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Cms Operations Research Analyst Jobs

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  • 3.5
    PacificSource Health Plans – Eugene, OR
    4 days ago 4d
    pertaining to risk adjustment information and operations. Gain knowledge of current CMS regulations and announcements impacting risk… with risk adjustment submissions to meet internal operational requirements and CMS regulatory guidelines. Work with changing data…
  • 3.2
    Spectrum – Madison, WI
    Est. Salary $43k-$78k
    NEW
    Business AnalystCM JOB SUMMARY Responsible for coordinating operational and financial analysis to include business trending… and audit/review of all incentives and sales initiatives Research and analyze data/information from the billing system for strategic…
  • 3.3
    WellCare – Tampa, FL
    Est. Salary $37k-$56k
    Today 9hr
    unbundling) and recommends correct coding of medical claims. ResearchesCMS/State laws, WellCare policy and AMA guidance. Develops… Escalation point for Operations Team assist with research, review and response to complex medical coding and payment policy inquiries.…
  • 3.5
    Consumers Energy Co – Jackson, MI
    Est. Salary $47k-$71k
    NEW
    - Count on Us! Consumers Energy, the principal subsidiary of CMS Energy and headquartered in Jackson, Michigan, provides natural… Bachelor's degree in Market Research, Marketing, Business, Social Science (with quantitative research background), Statistics, or…
  • Ishpi Information Technologies, Inc. (DBA ISHPI) – Baltimore, MD
    18 days ago 18d
    Business Analyst in Baltimore, MD. This position is contingent upon pending awards. Program Overview: The CMS mission… formulation: research and compile budget data. Develop estimates and justifications. Identify operational cost. Develop…
  • Ishpi Information Technologies, Inc. (DBA ISHPI) – Baltimore, MD
    18 days ago 18d
    Budget Analyst in Baltimore, MD. This position is contingent upon pending awards. Program Overview: The CMS mission… budget formulation: research and compile budget data Develop estimates and justifications Identify operational cost. Develop annual…
  • 4.6
    ELAP Services – Chesterbrook, PA
    10 days ago 10d
    to ensure accurate payment and operational efficiencies. The Physician Claim Reimbursement Analyst will perform all functions of… services performed by providers per ICD-9, ICD-10, COT, HCPCS and CMS Guidelines Apply appropriate reimbursement methodology…
  • 3.7
    Blue Cross and Blue Shield of Louisiana – Baton Rouge, LA
    Est. Salary $52k-$69k
    7 days ago 7d
    are market research consultants, AMA, St. Anthony, Relative Value Studies for Dentists, Dun and Bradstreet and HIAA, CMS, Blue Cross… needs, goals, and metrics identified by operations and/or other provider audit analysts. Job Duties are performed in a normal…
  • 3.5
    Eversource Energy – Westwood, MA
    Est. Salary $80k-$120k
    14 days ago 14d
    web platforms and experience with Content Management System (CMS); Sitefinity knowledge is preferred 8 years in Customer Service… management and governance Combine industry best practice research, use of analytics, and customer feedback to optimize customer…
  • 3.3
    MemorialCare Health System – Fountain Valley, CA
    NEW
    regulatory agencies and requirements including but not limited to CMS, NCQA, DMHC, ICE, DHCS, preferred. Proficiency in Microsoft… respect, innovation and teamwork. The Provider Portal Analyst is responsible for monitoring network provider portals and…
  • Ishpi Information Technologies, Inc. (DBA ISHPI) – Baltimore, MD
    18 days ago 18d
    Program Analyst in Baltimore, MD. This position is contingent upon pending awards. Program Overview: The CMS mission… soundness of an evolving health care system in the United States. CMS is also responsible for the Administrative Simplification provisions…
  • 3.7
    Blue Cross and Blue Shield of Louisiana – Baton Rouge, LA
    Est. Salary $59k-$99k
    11 days ago 11d
    are market research consultants, AMA, St. Anthony, Relative Value Studies for Dentists, Dun and Bradstreet and HIAA, CMS, Blue Cross… to meet needs, goals, and metrics identified by operations and/or other analyst. The physical demands described here are representative…
  • 3.5
    Navihealth – Brentwood, TN
    Est. Salary $57k-$80k
    7 days ago 7d
    environment. Experience with value-based care models and especially the CMS Bundled Payments for Care Improvement (BPCI) Initiative is ideal… How might you ask? By hiring talented clinicians, engineers, analysts, and healthcare leaders to create and utilize cutting edge…
  • 4.5
    Oceanside Direct – Pembroke Pines, FL
    EASY APPLY
    23 days ago 23d
    sales manager, admin, mortgage, social work, training, cms, attorney, research, payroll, oracle, executive assistant, paralegal, courier… printing, technician, legal, automotive, teacher, winter, banking, analyst, nursing, restaurant, controller, network, environmental, design…
  • 4.5
    Oceanside Direct – Pembroke Pines, FL
    EASY APPLY
    23 days ago 23d
