61 - 70 of 285

business analyst medicare/adjudication jobs


  • Claims Research Technician(284365)

    Kaiser Permanente

    - Aurora, CO

    with adjudication, eligibility, MABA, business configuration, Claims accounting or ... and non-Medicare claims, creating multiple split claims with working knowledge of other...

    12 days ago from Kaiser Permanente
  • Director, Marketing

    Health Plan of San Joaquin

    - French Camp, CA

    services and major business processes. In-depth knowledge of the business, economic, ... benefits, claims adjudication, member/ provider demographic data management, medical manag...

    7 days ago from Health Plan of San Joaquin
  • Hearing Claims Developer

    Public Consulting Group

    - Clarkston, WA

    facilities, and private providers that do business with government agencies. PCG is ... Knowledge and understanding of the relationship between SSI/SSDI and Medicaid/ Medicare Ab...

    30+ days ago from Public Consulting Group
  • Facets Configuration Analyst

    Lorven Technologies

    - Durham, NC

    Domain Knowledge Good Understanding of Medicare & Medicaid business and Health Plans ... Documentation Skills Experience in Claims Adjudication/Processing is must. Ability to...

    30+ days ago from Lorven Technologies
  • Senior Analyst Medicare Operations Med D

    CVS Health

    - Scottsdale, AZ

    resources to ensure accurate claims adjudication, benefit delivery and plan ... analyses. Develop and maintain comprehensive Medicare dashboards, using healthcare,...

    30+ days ago from CVS Health
  • Medicare Audit Analyst

    Catamaran

    - Schaumburg, IL

    RxClaim adjudication logic and CMS Medicare Part D guidance and regulations ... Medicare benefit structures, NCPDP claims adjudication standards and pharmacy practice...

    29 days ago from Catamaran Corp.
  • Claims Examiner-Workers Compensation

    Sedgwick Claims Management Services

    - Rancho Cordova, CA

    and rehabilitation; to ensure ongoing adjudication of claims within service ... management practices and Social Security and Medicare application procedure as applicable...

    21 days ago from InsuranceJobs.com
  • Director Billings & Collections

    E-health Jobs

    - Austin, TX

    Federal and Payer regulations. Analyzes adjudication of claims from fee-for-service ... them as needed. Works closely with Epic Business Systems Analysts to maximize PM...

    30+ days ago from HealthJobsNationwide
  • Rebates Formulary Analyst

    CVS Health

    - Northbrook, IL

    Caremark business systems, claims adjudication, formulary, drug, and client systems with ... RxClaim adjudication platform beneficial •Medicare knowledge beneficial •Spreadsheet...

    30+ days ago from diversity
  • Business Systems Analyst, Sr - EDI

    Health Net

    - Woodland Hills, CA

    Analyst - EDI serves as a senior-level business systems analyst for a variety of ... business system requirements and business systems design documents, customer...

    30+ days ago from Health Net, Inc.
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