Medicare/Medicaid Provider Enrollment Analyst I
Mount Sinai Medical Center
The Mount Sinai Health System in New York, NY is seeking a Provider Enrollment Analyst (I) to coordinate enrollment and payer credentialing for contracted providers with Medicare and Medicaid. You will manage open enrollment tasks to ensure providers are reimbursed and billed correctly, while performing data analysis and special projects as assigned. Responsibilities include enrolling providers with CMS, tracking status, setting up 837P/835P EDI transactions and EFT, monitoring edits and #J-18808-Ljbffr Mount Sinai Medical Center
- ...Accountable Care Organizations, and Medicare Advantage Special Needs... ...care coordinators, analysts, operators, and professionals... ...com. Summary The Medicare & Medicaid Enrollment Analyst is responsible for... ...revalidations for both individual providers and provider groups. This...SuggestedFor contractors
- DescriptionThe Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for contracted FPA providers with Medicare and Medicaid. This individual manages all open provider enrollment tasks/ issues to ensure that...SuggestedHourly payTraineeshipLocal area
$60 - $85 per hour
...Job Description Job Description Seeking a Business Systems Analyst, Enrollment & Member/Provider Services to support Enrollment and Member/Provider Services operations through the implementation of HealthRules Payer (HRP) and GuidingCare , as well as post-go-live...SuggestedHourly payWork experience placementWork at office- ...and who is committed to our mission of providing access to health insurance to all New... ...across all lines of business, including Medicaid, Medicare and Affordable Care Act/QHP. This... ...evaluate member, provider, claims, and enrollment data in support of Risk Adjustment and...Suggested
- ...when you stumble, and having the resilience to try another way forward.In return for your drive, determination, and curiosity, we'll provide the resources, mentorship, and opportunities you need to become a stronger leader faster than you ever thought possible. Your...SuggestedApprenticeshipEasy work
$48.65k - $84.82k
...learn more. Under the direction of the Manager for Enrollment Research, the Enrollment Data Analyst will support strategic, data-informed enrollment planning... ...and addressing inconsistencies or discrepancies; Provides general information on programs, services, requirements...Full timePart timeWork at officeShift work- ...Senior Business Analyst – Healthcare Payer (Claims & Benefits... ...systems, including Commercial, Medicare, and Medicaid solutions. The role... ...payer systems across claims, enrollment, and care management modules... ...adjudication, eligibility, provider, and member workflows Work...
$58.66k - $81.68k
Reimbursement Analyst (CCS or CPC) Coding Chargemaster/Projects Corporate... ...and ensures compliance with Medicare and other insurance carrier... ...fee schedules for Medicare, Medicaid, commercial and managed care... ...Billing Office operations. Provides on-going in-service training...Full timeWork at office$155k - $165k
...connects patients, personal care providers, managed care organizations,... .... The Sr Program Integrity Analyst is a key member of... ...waste, and abuse patterns in Medicaid home and community-based care... ...operate, including how providers enroll, document services, submit claims...Full timeLocal areaRemote workNight shift- BerryDunn is seeking a Senior UAT Analyst to validate system functionality for Hawaiʻi Med-QUEST enhancements and Medicaid modernization. You will plan, coordinate, and execute UAT activities across lifecycles, translating requirements into testable scenarios and developing...
- ...A leading healthcare solutions provider is seeking a Remote Data Analyst to maintain and analyze provider demographic data. The successful candidate will work collaboratively with various teams to ensure data accuracy and respond to inquiries. Ideal candidates possess...Permanent employmentRemote work
- Eataly North America is seeking an HR Analyst, Benefits (Temporary) to support benefits administration across all locations. The role involves processing enrollment changes, guiding employees, and coordinating with benefit vendors to ensure accurate records and timely...Temporary work
- The Senior Provider Configuration Analyst will be responsible for the configuration of MetroPlusHealth’s systems to ensure that claims are processed according to Provider contracts. Scope Of Role & Responsibilities Configure provider reimbursement and create and maintain...Contract workTemporary work
$70k - $80k
Role Overview: The RCM Analyst supports the Revenue Cycle Management... ...Intelligence Manager will provide domain training, but... ...commercial insurance, Medicare Advantage, Medicaid, and other payor arrangements... ...provider credentialing, enrollment, participation, and related...Contract workTemporary workWork at officeFlexible hoursAfternoon shift- VNS Health seeks an experienced Reconciliation Analyst to support Membership and Eligibility. You will analyze enrollment, disenrollment and billing data across CMS, DOH and LDSS/HRA reports, and coordinate with TPA and Maximus to resolve issues. The role requires strong...
