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$66k - $106k
...waste, and abuse. We are looking to add a Medical Review Analyst to our SGS team of talented professionals. What you'll do... ...violations. Conduct self-directed research to uncover problems in Medicare payments made to institutional and non-institutional providers....SuggestedFull timeContract workTemporary workRemote workShift workNight shift$70k - $77k
Overview Medicaid/Medicare Program Integrity Analyst II - REMOTE The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements...SuggestedFull timeFor contractorsH2bH1bWork at officeLocal areaRemote workHome office$85k - $100k
...health of patients and the well-being of providers. Job Description We’re seeking a Sr. ACO Performance Analytics Analyst to join our Medicare Value-Based Care Programs(VBC) Analytics team. The role’s primary focus is to support our Accountable Care Organizations...SuggestedFull timeWork at officeLocal areaRemote workWork from homeHome office- ...You will assess authenticity, clarity, and usefulness, then provide concrete feedback to improve quality. Ideal candidates have Medicare or government service experience, strong online task skills, and can communicate findings clearly in writing. This role supports...SuggestedRemote work
Crossing Hurdles
United States3 days ago - ...CVS Health is seeking a Provider Flag Management Senior Coding Analyst to support flag governance across Commercial, Medicare, and Medicaid lines. You will review flag requests, analyze impact, and collaborate with SIU Investigations, Coding, Prevention, and Medical Directors...SuggestedFull timeRemote work
CVS Health
United States2 days ago - ...Advocate Health is seeking a reimbursement analyst to support system-wide revenue analysis, budgeting, and regulatory compliance. The... ...reports, coordinating with external auditors, and ensuring accurate Medicare/Medicaid accounting across the organization. The ideal...SuggestedRemote work
Hugh Chatham Health, Inc.
Oak Brook, IL20 hours ago - Intermountain Healthcare Inc. is seeking a skilled reimbursement specialist for a fully remote, full-time role.You will prepare and review third-party financial accounting, contractual allowances, cost reports, and surveys, with limited supervision for routine tasks. You...SuggestedFull timeRemote work
Intermountain Healthcare
Atlanta, GA2 days ago - ...Health actuarial pricing role in Chicago with hybrid-remote flexibility. You'll evaluate new business opportunities across commercial, Medicare, and Medicaid markets, refine financial models, assess contract terms, and present insights to internal and external stakeholders....SuggestedContract workRemote work
Acturhire
Chicago, IL4 days ago - ...Intermountain Health is seeking a reimbursement analyst for our Peaks Regional Office in Colorado. This full-time, fully remote role focuses on Medicare/Medicaid settlements, cost reports, and complex reimbursement responsibilities for 2+ hospitals.You will collaborate...SuggestedFull timeWork at officeRemote work
Intermountain Health
Montpelier, VT2 days ago - ...Providence is seeking a Research Coverage Analyst for a remote role to support clinical research programs by developing Medicare Coverage Analyses for billable services in clinical trial protocols. The role reports to the Coverage Analysis Manager and involves collaboration...SuggestedLocal areaRemote work
Agence PROvidence
Juneau, AK20 hours ago - ...a primarily remote role with occasional on-site luncheons in Wisconsin and Illinois. You will assist in revenue analysis, support Medicare/Medicaid cost reporting, and coordinate audits with external auditors and internal teams. The role requires a Bachelor's in Finance...SuggestedRemote work
Advocate Health
Chicago, IL4 hours agonew - ...supporting Georgia Memory Net, focusing on quantitative analysis of large public health datasets, including Medicare claims data. The role includes supervising junior analysts and developing project plans, with opportunities for manuscript preparation and regional...SuggestedRemote work
Emory University
United States3 days ago - ...informatics, interoperability, and AI, delivered across the Centers for Medicare & Medicaid Services (CMS), the Department of Veterans Affairs (... ..., better care, and better efficiency. The Senior Program Analyst is a hands‑on subject matter expert supporting Commence's...SuggestedContract workFor contractorsRemote work
Commence Corporation
Virginia Beach, VA3 days ago $31.01 - $48.84 per hour
...SelectHealth - Murray Full time R186886 Job Description: The Coding Analyst I for SelectHealth provides general expertise in the areas of... ...) for highly-regulated, government insurance programs such as Medicare, Medicaid, Affordable Care Act (ACA), Children's Health...SuggestedHourly payFull timeWork experience placementWork at officeRemote workFlexible hoursIntermountain Healthcare
Salem, OR4 days ago$94.9k - $130.5k
...technology platforms, preferably in a Product Owner, Business Analyst, Product Manager, Configuration Professional, or similar capacity... ...are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel...SuggestedFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome officeHumana
Coloma, MI1 day ago- ...Intermountain Health is seeking a Coding Analyst I for SelectHealth to review claims and monitor provider coding across professional,... ...sets. This remote role supports multiple regulatory programs (Medicare, Medicaid, ACA, CHIP) and requires collaboration with physicians...Remote work
Intermountain Healthcare
Augusta, ME4 days ago - ...UnitedHealth Group is seeking a Clinical Program Analyst, Pharmacist to translate data into actionable strategies for Medicare Star programs. You will develop roadmaps, build business cases, and drive cross-functional initiatives with stakeholders to improve clinical outcomes...Remote work
UnitedHealth Group
United States20 hours ago £72k - £130k per year
...future of cybersecurity starts with you. About the Role: CrowdStrike is looking for highly motivated, self-driven, technical analysts dedicated to making a difference in global security by protecting organizations against the most advanced attackers in the world....Permanent employmentWork at officeLocal areaRemote workRemotea month ago- ...Working remotely in a full-time capacity, the Senior Risk Adjustment Analyst will support Medicare Advantage and ACA Risk Adjustment programs by managing risk adjustment analytics and improving coding capture and revenue optimization. Key responsibilities Perform risk...Full timeRemote work
Virtual Vocations Inc
United States20 hours ago - ...To support hospital-based entities, the full-time remote Reimbursement Analyst will manage applications and certifications, including Medicare and Medicaid, while collaborating with third-party payors and assisting with cost report functions. Key responsibilities Complete...Full timeRemote work
Virtual Vocations Inc
United States4 days ago $70k - $85k
...InnovativeWork As One TeamWhat You'll DoReview provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to...Work at officeRemote workWork from homeHome officeProspect Health
Orange, CA2 days ago$84.6k - $126.9k
...Range: $84,600.00 - $126,900.00 Job Purpose American Honda Finance Corporation (AHFC) is seeking a Sales and Marketing Pricing Analyst. The Sr. Analyst will support the administration of the Consumer Financial Services (CFS) rate-setting process by maintaining...Full timeTemporary workWork experience placementWork at officeRemote workRelocation packageShift workAmerican Honda Finance Corp.
Torrance, CA4 days ago- ...Strategic Staffing Solutions in Baton Rouge, LA seeks an experienced Risk Adjustment Coder with Medicare Advantage and ACA risk adjustment coding expertise. The role focuses on accurate ICD-10-CM coding, medical record reviews, documentation validation, and QA activities...Remote work
Strategic Staffing Solutions
Baton Rouge, LA4 days ago $89k - $121.4k
...of our caring community The Senior Configuration Management Analyst is responsible for the operational excellence, governance, quality... ...are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- JOB DESCRIPTION Job Summary Provides analyst support for health plan risk and quality reporting activities. Designs and develops custom... ...Effectiveness Data and Information Set (HEDIS) for Medicaid, Medicare, Marketplace and Medicare/Medicare-Medicaid Plan (MMP). Assists...Full timeWork at officeLocal areaRemote work
$53.35k - $127.03k
...Providence is calling for Research Coverage Analyst - Remote The Research Coverage Analyst will support the clinical research programs across the Providence Health System by developing a Medicare Coverage Analysis for all clinical trial protocols that include billable...Minimum wageFull timeLocal areaRemote workShift work$92k - $138k
Overview Workforce Management Analyst (Remote) About Us: Matrix Medical Network is the nation’s leading independent provider of comprehensive in-home health assessments, serving Medicare Advantage, Managed Medicaid and Commercial patients across all 50 states. With...Hourly payFull timeTemporary workLocal areaRemote workFlexible hoursShift work$42 - $51 per hour
...Adjustment team, our Risk Adjustment Campaign Associate works with the Risk Adjustment operations team on on-going activities related to Medicare Advantage and Commercial risk adjustment campaigns. Working under the direction of the Manager of Campaign Execution and alongside...Hourly payTemporary workWork at officeWork from homeFlexible hoursCambia Health Solutions
Heber City, UT1 day ago- ...Cambia Health Solutions is seeking a Temporary Risk Adjustment Campaign Associate to support Medicare Advantage and Commercial risk adjustment campaigns from home in OR, WA, ID or UT. This 5-month, non-benefited assignment focuses on daily operations and EMR medical record...Temporary workRemote work
Cambia Health Solutions
United States4 days ago $69.8k - $125.9k
...of a purpose-driven company that will invest in your professional development. Job Summary The Senior Analytics & Reporting Analyst on the Medicare Stars Reporting team is responsible for developing, maintaining, and enhancing reporting and analytical solutions that...Contract workRemote workHCSC
New York, NY20 hours ago
