- Cambia Health Solutions, Inc (Portland, OR)
- Compliance Analyst II or...be assigned as needed.We are seeking an individual with Medicare compliance experience to assist in prevention, ... delegation oversight, data validation, marketing material oversight, DDE/FDR oversight.Minimum Requirements ( Compliance Analyst II and III)Proven ability to… more
- Cambia Health Solutions, Inc (Portland, OR)
- General Compliance Analyst II /IIIWork Remotely from Oregon, Washington, Idaho or UtahPrimary Job PurposeAs a member of the Compliance team, the ... Compliance Analyst II /III is responsible to deliver an effective ...related experience, with experience in a health care or Medicare -regulated environment preferred. Compliance Specialist III would have… more
- Medical Mutual of Ohio (OH)
- …of education/training and experience. . 2 years of experience as a Compliance Analyst or equivalent experience in financial services, preferably health ... perform pre-employment substance abuse and nicotine testing._ **Title:** _MedMutual Protect- Compliance Analyst II_ **Location:** _Ohio_ **Requisition ID:**… more
- MetroLink (Los Angeles, CA)
- Finance Analyst II Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4382554) Apply Finance Analyst II Salary $74,150.00 - $114,933.00 ... Benefits + Questions SUMMARY PURPOSE OF POSITION The Finance Analyst II will perform a variety of...Regional Rail Authority is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the Authority… more
- Takeda Pharmaceuticals (Exton, PA)
- …to the best of my knowledge. **Job Description** **About the role:** As a Rebate Analyst II , you will perform calculations and generate payments in compliance ... contract language, which may differ from usual methodology. + Work with Senior Analyst (s) to support all Commercial and Medicare Part D internal/external audits… more
- University of Rochester (Rochester, NY)
- …residents and staff on reimbursement, fraud and abuse and other healthcare related compliance issues and Medicare and Medicaid requirements. Acts as a resource ... a portfolio of clinical specialties as assigned by Director of Compliance through review, analysis, communication and training activities. Determines compliance… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title IS ... and regulations relating to the medical health insurance industry and the Medicare and Medicaid industry. + Consult with operational departments to determine needs… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Healthcare Data Analyst II PATIENT SAFETY (Billings ... is not a remote position** **Healthcare experience strongly preferred** Healthcare Data Analyst is a position within the Quality Resources and Patient Safety… more
- CareOregon (Portland, OR)
- …positions must reside in Oregon or Washington. Job Title Quality Improvement Analyst II Exemption Status Exempt Department Informatics & Evaluation Manager ... Quality Strategy and related regulatory and accreditation standards to promote compliance . Essential Responsibilities Data Analysis + Perform ongoing synthesis and… more
- Magellan Health Services (Boise, ID)
- …Regulation (FAR) and Cost Accounting Standards) CAS. General Job Information Title Financial Analyst II Grade 24 Work Experience - Required Finance Work ... to questions and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS requirements related direct… more
- CommonSpirit Health (Phoenix, AZ)
- …and out in the community. **Responsibilities** Position Summary: The Reimbursement Analyst is responsible for supporting Dignity Health hospitals with the technical ... Departmental Directors and CFOs Assists with the submission of reserve information for compliance with Dignity Health Policy and Procedure Assists in the review of… more
- Tufts Medicine (Burlington, MA)
- …and pricing, understanding charge capture methodologies available in Epic, charge compliance with intent of service and correct coding, charge reconciliation ... data sets (CPT, HCPCS, and ICD), NCCI edits, and Medicare LCD/NCDs, and reimbursement standards (DRG, OPPS, HCC, and...provided to patients. 3. Educates key stakeholders on charge compliance , correct coding, and intent of service of charges.… more
- Penn Medicine (Bala Cynwyd, PA)
- …+ Familiarity with maneuvering through the Novitas website + Familiarity with Penn Chart (Epic EMR) Compliance Analyst II The Compliance Analyst (CA) ... the changes in the CPT coding, CMS regulations, local Medicare carrier (Novitas) in order to provide the most... II is responsible for providing guidance to Compliance Analyst I and Compliance … more
- Medical Mutual of Ohio (OH)
- …Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II ** Provides analytical support during contract negotiation ... and consumers. . Performs other duties as assigned. **Qualifications** **Provider Analyst II ** **.** **Bachelor's degree in business administration, economics,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst II ** + Conducts quality assurance analysis on data from ... health care operations or health care delivery systems. **Provider Network Performance Analyst II ** **Education and Experience:** + Bachelor's degree in… more
- Rush University Medical Center (Chicago, IL)
- …investigators and research staff, Patient Financial Services, the IRB, and Research Compliance with respect to Medicare Coverage Analysis issues and ... Revenue Cycle, this position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the… more
- Rush University Medical Center (Chicago, IL)
- …investigators and research staff, Patient Financial Services, the IRB, and Research Compliance with respect to Medicare Coverage Analysis issues and ... PM) **Summary:** This position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff within the… more
- City of West Sacramento (West Sacramento, CA)
- Permit Technician I/ II (Extra Help) Print (https://www.governmentjobs.com/careers/westsacramento/jobs/newprint/4497065) Apply Permit Technician I/ II (Extra ... - $35.50 Hourly Location West Sacramento, CA Job Type Temp/Temp II Job Number 2024-00049 Department COMMUNITY DEVELOPMENT Division COMM DEVELOP/BUILDING Opening… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR ... II Salary $113,309.04 - $169,609.20 Annually Location Los Angeles...for certification of approved hospital days reimbursable under the Medicare and MediCal programs. Essential Job Functions + Plans,… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH FACILITIES EVALUATOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2815654) Apply HEALTH FACILITIES EVALUATOR II Salary ... spot reviews of health facilities in the district. + Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions related to… more