- ...evaluating operational processes and procedures for improvement of MetroPlusHealth Core Systems and Applications. This role will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, Network Management, as well as internal and external...
$80k - $90k
...on revenue cycle functions, and provides guidance to Revenue Cycle Analyst I staff. JOB RESPONSIBILITIES Perform... ...investigate and resolve Enrollment/Intake discrepancies for correction... ...strongly preferred. Knowledge of Medicaid and Medicare benefits, enrollment and billing...Monday to Friday- cewit is seeking an entry‑level Remote Data Analyst to join our distributed team in New York, NY. You will collect, clean and interpret data to provide actionable insights for business decisions. No prior experience is required as we provide comprehensive training and development...Remote jobFlexible hours
- ...Member Experience Data Analyst plays a critical role... ...healthcare impact. What We Provide Referral bonus... ...touchpoints including enrollment, customer service interactions... ...working with Medicare Advantage, Managed Long‑Term Care (MLTC), Medicaid, or other government‑sponsored...Work experience placementInterim roleWork at officeFlexible hours
- Essen Medical Associates in New York is seeking a dedicated risk coding specialist to support providers in implementing coding guidelines and enhancing documentation of patient conditions. The position offers full-time engagement in a crucial role that supports healthcare...Full time
- ...multi-disciplinary team of other analysts and clinical staff in... ...with Federal regulations, state Medicaid policies, and other applicable... ...tasks involving health care provider quality incentive programs Review... ..., and the federal Center for Medicare & Medicaid Services). We have...Work experience placementInternshipWork at office
$48.65k - $84.82k
A leading public university in New York is seeking an Enrollment Data Analyst to support strategic enrollment planning through data analysis and reporting. The successful candidate will manage student data, ensure data quality, and work collaboratively with various departments...Full time$100k - $110k
...OpportunityWe are seeking a Benefits HRIS Analyst to join our Firm. This position will be... ...and actionable insights. This role will provide broad technical and project support to... ...needs especially during the annual open enrollment season and system upgradesEducation and...Full timeWork at officeLocal areaRemote workShift work$88k - $115k
...detailed oriented Senior Fund Operations Analyst with 2-5 years’ working experience... ...process.Manage communications with service providers, including fund administrators, custodians... ...Program• Telemedicine Program (for those enrolled in Medical)• Adoption Benefits• Daycare...Full timeTemporary workWork experience placementH1bWork at officeWorldwide- ...Best place!!Job DescriptionJob Title: Health Payer Technology Medicare ConsultantJob Level: Senior Level Job Description: THIS IS WHAT... ...required to support health plan!Who is currently in Medicare/ Medicaid!Who holds 2+ years Program management, full lifecycle project,...
$70k - $82.5k
New York University is hiring for a position focused on analyzing policy systems and administrative processes within Global Enrollment Management and Student Success. This role requires a Bachelor's Degree and 2+ years of relevant experience, particularly in Federal Student...Work at office$50k - $60k
...grown to 6,200+ employees globally. We provide technology solutions and business services... ...job opportunity exists for a Benefits Analyst to join our Benefits Team based in New York... ...401K processes such as participant enrollment, reconciliation, and compliance with ERISA...Temporary workFreelanceLocal area- ...accounting and health services consulting firm, seeks a capable analyst to join a multidisciplinary team. You will analyze health-... ...perform statistical calculations to ensure regulatory compliance for Medicaid and related programs. You will research applicable Medicaid...
- ...to amplify the impact of their work by providing services like fiscal sponsorship, donor... ...tides.org. About this Role The Sr. Benefits Analyst is the operational owner of the benefits... ..., FSA/HSA, voluntary, COBRA); manage enrollments, QLE changes, terminations, and eligibility...Shift work
$90k - $105k
...Respond to employee questions about benefits, plan options, enrollment steps, and general policy information Manage benefits enrollment... ..., their health, and their well-being. When you work here, we provide: Fully-paid health care benefits Generous parental and...Work experience placementLocal area
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