Showing 1-20 of 23
Showing 1-20 of 23
Medicare Regulatory Analyst jobs near New York, NY

HealthfirstNew York, NY

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

Confidential - Managed Care CompanyQueens, NY

Encounter Data Analyst - Healthcare Analytics & Claims*. Knowledge of MLTC and Medicare Advantage encounter data analytics preferred....

Fidelis CareNew York, NY

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

Bio-Reference Laboratories, Inc.Elmwood Park, NJ

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

HealthfirstNew York, NY

Inform the team of all changes/updates made to the risk adjustment model(s), CMS (Centers for Medicare and Medicaid Services) and other regulatory guidance &...

UnitedHealth GroupNewark, NJ

Experience working in Medicaid and / or Medicare. Registered Nurse, Nurse, RN, LPN, Licensed Practical Nurse, Quality, Quality Improvement, Analyst, Health Care...

MetroPlus Health PlanNew York, NY

RESPOND TO REQUESTS FOR REGULATORY GUIDANCE. OVERSEE COMPLAINTS PROCESSING WHICH INCLUDES SUPERVISING THE REGULATORY ASSISTANT IN:....

MetroPlus Health PlanNew York, NY

The Exchange Operations Systems Analyst must ensure that all enrollment issues are handled efficiently and within mandated time frames as required by our...

MetroPlus Health PlanNew York, NY

Test and QA Configuration changes to the systems to meet regulatory requirements and business needs. MetroPlus Health Plan provides the highest quality...

NYC Health + HospitalsNew York, NY

Assist with regulatory audits, validation reviews and submissions. 3 years relevant experience in Medicare Advantage, Compliance or Part D....

MetroPlus Health PlanNew York, NY

The Exchange Operations Systems Analyst must ensure that all enrollment issues are handled efficiently and within mandated time frames as required by our...

Fidelis CareNew York, NY

Engage with external regulatory agencies to address and respond to encounter data needs. Provide data analysis leadership on complex data analysis initiatives...

Fidelis CareNew York, NY

Engage with external regulatory agencies to participate in audits and reviews of vendor related data. Provide data analysis leadership on complex data analysis...

Fidelis CareNew York, NY

Attends state and CMS regulatory meetings on enrollment topics. The Business Systems Analyst III acts as the primary liaison between IT and the operational...

HealthfirstNew York, NY

The requests include, but are not limited to, claims reports, Primary Care Physician Excess Medical Revenue (EMR) reports, and regulatory reports....

VillageCareManhattan, NY

A strong data analyst that understands Medicare Advantage data and regulatory reporting requirements. Knowledge of Medicare Advantage operational and regulatory...

MetroPlus Health PlanNew York, NY

Participate in the production and quality review of monthly and regulatory reports, including the Medicaid Managed Care Operating Report (MMCOR)....

Fidelis CareNew York, NY

Participates in regulatory meetings and webinars to obtain regulatory requirements and direction. Minimum 5-8 years previous experience as a Business/Systems...

Fidelis CareNew York, NY

System Analyst III will work collaboratively with business partners to define and continuously improve business process models while adhering to established...

HealthfirstNew York, NY

Master’s degree from an accredited institution Experience in Medicaid and Medicare. Lead group of managers and analyst in the financial performance on a monthly...


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