; Experience handling a large load of work in a fast-paced environment. Insurance, Medicare/Client knowledge Writing Letters..., pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies...
, Access, and Teams, to drive data analysis, reporting, and workflow efficiency. Leverage experience working with Medicare.... This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination...
. Conditions of Employment: Full Background: CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud... Analyst will review the work experience/job duties sections of the online job application to determine whether your experience...
Background: CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks... experience. Minimum Qualification Screening Process A Human Resources Analyst will review the work experience/job duties...
Position Summary The Senior Carrier Commission Reconciliation Analyst owns the end-to-end reconciliation... and validation of Medicare and Life insurance carrier commissions. This role serves as the subject matter expert for commission...
enterprise analytic standards. Responsible for budgeting, and policy implementation. Perform other duties as assigned.... Experience with Medicare Advantage (DSNP), Commercial Exchange, and Medi-Cal Risk Adjustment programs. Experience...
. Verify that all reviews and QA activities comply with CMS policies, Medicare regulations, and applicable laws (e.g., HIPAA..., FISMA). Stay current with changes in medical practice, technology, and policy that may impact QA processes. Research...
to OPTN policy, CMS and FDA regulations, AATB and tissue processor policies and requirements. Oversees data analytics function..., data collection and reporting, donor chart review, and validations. Leads event management, policy review, updates...
We will count on you to: Perform responsibilities comparable to a full-time analyst with support from experienced colleagues... and Medicare. Work in a fast-paced, challenging and dynamic consulting environment with colleagues across the practice...
but also informs future program design, equity strategies, sub-population targeting, and policy decisions. The Causal Impact... value, equity, and member outcomes, guiding sub-population targeting, program improvement, and policy recommendations...
enhancements. Strong understanding of the tenets of health insurance, the managed care model, Commercial, Medicare & Medicaid... rules, industry coding/policy standards, the claim adjudication process, and issues related to fraud waste and abuse...
to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the... to correct interpretation of coding guidelines and LCDs (Local Coverage Determinations) prior to referral to coding analyst...
contact with vulnerable persons): CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud... Resources Analyst will review the work experience/job duties sections of the online job application to determine whether...
. Demonstrate knowledge of Medicare and commercial insurance coverage guidelines and medical necessity justification for laboratory... Information System Analyst in the IT department. Assures the Laboratory Information System operates accurately and efficiently...
independently. Project management. Knowledge of Medicare Clinical Trial Policy (NCD 310.1). Knowledge Regulations overseeing...%) Conduct Medicare Cost Analysis Quality Assurance checks (5%) Directly supervise CTS staff (15%) Oversee the maintenance...
collaboratively with data support specialist/analyst and the Senior Infection Preventionist to coordinate data collection and analysis..., community acquired infections. Adheres to reporting standards as set forth by Centers for Medicare and Medicaid Services (CMS...