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Individual & Family Plans (IFP) Quality Review and Audit Senior Analyst, RADV - Remote - Cigna [...]
$58.4k - $97.4k
...daily RA program operations, as identified. Participates in coding reviews of medical documentation for RA programs, as needed. Responsible for... ...promote shared goals. The Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation...SuggestedRemote jobLocal areaWork from home$77.97k - $129.59k
Senior Analyst, Medical Economics (VBC) - REMOTE Join to apply for the Senior Analyst, Medical Economics (VBC) - REMOTE role at Molina Healthcare... ...financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical...SuggestedRemote jobFull timeWork experience placement- ...identifying under-allowed claims using Rivet Payer Performance and other available tools Leverages coding knowledge to focus specifically on surgical/procedure based claims and medical necessity denials to identify appeal opportunities Trends surgical claim billing errors by...SuggestedFull timeContract workWork at office
- ...for the last eleven years. Position Summary The Reimbursement Analyst (RA) serves as a Fee Schedule Subject Matter Expert (FS SME)... ...jurisdiction-specific healthcare fee schedule methodologies, medical coding standards, and strong technical proficiency. The...SuggestedRemote workFlexible hours
- ...Job Title: Healthcare Associate / RCM Analyst Location: Onsite / Remote (US Client) Employment... ...S. healthcare system, RCM processes, and medical documentation. The ideal candidate should... ...Perform Medical Billing & Coding (ICD-10, CPT, HCPCS) Manage EHR/EMR...SuggestedFull timeContract workRemote work
$80k - $95k
...lives. It's a feeling of possibility, creativity, and purpose to deliver our promise. Job Summary The Senior Order Management Analyst plays a critical role within the US Commercial Organization, supporting Customer Operations by overseeing customer orders and...SuggestedSummer workSeasonal workWork at officeLocal areaCSL Seqirus
Summit, NJ10 days ago- ...management for a smarter, more sustainable world. All that we're missing is you. Apply today! About the role The Sr. Business Analyst (Sr. BA) will perform analysis and deliver findings related to Reworld's program of growth initiatives. This includes assembling...SuggestedWork at office
$46.99k - $122.4k
...drive priority projects to completion. The analyst will also support financial operations through invoice tracking and coding validation, contributing to accurate and timely... .... 2-3 project management background. Medical billing and coding certification. Education...SuggestedHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours- ...develop actionable improvement plans. Ensure accurate billing and coding by reviewing charge queues, collaborating with care centers,... ...reimbursement. Principal Accountabilities Analyze trends in medical claim denials, reimbursement issues, and process-related challenges...SuggestedHourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
$66k - $78k
...people's lives. It's a feeling of possibility, creativity, and purpose to deliver our promise. Job Summary The Customer Data Analyst will lead and support the management, optimization, and modernization of customer master data and related processes across various...SuggestedSummer workSeasonal workCSL Seqirus
Summit, NJ26 days ago$21.1 - $44.99 per hour
...do it all with heart, each and every day. Position Summary Responsible for performing quality inter‑rater review audits of medical records coded by internal team (CDQA and Sr CDQA) to ensure the ICD‑10 codes that are submitted to the Centers for Medicare and Medicaid Services...SuggestedHourly payFull timeTemporary workWork at officeLocal areaFlexible hours- ...related field 7+ years of demonstrated experience as a business analyst 3+ years of healthcare data claim content experience. Must be... ...working knowledge of administrative claims data and medical coding systems Preferred qualifications include: Deep understanding...SuggestedWorldwide
- ...solutions and transformative platforms. We are seeking a Business Analyst with prior experience in healthcare to join our team at the... ...working in: Electronic Health Records (EHR) systems Medical coding standards such as FHIR, ICD, CPT Medicare/Medicaid data (...SuggestedImmediate startFlexible hours
$118k - $130k
Excellent compensation and benefits package available for the right candidate. West coast Health carrier is seeking a talented Actuarial Analyst III - Provider Contracting. This individual will work on complex financial analysis projects, through forecasting, risk assessment,...SuggestedRemote workNew York, NY24 days ago- ...Analyst Medicaid Rebates Analyst Medicaid Rebates East Hanover, NJ Start Date: 01/03/2022 End Date: 06/30/2022 Assist in the validation and adjudication of Medicaid invoices. Provide prompt and accurate assignment and labelling of claim data among East Hanover and offshore...Suggested
$86.7k - $122.4k
...Sr. CPFR Analyst Kenvue is currently recruiting for a: At Kenvue, we realize the extraordinary power of everyday care. Built on over a century of heritage and rooted in science, we're the house of iconic brands - including NEUTROGENA, AVEENO, TYLENOL, LISTERINE,...$85.4k - $158.6k
Job Description Summary The Analyst will support the Managed Market Finance (MMF) team by driving processes, systems, and analytics in... ...accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation...Local area$86.7k - $122.4k
...Revenue Reconciliation Senior Analyst Kenvue is currently recruiting for a Revenue Reconciliation Senior Analyst. At Kenvue, we realize the extraordinary power of everyday care. Built on over a century of heritage and rooted in science, we're the house of iconic brands...- ...primary purpose of the Senior Revenue Cycle Analyst position is to provide for the day-to-day... ...staff up to date with any changes in coding or billing procedures or regulations. Produces... ...maintains a demeanor complementary to medical ethics. Responsible for overseeing the...Temporary workWork at officeFlexible hours
- Senior Analyst - Provider Revenue Excellence - Revenue Cycle Management Join to apply for the Senior Analyst - Provider Revenue Excellence... ...cycle transformation experience, including patient access, coding, Clinical Documentation Improvement (CDA), billing, A/R Management...Apprenticeship
$50k - $60k
...Overview We are seeking a strategic and detail‑oriented Allocation Analyst to join our fast‑paced, dynamic team. The Allocation Analyst... ..., mental, and financial well‑being. We offer competitive medical, dental, and vision plans, a 401(k) match, life insurance, commuter...Full timeWork experience placementSeasonal workWork at officeRemote work$57.38k - $91.8k
...Customer Analyst Join our Business Operations team as a Customer Analyst, where you will support and optimize essential field functions including meter reading, field revenue collections and various Operational projects. This role is ideal for individuals who are passionate...Temporary workFor contractorsWork experience placementWork at officeVisa sponsorshipFlexible hours$83.8k - $115.23k
...Sr. Accounting Analyst Are You Ready to Make It Happen at Mondel?z International? Join our Mission to Lead the Future of Snacking. Make It Uniquely Yours. In Accounting & External Reporting we are a team of experts dedicated to ensuring absolute integrity and accuracy...Work at officeLocal areaRelocation package3 days per week$60.6k - $112.6k
...a detail-oriented professional to join our team as a Medicaid Analyst. This individual will provide analytical support for financial... ...accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for...- Senior Trade Specialist DLA Piper is a firm that values bold, exceptional, collaborative, and supportive individuals. As the Senior Trade Specialist, we are looking for someone to work in collaboration with and in support of the firm's strategic initiatives. The focus...Permanent employment
$83.8k - $115.23k
Job Description Are You Ready to Make It Happen at Mondel?z International? Join our Mission to Lead the Future of Snacking. Make It Possible. You will develop the 0-24-month IBP forecast by brand and at the stock keeping unit (SKU) level. You will coordinate, challenge...Temporary workSeasonal workRelocation package$75k - $110k
Overview Compensation & Benefits Analyst role at CoreWeave. CoreWeave is the AI Hyperscaler, delivering a cloud platform of cutting edge... ...a comprehensive benefits program (all based on eligibility). Medical, dental, and vision insurance - 100% paid for by CoreWeave...Temporary workCasual workWork at officeRemote workFlexible hours- ...career. And we just so happen to be seeking a **Transportation Analyst** support a top company in **Summit, NJ** . If this sounds like... ...Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident...Full timeTemporary workWork at officeLocal area
- ...Benefits Analyst ADP is hiring a Benefits Analyst. Are you a Benefits Analyst with strong data analysis skills? Are you looking to join a dynamic, inclusive team environment with a culture of collaboration and belonging? Well, this may be the role for you. As a Benefits...Work at office
- ...Job Description Job Description Job Title: Revenue Analyst Position Location: Summit, NJ Reports To: Finance Manager Job Type: Full Time About the Company Sugar Foods LLC is a privately owned company with production facilities in Georgia, Massachusetts...Full timeWork at officeLocal areaShift work
