Medicaid/Medicare Program Integrity Analyst II - United States

401(k) · 401(k) matching · Bonus based on performance · Competitive salary · ...

The Integration Analyst plays a critical role in enabling seamless interoperability between Baylor Genetics' diagnostic platforms and external healthcare systems. · ...

The Integration Operations Analyst is responsible for safeguarding and optimizing the flow of information between systems through proactive monitoring, intelligent automation, and continuous improvement — enabling reliable, scalable, and future-ready integrations across the enter ...

Central Transport is one of the nation's most trusted and technologically advanced Less-Than-Truckload (LTL) carriers. · ...

Top Requirements: 3 -6+ years of experience · Certified Oracle Cloud Payroll Practitioner · End-to-End US Payroll Implementation experience · Deep understanding of Oracle Cloud Payroll product · Understanding of End-to-End integrations between HR, Compensation and Payroll · Creat ...

We are looking for candidates with strong analytical skills and a desire to enhance those skills in a challenging, high visibility environment. · ...

The Self-Pay Integrity Analyst is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. · Performs follow-up on outstanding insuran ...

ESSENTIAL DUTIES AND RESPONSIBILITIES · Interacts with clinical department directors to monitor charge capture functions across all entities. · Evaluates current charging and coding structures and processes in clinical departments to ensure appropriate capture and reporting of re ...

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the ...

Performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. · ...

Role : System Analyst · Location: Remote · Experience : 7+ years · W2 Contract · Required Skills · 1. 5+ years experience with systems integration experience 2. Visualization – flow charts, business process mapping (any tool, i.e Miro, Visio, etc.) 3. Experience in data mapping a ...

· Overview · Medicaid/Medicare Program Integrity Analyst II -  REMOTE · The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements appro ...

This position supports management in all aspects of credentialing and re-credentialing processes for organizational providers. · The Revenue Integrity Credentialing Analyst requires working knowledge of the Revenue Cycle and evaluates information between providers and health plan ...

We are seeking a certified behavior technician to join our team in Pacific, WA. · Implement Applied Behavior Analysis driven programs for youth with developmental disabilities in their homes and/or a community environment · ...

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact hr- If you have questions while submitting an application, please review these frequently asked questions. · Current Employees and Students: · If you are currently employed o ...

Job Title: Beacon certified Epic Analyst · Work location: Remote · Duration: 3+ Months Will be extended · Description / Comment · Epic Beacon Analyst for MAH Infusion Project End of Feb through May 95% Remote, Travel will be required end of April · Beacon certified Epic Analyst w ...

We are seeking a detail-oriented and proactive eClinicalWorks (ECW) Analyst to support and enhance our Electronic Health Record (EHR) system. · This is a remote position. · ...

The Integration Manager plays a critical role in enabling seamless interoperability between Baylor Genetics' diagnostic platforms and external healthcare systems. This role is responsible for implementing, supporting, and optimizing EMR integrations—most notably Epic Aura—that su ...

Required Skills · Experience in Database Management (database modelling, Integration, data quality). SAP Implementation Experience supporting FI teams 5-7 years' experience working with SAP FICO functional and configuration support, SAP Business Intelligence (BI) system, SAP exce ...

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. · The Senior Operations Analyst plays a key role in supporting operational and financial performance through the prepar ...