    sales manager, admin, mortgage, social work, training, cms, attorney, research, payroll, oracle, executive assistant, paralegal, courier… printing, technician, legal, automotive, teacher, winter, banking, analyst, nursing, restaurant, controller, network, environmental, nurse…
  • 2.9
    ZirMed – Louisville, KY
    Est. Salary $68k-$97k
    5 days ago 5d
    from CMS, Tricare, and Medicaid websites Ability to understand the vocabulary used in a hospitals revenue cycle operations, including… and APC Organizing market research including analyzing customer segments, reviewing industry research reports, and assessing strengths…
  • 3.5
    Comcast – Everett, WA
    5 days ago 5d
    experience designing and supporting call recording and Avaya CMS Systems. Prefer 1+ years of experience with SIP; trunking,… coordination for instances related to telephony issues. Conduct research and make recommendations on products, services, protocols,…
  • 3.6
    John Muir Health – Walnut Creek, CA
    7 days ago 7d
    configuration specialists and analysts. This position is responsible for efficient and effective operation of the department. He/she… with all regulatory standards such as HIPAA, DMHC, AB1455, and CMS requirements. Proficient in Microsoft Office Products (Word…
  • 3.8
    BryanLGH Medical Center – Lincoln, NE
    Est. Salary $46k-$65k
    NEW
    refreshes knowledge of regulatory agency, e.g. The Joint Commission, CMS, requirements and ensures that accreditation and certification… reports, conducts inter-rater reliability reviews and reviews CMS validation results. *Proactively monitors systems for functional…
  • 3.9
    University of Rochester – Rochester, NY
    NEW
    , experience with CMS (Joomla) is a plus. MS Office (Proficiency in Access, Excel, PowerPoint). Operating systems: Windows… deliver data and reports to researchers and biostatisticians. Create and update all standard operating procedures, computer programs…
  • 3.6
    Corning – Corning, NY
    Est. Salary $42k-$63k
    NEW
    : Perform monthly metal loss accrual process Work with CMS to complete quarterly metal accrual trueup process Interact… PeopleSoft, Physics, Materials Science, R&D, Technology, Science, Research
  • 3.3
    Aetna Inc. – Phoenix, AZ
    Est. Salary $34k-$50k
    NEW
    trend statistics for Management. 5. Researches publications/CMS web-site for latest CMS regulations changes relating to Medicare… guidelines, and initiates individual appeal files. 3. Researches member files for all relevant medical and claims information…
  • 3.4
    City of Hope – Duarte, CA
    Est. Salary $56k-$72k
    NEW
    Title: Quality Data Analyst Location: Duarte, CA Position Summary: The Quality Data Analyst is responsible for providing… under pressure. Knowledge of medical terminology and of ICD9 CM/DRG coding Software:Microsoft Office Suite, SQL Server, Microsoft…
  • 3.5
    VSP Global – Rancho Cordova, CA
    Est. Salary $48k-$72k
    1 days ago 15hr
    help people see. Learn more by visiting https://vspglobal.com/cms/careers/ General Summary With minimal direction, performs… VSP Researches, analyzes, and reports fluctuations in financial and business results to identify trends and research variances…
  • 3.3
    WellCare – Tampa, FL
    Est. Salary $37k-$56k
    NEW
    unbundling) and recommends correct coding of medical claims. ResearchesCMS/State laws, WellCare policy and AMA guidance. Develops… Escalation point for Operations Team assist with research, review and response to complex medical coding and payment policy inquiries.…
  • 3.6
    Advocate Health Care – Oak Brook, IL
    Est. Salary $63k-$74k
    27 days ago 27d
    in Nursing/Operating Room experience 3~5 years experience working in hospital surgical setting 3~5 years research, clinical management… CPT/HCPCS codes and UB revenue codes Excellent knowledge of CMS (HCFA) billing regulations and outpatient reimbursement systems…
  • 3.2
    Vencore – Springfield, VA
    Est. Salary $73k-$106k
    1 days ago 15hr
    equivalent. Understanding of the DoD or IC Acquisition Processes and CM Processes. Certification Defense Acquisition Workforce Improvement… Headquartered in Chantilly, Virginia, Vencore employs 3,800 engineers, analysts, IT specialists and other professionals who strive to be the…
  • 2.7
    BlueShield of Northeastern New York – Buffalo, NY
    Est. Salary $74k-$115k
    1 days ago 15hr
    recommendations on specific courses of action. The analyst is responsible for research and analysis of medical data, both clinical and… on how to incorporate information such as census information, CMS data, First Data Bank, and other external data sources into clinical…
  • 4.4
    RGS Associates – Arlington, VA
    Est. Salary $56k-$87k
    Today 8hr
    IT Business Analyst IT Business Analyst Job ID 2017-1885 Job Locations… communication approach is an innovative Case Management System (CMS). The Case Management System will provide a portal by which family…
  • 2.8
    CVS Health – Scottsdale, AZ
    9 days ago 9d
    expectations Participate in CMS-facing or client-facing meetings and presentations Perform case management, research and resolution Communicate… Supervisor, you will be overseeing a team of Resolution Analysts that perform research, case management, and resolution for formal Medicare…
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