Medicaid FWA Auditor & Data Analyst (Remote)
ForHealth Consulting at UMass Chan Medical School
- Remote job
ForHealth Consulting at UMass Chan Medical School seeks an Auditor to identify, investigate, and prevent Medicaid fraud, waste and abuse. You will conduct desk and onsite audits across provider types, using data mining and claims analysis to detect irregular billing. The role requires travel within Massachusetts for onsite audits 1-2 times per month; most work is remote with periodic site visits. #J-18808-Ljbffr ForHealth Consulting at UMass Chan Medical School
- ...A leading health services organization is seeking a Health Care Data Analyst to provide high-level analysis related to Medicaid. This remote position requires a Master's degree in public health and at least 3 years of relevant experience. The role includes managing healthcare...Remote work
$73k - $93k
...Opportunity TSPi, a division of Abt Global, is seeking a Medicaid Data Analyst to support data analysis, quality validation, and reporting... ...on candidate geographic location. Salary offers are made based on internal equity and market analysis. #LI-FJ1 #LI-REMOTERemote workFull timeFlexible hours- Gainwell Technologies is seeking a Long-Term Care Auditor I to join our remote team. This entry level role focuses on identifying Medicaid improper payments in long term care, auditing provider records, and ensuring accuracy of payments. You will collaborate with providers...Remote job
- Knowledge Builders Inc. seeks an Auditor for the Bureau of Provider Enrollment (BPE) in Albany. The role focuses on enrolling, revalidating, and maintaining Medicaid provider files in eMedNY and PSP, ensuring accuracy, timeliness, and compliance with state and federal...Remote jobWork at office
- Integrity Management Services, Inc. is hiring a Medicaid Auditor to perform audits of Medicaid Managed Care Plans and providers,... ...background, 5-7 years of related experience, and strong data analysis skills. Remote work is available within the U.S., with salary range disclosed...Remote job
- Trillium Health Resources is seeking a Claims Specialist II to analyze and audit claims adjudication for NC Medicaid and CMS guidelines. The role supports providers by phone or email with claims questions and collaborates with internal and external stakeholders to resolve...Remote job
- Delaware Department of Justice seeks a Senior Auditor to support the Medicaid Fraud Control Unit in the Fraud & Consumer Protection Division. The role focuses on auditing and data analysis for civil and criminal health care fraud investigations, including multijurisdictional...Remote job
- American Health Plans in Franklin, TN is seeking a claims audit specialist to ensure accurate Medicare/Medicaid payments and regulatory compliance. The role focuses on pre/post-pay audits, collaboration with claim processors, and adherence to CMS rules to reduce denials...Remote jobWork at office
- State of Minnesota, Department of Human Services in St. Paul, seeks a Medicaid Data Analyst to perform queries and data analysis to ensure quarterly Medicaid reporting is accurate and timely. The candidate will develop and maintain BI dashboards, validate data, and support...Remote job
- A leading health data solutions provider is seeking a Data Analyst for a remote role focused on population health. The candidate will be responsible for data integration... ..., and specification creation necessary for Medicaid services. Ideal applicants should have strong SQL...Remote job
$51k - $82k
...SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical... ...waste, and abuse. We are looking to add a Medicaid Fraud Auditor to our SGS team of talented... ...further his business acumen. This is a remote position, candidates must reside within...Remote workContract workWork at officeShift work- Peraton’s SafeGuard Services (SGS) is seeking a Medicaid Auditor/Investigator to conduct audits and reviews of Medicaid programs, ensuring... ...thorough documentation of all steps in case files. The role is remote, with residence within the Northeast jurisdictions. #J-18808...Remote job
$55k - $75k
...programs. Results are achieved through data analytics, technology solutions, audit,... ....Small company feel! In this role, the Medicaid Auditor will be responsible for performing and reporting... ...hire background screening checks. For remote work, required to have wired and/or...Remote jobFull timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hours- SafeGuard Services (SGS), a Peraton subsidiary, seeks a Medicaid Fraud Auditor to join our team. The role audits Medicaid programs for compliance and over-payment recovery, applying analytical skills and interviews to gather information. Candidates must reside within the...Remote job
- Peraton is seeking a Medicaid Auditor/Investigator to join SafeGuard Services in a remote capacity. You will conduct audits of Medicaid programs to ensure compliance with... ...are essential. Responsibilities include data analysis, interviews, documenting findings, and presenting...Remote job
- Integrity Management Services, Inc. in the United States seeks a Medicaid Auditor to perform and report on Medicaid Managed Care Plans and providers, identifying potential fraud, waste, and abuse. Audits can be programmatic or financial, including desk reviews and onsite...Remote job
- Peraton is seeking a Medicaid Auditor/Investigator to join SafeGuard Services (SGS), a Peraton subsidiary... ...role focuses on conducting audits and data analyses to detect fraud, waste, and... ...and state requirements. The position is remote, requiring residency within the...Remote job
$112.84k - $143.75k
...Other Required: Job Family: Data Science and Data Engineering... ...action as a Sr. Healthcare Data Analyst at GDIT. Your work will... ...support the Centers for Medicare & Medicaid Services (CMS) mission to detect... ...10% Telecommuting Options: Remote Work Location: Any Location...Remote workTemporary workImmediate startWorldwideFlexible hours- Fully Remote • Springfield, ILDescriptionAt CSpring, we believe in the power of data to drive decisions and real-world impact. We’re a... ...coordination and analysis that keep Medicaid reporting deliverables... ...cases with data and quality analysts for profiling, review...Remote workPermanent employment
- Milliman’s Healthcare Data Analytics team is seeking a Healthcare Data Analyst to support Medicaid Finance & Policy projects. You will work with claims data across hospital... ...to communicate technical results. It is remote with preference for candidates in the United States...Remote job
- CoventBridge Integrity Systems is seeking a Medicaid Medical Review RN (Medical Reviewer III) for remote work with potential on-site audits in Grove City, OH. The role focuses on clinical reviews of medical records during fraud investigations and applies Medicare/Medicaid...Remote job
- ...individuals to provide analytical support for Medicaid finance and policy engagements. You will analyze healthcare data, design data models, and contribute to policy research... ...health, and home health services. This remote role offers growth toward leadership opportunities...Remote job
- MetiRi is seeking a Financial Systems & Data Onboarding Analyst to support a nationwide franchise-wide data standardization initiative. This 100% remote, long-term contract role focuses on onboarding franchise financial data into a centralized reporting platform with strong...Remote jobLong term contract
- ...focus include Medicare, Medicaid, commercial insurance, worker... ...Certified Coding Auditor to work in its New York office or remotely. Principal duties and... ...recoupments and other anti-FWA activity. Identify and access... ...-04 and CMS 1500 claims data, as well as understanding...Remote workWork at officeLocal area
- Remote - (MetiRi) Financial Systems & Data Onboarding Analyst Title: Financial Systems & Data Onboarding Analyst (MetiRi) Work Arrangement: 100% Remote Employment Type: Long-Term Contract Position Overview We are seeking a Financial Systems & Data Onboarding Analyst...Remote jobLong term contractTemporary work
$71.7k - $131.91k
Milliman’s Medicaid Finance and Policy Practice is seeking individuals to assist in providing... ....ResponsibilitiesAnalyzing healthcare data, including:Claims datasets including services... ...in the future.LocationThis position is remote, although being located in Seattle or...Remote workFull timeTemporary workWork experience placementWork at officeWorldwideFlexible hours- SCAN Group is seeking a Claims Auditor to perform pre- and post-pay audits of claims payments and denials, ensuring accuracy and regulatory compliance. You will apply strong knowledge of CMS requirements and work with the Claims Department to review processing errors prior...Remote job
$31.06 - $46.59 per hour
...Billing Compliance, Senior Auditor Reporting to the Manager of... ...Location: Hybrid (Evanston, IL and remote) Full Time/Part Time: Full-... ...forms, EOBs, Epic billing data and related records) to ensure... ...payer guidelines, and Medicare/Medicaid standards (e.g., NCDs, LCDs, Medicare...Remote workHourly payFull timeContract workPart timeFor contractorsMonday to Friday- SCAN Health Plan is seeking a Claims Auditor to perform pre-pay and post-pay audits ensuring accurate payments and compliant denials.... ...experience, CMS knowledge, and familiarity with IKA/QNXT systems, with remote-possible work options. #J-18808-Ljbffr SCAN Health PlanRemote job
- The State of Minnesota - Human Services Department seeks a Medicaid Data Analyst to prepare and analyze data for accurate quarterly reporting, supporting federal Medicaid needs, and validating fiscal data in data warehouse systems. You will query data, develop dashboards...Remote work
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