- Library of Congress (Washington, DC)
- …Service (CRS), Domestic Social Policy (DSP) Division seeks an Analyst in Health Policy ( Medicare ) to provide expertise on Medicare (eg, Part ... ideal candidate will have academic and professional skills/training in Medicare and public health policy ...analyst to work primarily on issues related to Medicare , including Part B premiums, financing, end stage renal… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …remotely from a New England state (ME, VT, NH, MA, CT, RI).** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, ... which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical...are a Qualifying Clinical Trial as defined by the Medicare Clinical Trial Policy (NCD 310.1) and… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …of benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst ** **Location: Pearland Administrative Office** ... and presents issues and trends to management while communicating with carriers and health plan representatives about audits and inquiries. The role handles all cost… more
- Brown University (Providence, RI)
- Job Description: The Policy Analyst at the School of Public Health 's Department of Health Services Policy & Practice joins a vibrant team supporting ... research on topics including efforts to improve value in Medicare and Medicaid, improve the performance of the ...specifically at the state level. The Policy Analyst will report to the Director of Health… more
- The Cigna Group (Phoenix, AZ)
- ** Medicare Marketing Oversight Specialist** The job profile for this position is Segment Marketing Lead Analyst , which is a Band 3 Contributor Career Track Role. ... all the difference in our success. **POSITION SUMMARY** The Medicare Marketing Oversight Specialist is a compliance-minded individual who...of The Cigna Group, is an advocate for better health through every stage of life. We guide our… more
- The Cigna Group (Nashville, TN)
- Cigna Medicare Part C Appeals Reviewer: Appeals Processing Analyst We will depend on you to communicate some of our most critical information to the correct ... and related issues, implications and decisions. The Case Management Analyst reports to the Supervisor/Manager of Appeals and will...or Registered Nurse (RN) + 3-5 years' experience in Medicare Advantage Health Plans or related experience… more
- The Cigna Group (Morris Plains, NJ)
- …oversight, as well as Medicare Annual Reporting to CMS. The Financial Audit Analyst will assist with any questions that the Clients may have on the reporting. ... for CMS Medicare audits and client mock Medicare audits. The Financial Audit Analyst will...At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our… more
- BeneLynk (Detroit, MI)
- …deploying solutions in a call center. + Experience in relevant fields including health plan systems, Medicare , and Medicaid benefits and/or SDoH database ... that assists people in understanding how to obtain additional health care benefits and compensates well for doing so,...thrive in their ability to assist others. BUSINESS WORKFLOW ANALYST I, QUALITY ASSURANCE POSITION SUMMARY BeneLynk, a leading… more
- Healthfirst (NY)
- **Duties/Responsibilities:** + Support the Medical Policy and Clinical Utilization Management (UM) Governance Committee Chairs, committee members, and related ... reports and documentation. + Facilitate the Healthfirst medical and clinical policy processes, including developing new policies, monitoring industry policy … more
- Rush University Medical Center (Chicago, IL)
- …Research Revenue Cycle, this position will create coverage analyses in accordance with Medicare 's Clinical Trial Policy (NCD 310.1) and assist research staff ... New Drugs (INDs) and/or lnvestigational Device Exemptions (IDEs). * Knowledge of Medicare coverage decisions, benefit policy manuals and billing processes. *… more