- Kelsey-Seybold Clinic (Pearland, TX)
- …of benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst ** **Location: Pearland Administrative ... and updates to health plan systems. It determines the order of benefits for individuals with multiple healthcare policies and ensures accurate coordination of… more
- Corewell Health (Grand Rapids, MI)
- …+ Training and Support: Provide training and support to team members on MSP validation procedures and Medicare regulations. Act as a subject matter expert within ... in healthcare? Priority Health is seeking a detail-oriented and analytical Operations Analyst to play a critical role in enhancing our operational quality audit… more
- BeneLynk (Detroit, MI)
- …team to design, develop, test, validate, deploy, monitor, and manage BeneLynk's Medicare and Medicaid benefits solutions/services being released to the industry. ... thrive in their ability to assist others. BUSINESS WORKFLOW ANALYST I, QUALITY ASSURANCE POSITION SUMMARY BeneLynk, a leading...+ Experience in relevant fields including health plan systems, Medicare , and Medicaid benefits and/or SDoH database… more
- Takeda Pharmaceuticals (Exton, PA)
- …contract language, which may differ from usual methodology. + Works with Senior Analyst (s) in support of all Commercial and Medicare Part D internal/external ... is true to the best of my knowledge. **Job Description** **Rebate Analyst II** **Takeda Pharmaceutical** **Exton, PA** **About the role:** Are you looking… more
- HCA Healthcare (Richmond, VA)
- …an organization that invests in you as a Revenue Integrity Clinical Charge Review Analyst RN? At Parallon, you come first. HCA Healthcare has committed up to $300 ... incredible team members over the course of three years. ** Benefits ** Parallon, offers a total rewards package that supports...looking for a dedicated Revenue Integrity Clinical Charge Review Analyst RN like you to be a part of… more
- The Cigna Group (Morris Plains, NJ)
- **Position Summary** The Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and ... needs. This role is highly cross-functional, with the lead analyst working across multiple departments in the company (eg...client paper and online directory usage and network access validation . + Responsible to validate quality of report data… more
- University of Miami (Hialeah, FL)
- …high levels of abstraction accuracy for assigned accounts via validation activities for UHealth. Demonstrates strong communication, documentation, organizing, and ... ensure strong leadership of multiple accounts concurrently. Perform data abstraction, validation , and analysis. Ensure an effective feedback loop for continuous… more
- Geisinger (Danville, PA)
- …including requirements gathering, specification and definition documentation, design, testing, validation , analysis, and maintenance for all reporting projects. Job ... initiatives. + Identifying data quality issues while performing data profiling and testing and validation . + Able to act as a data steward and resolve issues or work… more
- Centene Corporation (New York, NY)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** As ... of Fidelis Care, a subsidiary of Centene, the Senior Strategic Planning Analyst manages projects, performs quantitative analyses, and generates reports to support… more
- Hartford HealthCare (Farmington, CT)
- …organization we now have our own identity with a unique payroll, benefits , performance management system, service recognition programs and other common practices ... denial trends and write-offs. Includesassist in the CPT code validation for charging purposes as it relates to CDM...records and applying NCCI edit rules. . Understanding of Medicare 's Outpatient Prospective Payment System (OPPS) . Experience with… more