• Senior Medicare Data & Finance…

    AdventHealth (Altamonte Springs, FL)
    …+ Create core reporting dashboards summarizing and trending all aspects of Medicare business , CMS Revenue, Enrollment, Risk Adjustment, cost trend, and ... **Senior Medicare Data & Finance Analyst ** **Location:**...**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a… more
    AdventHealth (11/26/24)
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  • Medicare Cost Reporting and Reimbursement…

    Vanderbilt University Medical Center (Nashville, TN)
    …leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work ... Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial...of financial matters related to reimbursement, net revenue and Medicare cost reporting. The work performed by this role… more
    Vanderbilt University Medical Center (11/22/24)
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  • Actuarial Analyst III - Medicare

    Elevance Health (St. Louis, MO)
    …Elevance Health PulsePoint locations. **Preferred Location: Indianapolis, IN.** The **Actuarial Analyst III** will complete very diverse and complicated projects and ... studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes...They are how we achieve our strategy, power our business outcomes and drive our shared success - for… more
    Elevance Health (10/30/24)
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  • Actuarial Lead Analyst - Medicare

    The Cigna Group (Philadelphia, PA)
    …but not limited to: medical expense analyses and projections, financial forecasts, Medicare Part C bid development, regulatory (CMS) filings, actuarial ... to management and associates. **Responsibilities:** Primary focus areas are Medicare pricing and CMS bid and supporting documentation development, support… more
    The Cigna Group (10/23/24)
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  • Medicare Risk Adjustment Advanced…

    Elevance Health (Norfolk, VA)
    **Risk Adjustment Advanced Analyst Senior** **Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... locations.** **Preferred Location: Norfolk, VA.** The **Risk Adjustment Advanced Analyst Senior** is responsible for creating statistical models to predict,… more
    Elevance Health (11/21/24)
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  • Data Business Analyst

    TEKsystems (Honolulu, HI)
    ALOHA, Seeking a Medicare Analyst with a Data and Business Analyst experience | Full-time, contract to hire | Monday to Friday, 8:00 am- 5:00 pm HST | ... and data analysis skills, focusing on healthcare and Medicare / Medicare claims. The ability to present information...manipulation (nice to have). Qualifications: - Experience as a Business /Data Analyst in the healthcare industry. -… more
    TEKsystems (11/21/24)
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  • Lead Business Analyst

    Prime Therapeutics (Glen Allen, VA)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst ... are consistent with organization objectives by acting as the bridge between the business systems analyst team, business stakeholders, development team,… more
    Prime Therapeutics (09/15/24)
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  • Assistant Director Medicare Advantage Risk…

    UCLA Health (Los Angeles, CA)
    …an award-winning health system. Help improve patient experiences and operational efficiency as part of a world-class healthcare team. Take your career in an exciting ... can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is… more
    UCLA Health (11/27/24)
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  • Senior Business Support Analyst

    Insight Global (Coraopolis, PA)
    Job Description Insight Global is seeking Business Support Analyst to join a large health insurance client of ours. This team member will be responsible for ... issues/enhancements and documenting meeting notes. This position will be part of the broader NextGen Production Support team and...premium, medical claims, pharmacy claims, and providers for both Medicare and IFP lines of business . This… more
    Insight Global (11/20/24)
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  • Business Analyst

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** As a Business Analyst you will be responsible for performing research and analysis to support business operations. Elicits, documents, ... leads, lead performance reporting, sales and issue escalations for Medicare , Core Medicare Advantage, and DSNP. +...business and organizational needs. Our base salary is part of a robust Total Rewards package that includes… more
    BlueCross BlueShield of North Carolina (11/22/24)
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  • Associate Data Analyst - Government…

    Delta Dental of Iowa (Johnston, IA)
    …change in your community? Join us at Delta Dental of Iowa as anAssociate Data Analyst - Government Programsand be part of our mission to improve the health ... manage key contract deliverables and program oversight related to our Medicaid and Medicare Advantage business . You will compile data from multiple sources,… more
    Delta Dental of Iowa (10/30/24)
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  • Business Analyst II - Remote in…

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote in the California market **Job Description Summary** ... in Medicare Operations. **Work Experience** Work Experience - Required: Business Analysis Work Experience - Preferred: **Education** Education - Required: A… more
    Prime Therapeutics (11/01/24)
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  • Actuarial Analyst 2, Risk and Compliance

    Humana (Columbus, OH)
    **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Risk and Compliance supports the overall management and oversight ... and recommends controls and cost-effective approaches to minimize risks. The Actuarial Analyst 2, Risk and Compliance work assignments are varied and frequently… more
    Humana (11/13/24)
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  • Sr Actuarial Analyst

    Point32Health (Boston, MA)
    …are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** This Senior Actuarial Analyst will support the Medicare Part C Pricing ... work. The key responsibilities for this role are pricing, rate filing ( Medicare Advantage Bid) development, strategic analysis, and other ad hoc projects. This role… more
    Point32Health (10/29/24)
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  • PBM Clinical/Benefit Testing Analyst III

    Elevance Health (Columbus, OH)
    **PBM Clinical/Benefit Testing Analyst III ( Business Analyst III)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal ... lens, to deliver member-centered, lasting pharmacy care. The **PBM Clinical/Benefit Testing Analyst III ( Business Analyst III)** is responsible for… more
    Elevance Health (11/26/24)
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  • Senior Reimbursement Analyst

    BayCare Health System (Clearwater, FL)
    …Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst **Location** Clearwater:BayCare Sys Office West | Business ... responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility while… more
    BayCare Health System (10/23/24)
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  • Senior Contracting Performance Analyst

    Mount Sinai Health System (New York, NY)
    …and Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison between Contracting, Population Health, Clinical Documentation and ... of patients. We are accelerating a transition to a business model focused on population health management - our...mentorship from senior MSHP leaders + Opportunity to be part of a forward-thinking team driving a system-wide transformation… more
    Mount Sinai Health System (09/06/24)
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  • Business Analyst , Value Based Care

    UPMC (Pittsburgh, PA)
    UPMC Corporate Quality is hiring a Business Analyst , Value Based Care to join our team! This role will work standard business hours Monday through Fridays. ... anywhere from 2 to 3 days per month for mandatory meetings. This position will be part of the Value Based Care team at The Wolff Center. The Wolff Center is UPMCs… more
    UPMC (11/26/24)
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  • Health Care Financial Analyst / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply  HEALTH CARE ... FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $76,615.68 - $103,240.32...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
    The County of Los Angeles (11/01/24)
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  • Senior Contracting Analyst

    Mount Sinai Health System (New York, NY)
    …and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all ... of patients. We are accelerating a transition to a business model focused on population health management - our...mentorship from senior MSHP leaders + Opportunity to be part of a forward-thinking team driving a system-wide transformation… more
    Mount Sinai Health System (11/20/24)
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