Showing 1-20 of 415
Showing 1-20 of 415
Medicare Regulatory Analyst jobs

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ikaSystems Corporation-Southborough, MA

Direct experience working in or with Medicare Advantage plans. Experience with CMS regulations regarding enrollment, claims, and billing for Medicare Advantage...

Tufts Health Plan-Watertown, MA

Prepare and conduct oral presentations of findings to project work groups, Tufts Health Public Plans and Tufts Health Plan senior management, regulatory...

Medical Mutual of Ohio-Cleveland, OH

Advanced knowledge of government programs enrollment rules and transactions, especially Medicare Advantage. Ability to interpret and apply Medicare policy and...

Brand New Day, HMO-Westminster, CA

Three years’ experience of auditing with a Medicare Health Plan. The Compliance Analyst will assist in preparing the company for audits conducted by external...

U of M Community Physicians Group-Linthicum, MD

Knowledge of Medicare and HSCRC regulations is required. Develops and implements procedures to perform tasks required by internal management or outside...

Golden Valley Health Centers-Atwater, CA

Reports related to Medicaid/Medicare and third party payers or other regulatory agencies). Data Analyst provides data management and analysis services to the...

T. Rowe Price-Owings Mills, MD

The analyst partners with Benefits leadership to align the company’s total rewards strategy and global benefits portfolio with local practices, regulatory...

Medical Mutual of Ohio-Cleveland, OH

Leads a team of data analyst professionals. Maintains up to date knowledge of regulatory requirements and industry best practices as it relates to data....

Havasu Regional Medical Center-Lake Havasu City, AZ

Keeps current on third party regulatory changes; Perform submission of data requests for outside agencies that are used for comparative analysis of the Hospital...

Navitus Health Solutions / Lumicera Health Services-Appleton, WI

Knowledge of Medicare D regulatory requirements required prior to or soon after hire. The Benefit Configuration Analyst I (Formerly Benefit System Architect) is...

Bio-Reference Laboratories, Inc.-Elmwood Park, NJ

Provide regulatory interpretation, perform compliance reporting; Coordinates training on updates from regulatory, law related changes....

Healthfirst-New York, NY

Conduct in accordance to regulatory and compliance guidelines and HIPAA. Demonstrated ability to work within regulatory and compliance guidelines including...

UCHealth-Denver, CO

Medicare cost report audit experience. Medicare Cost Report experience is required for this position. Timely and accurate completion of the Medicare Cost Report...

MediQuest Staffing-Orange, CA

Support regulatory audits and reviews. Centers for Medicare & Medicaid Services (CMS) laws, regulations, and guidance....

Lehigh Valley Health Network-Allentown, PA

The Charge Description Master Analyst will ensure Lehigh Valley Health Network hospitals meets the CMS, state and payer regulatory requirements....

ikaSystems Corporation-Southborough, MA

The Supervisor, Regulatory Oversight will act as both a resource and a process manager for the communication with customers regarding regulatory activities and...

Fidelis Care-New York, NY

The department of Human Resources at Fidelis Care has an exciting new opportunity for a Senior Benefits Analyst....

Presbyterian Healthcare Services-Albuquerque, NM

Includes the payment reconciliation process under the Health Insurance Exchange, dual eligible management, Medicare Part C & D HCC/Risk Score Coding and...

Navitus Health Solutions / Lumicera Health Services-Appleton, WI

Responsible for reviewing regulatory guidance, translating into clear and concise Detailed Business Requirements....

CareCloud-Miami, FL

Knowledge of relevant regulatory requirements. Medical Billing Collections Quality Assurance Analyst. Knowledge of Medicare, managed care and commercial...


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