AIC Talent - Syracuse, NY

Able to interpret regulatory documentation, payment and reimbursement systems and billing and coding guidelines....

$40,000 - $45,000 a year

Vein Clinics of America - Downers Grove, IL

Build and maintain expertise about the Medicare Quality Payment Program including future impacts to the organization....

Estimated: $81,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

eSolutions, Inc. - Overland Park, KS3.9

Knowledge of Medicare, Medicaid and commercial billing. The Product Analyst will be communicating with all areas of the company....

Estimated: $70,000 - $95,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

Centers Plan for Healthy Living - Garden City, NY

Review, research and finalize provider claims within established regulatory requirements and CPHL policies. Responsible for the timely and accurate adjudication...

Estimated: $42,000 - $57,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

CalOptima - Orange, CA3.7

Monitor and track regulatory communications from DHCS and CMS impacting CalOptima’s Medicare programs. The Regulatory Affairs & Compliance Analyst (Medicare)...

Estimated: $66,000 - $89,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Department of Health And Human Services - Rockville, MD4

Analyze issues arising from legislation, budget proposals, regulatory actions, and other program or policy actions;...

$130,000 - $160,000 a year

MMM Holdings LLC - San Juan, PR4.3

CMS regulatory and policies:. Maintain a working knowledge of CMS regulatory requirements (and updates) for....

Estimated: $35,000 - $48,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Harvard Pilgrim Health Care - Quincy, MA4.2

Ongoing assessment, research, development and/or update of clinical policies (commercial and Medicare Advantage) using appropriate resources (e.g....

Estimated: $55,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Fallon Health - Worcester, MA3.5

Regulatory Analyst in the department on all phases of regulatory compliance with federal and state laws and regulations....

Estimated: $64,000 - $86,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

WellCare - Atlanta, GA3.5

Ensures compliance with regulatory requirements in collaboration with the compliance department. Leadership, oversees, designs, and manages operation and...

Estimated: $80,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Cognizant - Teaneck, NJ4

Expertise specific to Medicare Advantage and Part D is preferred. Research and analysis of market, client, business and regulatory needs....

Estimated: $82,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Kaiser Permanente - Honolulu, HI4.2

Provides oversight for document filings with appropriate regulatory agencies. Responds to inquiries from physicians, Health Plan personnel, regulatory agencies...

Estimated: $45,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sharp Healthcare - San Diego, CA4.2

The Systems Analyst - CCM will create and update pre-billing edits in Sharp Rees-Stealy's practice management system on management's direction, taking into...

Estimated: $59,000 - $83,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

JP Management Group - Dayton, OH

DIMENSION/SCOPE The PAA must abide by various regulatory compliance rules, including but not limited to, Advance Beneficiary Notices (ABNs), Medicare Secondary...

$15 an hour

Inland Empire Health Plan - Rancho Cucamonga, CA3.6

Thorough knowledge of Medicare Managed Care and Medicaid Managed Care preferred. Support in the research and analysis of regulatory requirements, legislative...

$48,000 - $74,000 a year

Vein Clinics of America - Downers Grove, IL

Build and maintain expertise about the Medicare Quality Payment Program including future impacts to the organization....

Estimated: $81,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Inland Empire Health Plan - Rancho Cucamonga, CA3.6

Experience interacting with regulatory agencies. Under the direction of the Manager of Medicare Compliance, the Analyst supports the Medicare line of business...

$48,000 - $74,000 a year

Santa Clara Family Health Plan - Campbell, CA4

Claim Analyst I/II. Claims Analyst I - $42,475 - $61,588. The Claims Analyst I analyzes, processes and adjusts routine facility and professional claims for...

$42,000 - $62,000 a year

MMM Holdings - San Juan, PR

Support operational and regulatory objectives with relevant analysis. , a leading health care company specializing in Medicare Advantage plans is seeking strong...

Estimated: $72,000 - $92,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Healthfirst - New York, NY3.6

Understanding of Medicaid and Medicare programs. The incumbent of this position will have the ability to create and own processes to meet and exceed...

Estimated: $57,000 - $82,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Inland Empire Health Plan - Rancho Cucamonga, CA3.6

Regulatory Audits, monthly IPA Performance Reports, Delegation Oversight Committee packet preparation,. Responsible for maintaining a comprehensive knowledge of...

$48,000 - $74,000 a year

INDEPENDENT LIVING SYSTEMS, LLC - Miami, FL3

The Compliance Analyst is responsible for overseeing health care regulatory compliance activities of Florida Community Care (FCC)....

Estimated: $52,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Presbyterian Medical Services - Santa Fe, NM3.4

Related experience must be in the fields of medical records, audits, coding, compliance, legal research, HIPAA, Medicare, Medicaid, and/or quality management,...

Estimated: $51,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Cognosante, LLC - Remote3.9

Cognosante is seeking a solutions-oriented Junior Business Analyst (Jr. Experience with Medicare Advantage, Part D programs/systems, or the Health Plan...

Estimated: $76,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

Presbyterian Medical Services - Santa Fe, NM3.4

Related experience must be in the fields of medical records, audits, coding, compliance, legal research, HIPAA, Medicare, Medicaid, and/or quality management,...

Estimated: $51,000 - $74,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

JenCare Senior Medical Centers - Norfolk, VA

3+ years’ experience in Medicare HMO. 3+ years Utilization Management and/or Provider Relations or Healthcare Analyst experience or similar background....

Estimated: $49,000 - $64,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored