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$97.9k - $133.5k
...part of our caring community The Senior Epic Configuration Analyst will support Utilization Management (UM) and Long-Term Services... ...may be required ~ Minimum 2 years of experience in healthcare, Medicare, or Medicaid environments. ~1 or more years of experience...SuggestedFull timeTemporary workFor contractorsApprenticeshipCasual workWork at officeRemote workWork from homeHome officeMonday to Friday$22.78 - $29.62 per hour
...e. BO, HIM and ADT for resolution of third party payer billing disputes. Additionally, resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer bulletins to keep current on billing requirements and APC payment status and changes. Communicates...SuggestedFull timeRemote workShift workLee Health
Fort Myers, FL2 days ago$22.78 - $29.62 per hour
...e. BO, HIM and ADT for resolution of third party payer billing disputes. Additionally, resolves CCI edits as appropriate, reviews Medicare intermediary and other third party payer bulletins to keep current on billing requirements and APC payment status and changes. Communicates...SuggestedFull timeRemote workShift workLee Health
United States2 days ago- ...Medicare Membership & Eligibility Analyst (Temporary) Remote, California. About This Temp Position This is a temporary position with an estimated assignment end date of December 31, 2026. The assignment length is dependent on business need and may change. The assignment...SuggestedFull timeTemporary workWork at officeRemote work
Central California Alliance for Health
California, MO3 days ago - ...Title: Medicare SME- Payment Integrity Analyst Duration : 12 months Location : Remote This resource will implement a process to test end-to-end common Medicare Advantage leakage scenarios across multiple Medicare service categories to rapidly...SuggestedRemote work
RIT Solutions, Inc.
Lutherville Timonium, MD4 days ago $46.99k - $112.2k
...something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As a Medicare Member Advocate supporting the Allina Health | Aetna plan, you will engage with members, by telephone or in person, to support them...SuggestedHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home- Mount Carmel Health System, part of Trinity Health, seeks a Reconciliation Analyst for a remote opportunity through April 2027. The role focuses on enrollment and reconciliation of Medicare Managed Care data with CMS, including billing and premium reconciliation, under...SuggestedRemote jobDay shift
- ...onsite at Greenwich Drive (San Diego, CA) and remote. Description The Reimbursement Analyst provides support and analysis of government reimbursement for the hospital, this includes Medicare, Medi-Cal, and HCAI, etc. The Reimbursement Analyst prepares monthly Accounts...SuggestedHourly payRemote work
- The Clinical Coding Analyst plays a critical role in ensuring accurate reimbursement, regulatory compliance, and documentation integrity... ...integrity are optimized while maintaining strict adherence to Medicare regulations and ICD-10 standards. How You'll Contribute Perform...SuggestedRemote jobWork experience placementFlexible hours
- Central California Alliance for Health is seeking a Medicare Membership & Eligibility Analyst for a temporary position effective until December 31, 2026, focused on analyzing Medicare and Medi-Cal data. This role supports compliance with state and federal regulations and...SuggestedRemote jobTemporary work
- ...Contract Payer Enrollment Specialist to handle enrollment applications for clients. This remote role demands a strong understanding of Medicare and Medicaid processes, with a focus on accuracy and detail. Candidates with relevant experience are preferred. The position is...SuggestedRemote jobFull timeContract work
$3,861 - $4,839 per month
...Telework Policy and Procedures. Please use this link to take the Analyst II Exam: Please use this link to take the Analyst I:... ...the U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS). CHCQ is responsible for ensuring health...SuggestedPermanent employmentFull timeContract workWork at officeRemote workCalifornia Correctional Health Care Services
Sacramento, CA1 day ago- 100 LCMC Health is seeking a CDM Analyst to support maintenance and optimization of the Charge Description Master (CDM). You will analyze... ...charge codes, conduct audits, and ensure compliance with CMS, Medicare, Medicaid, and payer guidelines. The role requires...SuggestedRemote job
- INSURE CHOICE LLC in Austin, TX, seeks a Commission Analyst to calculate, analyze, and administer sales commissions across the organization... ...data analysis, with CRM and compensation reporting experience. Medicare/ACA knowledge is preferred; GoHighLevel, Tableau and Python are...SuggestedRemote job
- ...Developmental Services in Sacramento County is seeking a Program Analyst (Analyst II) to lead program integrity analysis, oversee compliance monitoring, and develop corrective actions to maximize Medicare Parts A, B, and D revenue for Porterville Developmental Center and...SuggestedWork at officeRemote work
