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- ...develop business processes for Medicaid and Medicare programs. This role focuses on ensuring compliance through data analysis, quality assurance,... ...analytics, ideally within healthcare. The position offers a competitive salary range and a remote work setup. #J-18808-Ljbffr...Remote workData
- 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
$75k - $85k
...Accounting professional to prepare Medicaid cost reports, analyze financial data, and ensure compliance with accounting principles.... ...'s, and familiarity with Medicare regulations. Experience of 2-4... ...years in accounting is ideal. Remote working conditions are available...Remote workData$168.75k - $281.25k
Region: Northern NJViiV Healthcare is a global specialty... ...limited to emerging data discussions, clinical... ...to colleagues.Compliance and Documentation: Ensure... ...communication skills#LI-Remote#LI-GSK#LI-ViiVThe US... ...visit the Centers for Medicare and Medicaid Services (CMS) website...Remote workDataLocal area$78.4k - $107.8k
...: Louisville, KY: Remote Kentuckytime type:... ...supports Kentucky Medicaid product implementation... ..., contract compliance, and regulatory deliverables... ...and operational data to drive insights,... ...and smart healthcare decisions for you... ...life for people with Medicare and Medicaid, families...Remote workDataBi-weekly payWeekly payFull timeContract workTemporary workWork at officeWork from homeHome officeFlexible hours2 days per week$75k - $85k
...Consulting Group in Lincoln, Nebraska is seeking an Accounting professional to prepare complex Medicaid cost reports and ensure compliance with regulations. You will analyze financial data and discrepancies, assist with audits, and support process improvements in reporting and...Remote workData$71.1k - $97.8k
...Waste Professional, Medicaid conducts... ...of situations or data requires an in-depth... ...impact LOCATION: Remote IL HOURS: 40 hours... ...Understanding of healthcare industry, claims processing... ...life for people with Medicare and Medicaid,... ...affirmative action, in compliance with Section 503...Remote workDataBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to Friday$86.3k - $118.7k
...caring community The Medicaid Capture Management... ...research, data-driven insights, strategic... ...consulting, healthcare consulting, or strategic... ...time) Workstyle: Remote Core Work Days &... ...life for people with Medicare and Medicaid,... ...affirmative action, in compliance with Section 503...Remote workDataWeekly payFull timeTemporary workApprenticeshipCasual workWork at officeWork from homeHome officeMonday to FridayFlexible hoursNight shift$66.8k - $91.1k
...caring community A Medicaid Business... ...and issues using data from internal and... ...: While this is a remote position, occasional... ...wellness and smart healthcare decisions for you... ...life for people with Medicare and Medicaid, families... ...affirmative action, in compliance with Section 503...Remote workDataBi-weekly payWeekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$67.9k - $199.14k
...lead and execute complex data analyses to drive... ...analytics, interpreting large healthcare datasets, and... ...alignment with state Medicaid and CMS regulatory requirements... ...stakeholders Support compliance with CMS and state... ...programs (Medicaid, Medicare, and/or ACA) Advanced...Remote jobDataHourly payFull timeTemporary workWork experience placementLocal area- ...knowledge of payer guidelines (Medicare, Medicaid, Commercial, etc.) and ensuring regulatory compliance. ~ Partner with the RCM... ...cause and provide the corrected data to the billing team for the purpose... ...expertise in medical billing, healthcare, and the insurance referral...Remote workDataWork at office
$223.8k - $313.1k
A leading healthcare company is seeking a Medical Director to review clinical cases and ensure compliance with regulations for Medicare and Medicaid services. This remote role requires an MD or DO with 10 years of... ...ability to analyze clinical data. This position offers a...Remote workData- ...Officer Work Location: Remote The Sr. FP&A... ...and operational data to drive strategic decisions... ...ensure regulatory compliance. The Sr. FP&A Analyst... ...projections aligned with Medicare, Medicaid, and private... ...related field. ~ MBA or healthcare-related certification...Remote workData
- ...activities, the full-time Healthcare Investigator will... ...(FWA), while working remotely to analyze information and ensure compliance with coding and billing... ...including interviews and data analysis Complete... ...Knowledge of managed care, Medicaid, Medicare, and claim billing...Remote workDataFull time
$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 workData1 day per week$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$115.2k - $158.4k
...community The Compliance Lead ensures compliance... ...Lead for our Medicaid business, you will... ...market documents and data to identify what... ...: While this is a remote position, occasional... ...and smart healthcare decisions for you... ...life for people with Medicare and Medicaid, families...Remote workDataFull timeContract workTemporary workWork at officeWork from homeHome office- ...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
$86.3k - $118.7k
...community The Senior Compliance Professional... ...variable factors and data. The primary focus... ...compliance related to Medicare Pharmacy and Part... ...for Medicare & Medicaid Services (CMS) Program... ...: This is a remote position. Travel:... ...wellness and smart healthcare decisions for you...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday 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 timelines...DataWork at office$126.7k - $174.2k
...strategy: delivering great healthcare to seniors, providing... ...Generates data-basedinsights and action... ...assistance available. Remote NY will be considered... ...life for people with Medicare and Medicaid, families, individuals... ...action, in compliance with Section 503 of the...Remote workDataFull timeTemporary workApprenticeshipWork at officeRelocation package3 days per week$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$49.93k - $97.36k
...to use reports related to risk and quality/Healthcare Effectiveness Data and Information Set (HEDIS) for Medicaid, Medicare, Marketplace and Medicare/Medicare-Medicaid... ...Healthcare Quality (CPHQ). Certified HEDIS Compliance Auditor (CHCA). Registered Nurse. If licensed...Remote jobDataWork experience placementWork at officeLocal area$94.9k - $130.5k
...analysis of situations or data requires an in-depth... ...Background in a healthcare environment Certification... ...While this is a remote position, occasional... ...life for people with Medicare, Medicaid, families, individuals... ...affirmative action, in compliance with Section 503 of the...Remote workDataFull timeTemporary workFor contractorsApprenticeshipWork from homeHome office$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$106.9k - $147k
...economic, and other data to provide accurate and... ...This is a remote position. Work At... ...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 the...Remote workDataBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...Assurance Analyst II - Medicaid Fee For... ...Sponsorship.MedImpact Healthcare Systems, Inc. is looking... ...quality and compliance review activities,... ...comprehensive test plans, data sets, test... ...or Experience**BS/BA and 3+ years’ experience... ...(or from a remote location with management...Remote workDataFull timeWork at officeLocal areaMonday to FridayNight shiftWeekend work
- ...dedicated to investigating allegations of healthcare fraud and abuse within the Kentucky Medicaid Program. The ideal applicant will have a... ...committing to addressing fraud and ensuring compliance. The role includes tasks such as data analysis, audit organization, and...Remote jobData
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