- AdventHealth (Altamonte Springs, FL)
- **Senior Medicare Data & Finance Analyst ** **Location:** Virtual **All the benefits and perks you need for you and your family:** + Benefits from Day One + ... Monday - Friday **The role you'll contribute:** The Senior Medicare Data & Finance Analyst is responsible...core reporting dashboards summarizing and trending all aspects of Medicare business, CMS Revenue, Enrollment , Risk Adjustment,… more
- Providence (WA)
- …people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible for developing and ... to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of...pricing outcomes + Analyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends… more
- Healthfirst (NY)
- …+ Work collaboratively with finance analysis, sales, marketing, Intake & Enrollment , and other departments as necessary to support market growth plans ... a health care delivery system or a health insurance company + Knowledge of Medicare and Medicaid programs, health care, and managed care + Python skills with ability… more
- Health First (Rockledge, FL)
- …**Job:** **Operations* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Premium Analyst - Member Enrollment Billing* **Location:** *Florida - ... provides appropriate plans to resolve. Reports reconciliations issues to Lead Premium Analyst or Director of Operations for resolution approval. * Assists Lead… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and...you will only be allowed to enroll during Open Enrollment or within 60 days from the date on… more
- Banner Health (AZ)
- …prompt payment of broker commissions and HRA payments. ** Medicare Sales and/or Medicare Sales Commission Analyst work history required for this role.** You ... in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs...work settings. As a Health Plan Commissions and Operations Analyst , your role will be to ensure the accurate… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …assigned government programs functional area including but not limited to Medicare enrollment , revenue, government files processing, reconciliation, regulatory ... **_The_** **_Government Data Analyst III_** **_position allows you the flexibility to...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Akin Gump Strauss Hauer & Feld LLP (Washington, DC)
- …Europe, Asia and the Middle East. We are currently seeking a Benefits Analyst in the Human Resources department, reporting to the Benefits Manager (Health). The ... benefit-related payroll changes; and communication and carrier liaison duties. The Benefits Analyst is expected to perform all responsibilities with a commitment to… more
- Kepro (Albany, NY)
- …business analysis experience in Healthcare Domain knowledge with good knowledge on Medicare /Medicaid - Provider Management and Enrollment System experience. + ... in Albany NY Acentra is looking for a Business Analyst Manager to join our growing team. Job Summary:...supervision for one or more systems such as Provider Enrollment , Provider Credentialing and Screening and cross-module Integration with… more
- Kepro (Albany, NY)
- …for health solutions in the public sector. Acentra is looking for a Senior Business Analyst to join our growing team. Job Summary: Senior Business Analyst is ... solutions involving complex information systems with no supervision for Provider Enrollment , Screening and Credentialing sub systems. This role involves managing… more
- UCLA Health (Los Angeles, CA)
- …individual with: + Three or more years of experience in a Medicare or Managed Care, specifically benefits, enrollment /disenrollment & grievances and ... Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with...due to the time constraints imposed by CMS on Medicare appeals and grievances. + Collaborates closely with beneficiaries,… more
- UCLA Health (Los Angeles, CA)
- …individual with: * Three or more years of experience in a Medicare or Managed Care, specifically benefits, enrollment /disenrollment & grievances and ... Description As the Appeals and Grievances (A&G) Analyst , you will be responsible for assisting with...due to the time constraints imposed by CMS on Medicare appeals and grievances. + Collaborates closely with beneficiaries,… more
- MyFlorida (Fort Pierce, FL)
- HUMAN SERVICES ANALYST - 64006335 Date: Nov 21, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 841817 Agency: Department of Health Working Title: HUMAN SERVICES ANALYST - 64006335 Pay Plan: Career Service Position Number: 64006335 Salary:… more
- UCLA Health (Los Angeles, CA)
- …enrollment /disenrollment, marketing, utilization management, required * Knowledge of Medicare and CMS regulations, specifically pertaining to appeals and ... Description As the Senior Appeals and Grievances Analyst , you will be responsible for: + Assisting...investigate, and process appeals and grievances in accordance with CMS/ Medicare regulations and guidelines. Salary Range: $38.12 - $52.33/hourly… more
- Kepro (GA)
- …partner for health solutions in the public sector. Acentra seeks a Senior Business Analyst to join our growing team. Job Summary: The role of the Senior Business ... Analyst is responsible for analyzing business problems, identify gaps,...involving complex information systems with no supervision for Provider Enrollment , Screening and Credentialing sub systems. This role involves… more
- Healthfirst (NY)
- **Duties and Responsibilities:** + Handle premiums, claims, enrollment , and administrative expense data for reports to government and regulatory entities (such as ... + Perform risk score, pricing and other data analytics for Medicare products + Assist in the Medicare Part C and Part D bid process, including bid preparation… more
- UCLA Health (Los Angeles, CA)
- Description The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information ... and study business data via EPIC, MD Staff (provider enrollment and claim system) or other repositories + Create/pull...experience + 3-4 years of experience working in a Medicare Advantage health plan or Managed Care team -… more
- Cambridge Health Alliance (Cambridge, MA)
- PACE Health Plan Analyst Apply Refer a Friend Back **Date Posted:** 11/06/2024 **Requisition Number:** 8816 **Location:** CHA East Cambridge Care Center **Work ... The position also supports participant government program eligibility (MassHealth and Medicare ), as well as PACE business office functions. **Responsibilities:** +… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider ... thorough analysis on their findings. **This role will be focused on Medicare and Medicaid lines of business.** **ESSENTIAL FUNCTIONS:** + Identifies, develops, and… more
- Highmark Health (Columbus, OH)
- …virtual health, industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid). The work can include new research and updating existing ... or proposals for action. **REQUIRED QUALIFICATIONS** + Full or part-time enrollment in an accredited college or university baccalaureate program. **PREFERRED… more