Aetna - Pittsburgh, PA3.8

Seeking organized and motivated individuals to join the Medicare Grievance team as a Grievance Analyst. Medicare knowledge is a plus....

Estimated: $51,000 - $70,000 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.

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.

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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: $71,000 - $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.

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Eastern Connecticut Health Network - Manchester, CT

The Reimbursement Analyst compiles data and prepares various cost, regulatory and/or related reports. Responsible for the preparation of the Medicare and...

Estimated: $57,000 - $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.

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Ohio Valley Surgical Hospital - Springfield, OH4.3

Assists with oversight of Medicare and Medicaid field audits including analysis of audit adjustments and their financial impact....

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.

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.

Integrity Management Services, Inc. - Camp Hill, PA

With a highly professional staff of data analysts, statisticians, medical professionals, auditors, investigators, evaluators, and regulatory analysts,...

Estimated: $53,000 - $73,000 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.

CSG Actuarial, LLC - Omaha, NE

Prepare regulatory reports and filings for clients. Support re-rating functions for Medicare Supplement insurance and other health lines of business....

Estimated: $46,000 - $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.

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

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.

NAVIENT - Indianapolis, IN3.4

Experience with Medicare or Medicaid reimbursement, including cost reports, Medicare DSH and/or Medicare bad debts, is a significant advantage....

Estimated: $50,000 - $70,000 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.

Change Healthcare - Tennessee3.3

Understands legal aspects of information systems, i.e. HIPAA, SOX, PHI, Medicare Fraud, Waste, and Abuse. The Analyst III also performs periodic reviews and...

Estimated: $77,000 - $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.

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

Change Healthcare - Remote

Understands legal aspects of information systems, i.e. HIPAA, SOX, PHI, Medicare Fraud, Waste, and Abuse. The Analyst III also performs periodic reviews and...

Estimated: $87,000 - $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.

Evolent Health - Chicago, IL3.7

Develop knowledge in ACA Exchange, Centers for Medicare & Medicaid Service, Self-Funded, and all other applicable regulatory agencies that govern the enrollment...

Estimated: $51,000 - $73,000 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.

ABARCA - San Juan, PR

A good understating of how Medicare PDE submission process works. A good understanding of how Medicare Plan Finder submission process works....

Estimated: $71,000 - $94,000 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

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

Inland Empire Health Plan - Rancho Cucamonga, CA3.6

Knowledgeable on health care insurance industry business practices, applications, and regulatory requirements....

$48,000 - $74,000 a year

Accenture - Arlington, VA

Medicaid Business Analyst -- >. Medicaid Claims edit/audits, pricing, Medicare crossover processing, Operational Reporting Standards....

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.

CVS Health - Irving, TX3.5

Pro-Active preparedness qualities surrounding government regulatory understanding and approach for change management....

Kaiser Permanente - Renton, WA4.2

This position works with a team of analysts and actuaries to support premium rate setting, provider contract analysis, network analysis, Medicare bid...

Estimated: $73,000 - $93,000 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.

Partners HealthCare(PHS) - Somerville, MA4

O Monitoring legislative and regulatory developments that affect revenue from government payers; Assess the financial impact of Medicare and Medicaid payment...

Estimated: $71,000 - $100,000 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.

Fresenius Kabi - Lake Zurich, IL3.8

Medicare Coverage Gap Discount Program. Ensure that all operational activities are in compliance with company policy, regulatory and legal requirements....

Estimated: $41,000 - $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.

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Delaware Life - Chicago, IL3.4

Provider Data & Credentialing Analyst. Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies....

Estimated: $55,000 - $71,000 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.

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Kelly Services - Chicago, IL3.9

Medicaid Regulatory/ Compliance Analyst – Downtown Chicago, IL. Knowledge of Medicaid and Medicare product(s)....

Estimated: $54,000 - $73,000 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.

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