$34 - $48 per hour
Medicare Membership & Eligibility Analyst (Temporary) Remote, California About the Position This is a temporary position at the Alliance, effective until December 31, 2026, reporting to the Medicare Operations Director. The role involves analyzing Medicare and Medi‑Cal...Full timeTemporary workRemote work- ...Sanderson Firm Business Development Analyst I Sanderson Firm is a woman-owned company specializing in Medicare Secondary Payer (MSP) compliance services. Our team of legal and clinical professionals brings more than 700 years of combined MSP industry experience, serving...Temporary workRemote work
Sanderson Firm PLLC
United States4 days ago $63k - $83k
...Sales Operations Analyst Remote - USA At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand... ...who need it most. Sales Operations at Clover keeps our Medicare Advantage broker and agent channel running. The core function...Work experience placementWork at officeRemote workFlexible hoursClover Health
United States1 day ago- ...MANTECH seeks a motivated, career and customer-oriented Senior GEOINT Analyst to join our team in St. Louis, MO! Job duties include, but are not limited to: Conduct GEOINT analysis on national security issues using imagery, geospatial data, and multi-INT...Work at officeRemote work
MANTECH
Saint Louis, MO7 hours ago - ...MANTECH seeks a motivated, career and customer-oriented GEOINT Analyst to join our team in Springfield, VA. Responsibilities include, but are not limited to: Conduct GEOINT analysis on national security issues using geospatial data, imagery, and advanced...Work at officeRemote work
MANTECH
Springfield, VA7 hours ago - ...Vibration Analyst – ISO CAT II / CAT III Position Summary We are seeking a motivated and experienced ISO CAT II or CAT III Vibration Analyst to support our Reliability Services team at Cornerstone Mechanical Services, LLC. This role is responsible for managing...Full timeWork at office
Cornerstone Mechanical Services, LLC
Seagoville, TX16 days ago - ...exceptional care to older adults, particularly those covered by Medicare. This client connects clients with experienced, compassionate... ...health. Role Overview The client is seeking a detail-oriented RCM Analyst to manage and optimize revenue cycle processes. This role is...Work at officeRemote work
- CVS Health is hiring an experienced underwriter to analyze and price Medicare Advantage opportunities and prepare RFP documents. The role collaborates with sales to craft affordable, satisfactory solutions for members and plan sponsors, driving results across departments...Remote work
- ...Position Summary: This position reports to the Director, Medicare Advantage Product Development & Strategy. The Business Analyst - Medicare Advantage Product Development serves as a key liaison between business stakeholders, product management, operations, compliance...Work experience placementLocal areaRemote work
Johns Hopkins HealthCare
United States3 days ago $90k - $130k
Senior Analyst/Manager, Incentive Programs Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1668 S. Garfield... ...incentive programs in which Astrana participates, spanning Medicare Advantage, Medicaid, Commercial, Exchange, and ACO populations....Full timeContract workRemote workHome office$96k - $125k
...gaps, and proactively manage chronic disease. As we expand across Medicare Advantage and other value-based care programs, we need... ...analytics are accurate, trusted, and decision-ready. As a Data Analyst, you will: Build and maintain core Value-Based Care (VBC) performance...Work experience placementWork at officeRemote workFlexible hours$79.43k - $101.27k
The HEDIS Clinical Quality Analyst provides clinical direction, guidance, training, and quality oversight for all things related to the... ...Committee for Quality Assurance (NCQA) and Centers for Medicare & Medicaid Services (CMS). Performs quality improvement activities...Remote jobFull timeWork at officeFlexible hours- Sr Product Analyst Job At HealthWorksAI, you’ll work at the intersection of healthcare, analytics, and artificial intelligence to drive... ...for designing health insurance products, specifically for Medicare Advantage. We aim to create cost‑effective healthcare plans tailored...Work from homeFlexible hours
$107k - $130k
Business Analyst, Clinical & Reimbursement Policy Remote - USA At Clover Health, we’re focused on improving the health of our members... ...driven insights to provide personalized, high-quality care. As a Medicare Advantage plan, we aim to empower our members by helping them...Remote jobWork experience placementWork at officeLocal areaFlexible hours- ...and self‑funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Supports... ..., not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing...Casual workWork at officeRemote work3 days per week
