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- ...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...SuggestedFull timeContract workRemote work
Insight Global
New York, NY4 days ago $17 - $21 per hour
...A leading staffing agency is seeking a Lien Resolution Analyst for a remote position lasting 12 months. The role involves disputing and... ...'s degree, and be proficient in Microsoft Office. Knowledge of Medicare regulations is preferred. This position offers a salary range...SuggestedHourly payWork at officeRemote workAkkodis
New York, NY4 days ago$76.2k - $158.8k
...renowned health organization and help shape the financial and operational effectiveness of UC Hospitals. Elevate your expertise in Medicare and Medi-Cal reimbursement while making a meaningful impact on policy and compliance. You can do all this and more at UCLA Health....SuggestedHome officeDirect Jobs
Los Angeles, CA2 days ago- ...First Coast Service Options is seeking a Provider Audit and Reimbursement Auditor to manage and analyze Medicare cost reports and provider settlements. The successful candidate will work in a dynamic healthcare environment and collaborate with experienced auditors to...SuggestedRemote work
First Coast Service Options, Inc.
Florida, NY2 days ago $56.96k - $89.71k
Elevance Health is seeking an Audit and Reimbursement II team member in Indianapolis, Indiana. This virtual position involves performing cost report desk reviews, assisting with audits, and preparing detailed findings in line with CMS requirements. Candidates should have...SuggestedRemote workElevance Health
Indianapolis, IN1 day ago$54.92k - $107.1k
...Job Summary Provides analyst support for configuration information management activities. Responsible for accurate and timely implementation... ...Experience in a managed care organization supporting Medicaid, Medicare and/or Marketplace programs. Intermediate to advanced Microsoft...SuggestedWork experience placementWork at officeRemote workMolina Healthcare
Fort Worth, TX4 days ago- ...receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education ~ Bachelor's... ...PowerPoint Registered Nurse or Allied Health Professional Prior analyst experience working with inpatient clinical systems. Work...SuggestedRemote work
Jupiter Medical Center
United States1 day ago $59.3k - $80.9k
...community Are you ready for a great job? The Value-Based Programs Analyst 2 supports successful value-based provider relationships with a... ...are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeHumana
Honolulu, HI2 days ago- ...professional services firm is seeking a Clinical Trials Coverage Analyst for a fully remote position supporting a leading academic... ...research center. The candidate should have strong expertise in Medicare billing guidelines, clinical trial operations, and oncology protocols...SuggestedRemote work
Vitalief
Chicago, IL2 days ago - ...receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). Education Proficient in... ...information systems. Experience / Qualifications Prior analyst experience working with inpatient hospital billing systems....SuggestedWork at officeRemote work
Jupiter Medical Center
United States5 days ago $118k
IEP Therapy is seeking a dedicated Board Certified Behavioral Analyst (BCBA) to join our Education & Training team within the Healthcare & Medical Services department. In this role, you will partner directly with schools to ensure that students receiving special education...SuggestedRemote workFlexible hoursIEP Therapy
Aurora, ILa month ago$125k
IEP Therapy is seeking a dedicated Board Certified Behavioral Analyst (BCBA) to join our Educational Services team within the Healthcare & Medical Services department. In this role, you will partner with schools to ensure that students receiving special education supports...SuggestedRemote workIEP Therapy
Kansas City, MOa month ago- ...recovered accurately and on time. The Third Party Claims Reconciliation Specialist owns the financial integrity of pharmacy claims across Medicare (Part B and Part D), Medicaid, commercial insurance, and pharmacy benefit manager (PBM) channels. This role sits at the...SuggestedFull timeContract workRemote workShift work
giftHEALTH Inc
Columbus, OH3 days ago $45k - $56k
...Description Our Medicare IT Analyst - Pricing Procedures Analyst is responsible for researching and responding to interdepartmental referrals while ensuring the accuracy and effectiveness of processing and coding guidelines. This Medicare IT Analyst plays a pivotal role...SuggestedContract workFor contractorsImmediate startRemote workWPS Health Solutions
Des Moines, IA5 days ago- ...Knowledge Management Analyst - Healthcare Focus Chicago, IL - onsite 3 days/week in the loop (WFH 2 days/week) Summary This... ...and Human Services Office of Inspector General, Centers for Medicare and Medicaid Services, Office for Civil Rights, Food and Drug Administration...SuggestedWork at officeWork from home2 days per week3 days per week
1872 Consulting
Chicago, IL5 days ago - ...required for this position due to CMS guidelines. The Data Analyst is responsible for collecting, processing and analyzing data to... ...Assist in ad hoc data requests for operational areas and their Medicare contract requirements, as necessary. Identify, recommend, and...Contract workFor contractorsLive inLocal areaImmediate startRemote work2 days per week
WPS Health Solutions
Jacksonville, FL1 day ago - ...Remote Senior Analyst (Data & Operations)Paychexis looking for a Data Analyst to become part of our team that supports State Based Exchange Health Insurance and Centers for Medicare & Medicaid programs. If you can use data to tell a story, then this role is for you! The...Work at officeRemote work
Recruit Monitor
Houston, TX3 days ago - ...maintains a program database and prepares detailed reports. Conducts outreach and community education presentations about the Senior Medicare Patrol project. Responsibilities Plans, organizes, and implements assigned projects in collaboration with internal and external...Work experience placementCasual workWork at officeRemote workMonday to FridayAfternoon shift
- ...Health Quality Institute is seeking a Remote Appeals Specialist in Austin, Texas, responsible for conducting second-level non-medical Medicare appeals. Key responsibilities include writing clear decisions, ensuring all relevant issues are addressed, and conducting thorough...Remote jobWork at office
- ...competitive pay. Job Summary We are seeking a detail-oriented and analytical professional to support the development and execution of Medicare Advantage programs and strategies. This role focuses on using data insights to improve business decision‑making, optimize...Local areaRemote workFlexible hours
$100k - $127k
Reimbursement Analyst - Hybrid Payroll Title: Department: FINANCIAL SERVICES. Hiring Pay Scale: $100,000 - $127,000 / Year. Worksite:... ...analysis of government reimbursement for the hospital, including Medicare, Medi‑Cal, and HCAI, etc. The Reimbursement Analyst prepares...Hourly payRemote workMonday to FridayDay shift$80 - $95 per hour
...landscape, with a focus on: Drug Prices, Commercial Sector Prices, Medicare Sustainability, Provider Payment Incentives, Medicaid and State... ...prices and unjustified price increases. We are seeking an Analyst to help provide research, analytical, and operational support to...Temporary workPart timeSummer workInternshipWork at officeImmediate startRemote workRelocation packageFlexible hours$71.28k - $141.57k
...A healthcare insurance provider located in Baltimore, Maryland, is seeking a Business Analyst with expertise in Medicare Pharmacy. In this role, you will interpret business needs, ensure user acceptance testing success, and create comprehensive documentation. The ideal...Work at officeRemote workCareFirst BlueCross BlueShield
Baltimore, MD2 days ago- Medasource is seeking a Reimbursement Analyst III for a fully remote role that supports complex reimbursement and cost reporting functions... ...years of experience in healthcare reimbursement, expertise in Medicare and Medi-Cal cost report preparation, and a strong...Remote job
$71.7k - $103.73k
...The Job The Senior Quality Analyst is a key contributor to the Medicare Advantage STAR Program, responsible for analyzing performance data, supporting quality improvement initiatives, managing measure-level interventions, interpretations, and ensuring the organization...For contractorsRemote workScangroup
New York, NY5 days ago- Aurora Health Care is seeking a skilled financial analyst in Milwaukee, Wisconsin. The role involves assisting with revenue analysis, preparing for audits, ensuring compliance with Medicare and Medicaid regulations, and developing system-wide budgets. The ideal candidate...Remote job
- ...presence at our client site in Swiftwater, PA** **This role is NOT eligible for relocation assistance** The Zifo Lab Computing Analyst provides technical laboratory services, including multivendor instrument, information technology and validation/compliance...Full timeRemote workRelocationRelocation packageFlexible hours
Zifo
Swiftwater, PA14 days ago $36 per hour
...Medicare Advantage RN Review Analyst Location: Detroit, MI (Remote - Must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Role Max Pay Rate: $36/HR Schedule: Monday - Friday 9-5 Summary: Responsible for the approval or rejection of...Contract workLocal areaRemote workMonday to FridayLeading Utilities Organization
United States4 days ago- Job Description Job Description Requirements ~2 years' experience with Meditech Expanse ~ Subject Matter Expert specializing in the Laboratory (LAB) module within the Laboratory Information System (LIS). ~ The specialist must understand core laboratory processing...Work from homeFlexible hours
ClinDCast LLC
Zionsville, IN21 days ago - ...analysis related to the HEDIS-QARR project, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Provide analysis of HEDIS-QARR projects, pharmacy adherence initiatives, and other performance improvement...Work experience placementRemote work
EmblemHealth
New York, NY23 hours ago
