focused on Medicare Advantage Stars. This primarily remote role will involve occasional onsite... ...have over 10 years of experience in a healthcare payor environment and expertise in...Remote jobData
- ...Business Analyst (BA) – Medical Billing Location: Remote Boston, MA Job Type... .... Ensure compliance with industry standards... ...HCPCS, HIPAA, and Medicare/Medicaid guidelines. Assist... ...on SaaS-based healthcare solutions. Gather... ...API integration, data mapping, and system...Remote workDataContract work
- ...ViiV Healthcare is a global specialty HIV company... ...Leverage data analytics, business... ...thought leaders Compliance, Accountabilities... ...our goals: ~ BA/BS degree ~5+ years... ...#LI-Remote #ViiV2026... ...the Centers for Medicare and Medicaid Services (CMS) website...Remote workDataLocal areaNight shift
- ...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
- ...performance across our Medicare Advantage lines of... ...modeling, and regulatory compliance at a company with more... ...Centers for Medicare & Medicaid Services) bid... ...Monitor and respond to CMS data systems including HPMS... ...strong preference for healthcare or managed care settings...Remote workData
$95.26k - $157.21k
...Standards and Centers for Medicare and Medicaid Services conditions of participation compliance as well as Department... .... Eligible for remote work permitted up to 1... ..., Nursing, or related Healthcare Professional field. Must... ...reports, and analyzing data trends to inform performance...Remote workDataShift work1 day per week$22.52 - $26.24 per hour
...Job Description Medicare Sales Support Operations... ...headquarters with remote flexibility.... ...leader ensures strict compliance with federal... ...Centers for Medicare & Medicaid Services (CMS)... ...enrollments and CRM data entry to identify... ...future. World-Class Healthcare: Access...Remote workDataHourly payPermanent employmentFull timeContract workSeasonal workWork from homeMonday to FridayShift workAfternoon shift- ...home operators, these Medicare Advantage plans manage... ...of a Risk Adjustment Data Validation (RADV) Audit... ...claims for Medicare and Medicaid plans • Extensive... ...• Ability to work remotely without direct supervision... ...experience in managed healthcare environment related to...Remote workDataFull timeTemporary workLocal area
- ...Consulting - Provider Strategy Remote or Washington, DC ATI Advisory is a healthcare research and advisory services... ...recognized experts across Medicare, Medicaid, long-term care, and provider delivery... ...quantitative and qualitative data into strategic insights; draw...Remote workData
- ...Medical Director (Remote/FT or PT) Seeking a... ...services provided to Medicare beneficiaries ensuring compliance with clinical... ...from record reviews, data analysis, and best... ...participating in Medicare, Medicaid or the Children’s... ...with diverse healthcare teams. Familiarity...Remote jobDataFull timeWork at officeLocal areaWork from homeShift workWeekend work
- ...company that combines healthcare operator expertise... ...plans, beginning with Medicaid, Marketplace, and Medicare plans, who are... ...Product, Engineering, and Data Science... ...reports to the CEO, is remote within the United States... ...with Siftwell’s PHI compliance policies. Responsibilities...Remote workDataFull timeTemporary workFor contractorsWork experience placement
$106.9k - $147k
...economic, and other data to provide... ...part of a granular Medicare Advantage underwriting... ...Information This is a remote position. Work... ...and smart healthcare decisions for you... ...with Medicare and Medicaid, families, individuals... ...affirmative action, in compliance with Section 503...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome office$78.4k - $107.8k
...reconciliation of encounter data for Medicaid and Medicare programs. You will ensure... ...all submissions exceed compliance standards through rigorous... ...analytical experience improving healthcare data quality and... ...Travel: While this is a remote position, occasional travel...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- A major healthcare insurer is seeking a Medical Director in Ohio. This remote role requires an MD or DO degree and a strong background in Medicare and Medicaid. Responsibilities include reviewing clinical cases, ensuring compliance, and improving medical management operations...Remote job
- ...About the job Sr. Data Analyst (Federal Healthcare SME) Job Title:... ...Location: Primarily Remote (2-3 onsite visits/month... ...initiatives focused on Medicare Advantage Stars and Risk... ...Support ongoing compliance with Medicare and Medicaid program requirements...Remote workDataContract work
$89k - $121.4k
...Professional manages data to support and influence... ...s mission of health, compliance, and sustainable... ...intelligence, preferably within healthcare, insurance, or... ...: While this is a remote position, occasional... ...life for people with Medicare and Medicaid, families, individuals...Remote workDataFull timeTemporary workApprenticeship- ...complex biomarker data into life-changing... ...a more connected healthcare experience that is... ...Everlywell, a leading remote?based healthcare... ...steps. Ensure compliance with state telemedicine... ...WI, LA, AL). ~ Medicaid enrollment in... ...good standing with Medicare. ~ Demonstrated...Remote workDataContract workFlexible hours
$40k - $52.3k
...requests. Search for Medicare and Medicaid Guidelines. Process all... ...1 or more years of Healthcare experience 1 or more... ...Travel: While this is a remote position, occasional... ...action, in compliance with Section 503 of the... ...2 weeks ago Oncology Data Specialist Coordinator...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayNight shiftWeekend work- ...Director: Consulting - Medicaid Remote or Washington, DC ATI Advisory is a healthcare research and advisory services firm changing... ...recognized experts across Medicare, Medicaid, long-term care, and... ...external publications, presentations, data analysis synthesis, and...Remote workDataWork experience placement
$94.9k - $130.5k
...simplified, whole-person healthcare experiences. At... ...in the Medicare Advantage space. Within... ...to find relevant data and turn it into information... ...: While this is a remote position,... ...people with Medicare, Medicaid, families,... ...affirmative action, in compliance with Section 503 of...Remote workDataFull timeTemporary workApprenticeship$223.8k - $313.1k
...fundamentals of CMS Medicare Guidance on... ...DME, dual Medicare/Medicaid, Medicaid, IRF and... ...determines whether healthcare services provided... ...framework of regulatory compliance. This secures... ...information and interpret data clearly and... ...Information Workstyle: remote work at home...Remote workDataFull timeTemporary workApprenticeshipWork at officeWork from homeMonday to Friday$85k - $110k
...recognized Dive into substantive healthcare transactional work — M&A,... ..., and regulatory compliance — at a firm with deep healthcare... ...Anti-Kickback Statute, and Medicare/Medicaid compliance Competitive compensation... ...agreements (BAAs) Manage data rooms, track transaction...DataWork at office$71.1k - $97.8k
...analysis of situations or data requires an in-depth... ...impact WORK STYLE: Remote/work at home. While... ...personal wellness and smart healthcare decisions for you and... ...life for people with Medicare, Medicaid, families,... ...affirmative action, in compliance with Section 503 of the...Remote workDataBi-weekly payContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday
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