- Medical Mutual of Ohio (Brooklyn, OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product ... development of the Medicare Advantage. This role supports Medicare product...Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in the building of plan… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …location for this position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research ... and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical… more
- 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 for serving analytics needs across operations and… 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... Advantage plans + Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong… more
- Cleveland Clinic (Independence, OH)
- Financial Analyst III - Medicare /Medicaid Reimbursement Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide ... most respected healthcare organizations in the world. The Financial Analyst III provides Financial or Revenue Cycle Management (RCM)...analysis and report preparation. + Can prepare and file Medicare and Medicaid cost reports on a timely and… more
- AdventHealth (Altamonte Springs, FL)
- …Wednesday and Thursday onsite **The role you'll contribute:** The Reimbursement Analyst is responsible for assisting the Reimbursement Manager with the preparation ... of work papers for the filing of the annual Medicare , Medicaid, and Champus/Tricare cost reports, audit preparation and...of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for… more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding ... issues in support of the company's business objectives and requirements. The Analyst has key responsibility for supporting policy development on key issues, ensuring… more
- Centene Corporation (Jefferson City, MO)
- …offering quality, competitive product solutions for growth and retention of our Medicare members. Support the development and execution of product changes within the ... performance. Support the development and execution of product changes within the Medicare product life cycle and be responsible for delivering fully compliant… more
- The Cigna Group (Philadelphia, PA)
- Performs actuarial analyses for Medicare Advantage business, including, 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,… more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs ... required * Five or more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5 years of experience with Encounter… more
- Healthfirst (NY)
- …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 ... to create automated data pulls and manipulations WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity,… more
- 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 | Remote ... a blend of business and data analysis skills, focusing on healthcare and Medicare / Medicare claims. The ability to present information and findings to leadership… more
- 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 ... complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk… more
- 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
- 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
- The Cigna Group (Sunrise, FL)
- …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities ... **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
- Vanderbilt University Medical Center (Nashville, TN)
- …**Organization:** Finance Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial matters related to ... reimbursement, net revenue and Medicare cost reporting. The work performed by this role...trend analysis. Supports preparation and detail analytics associated with Medicare reimbursement including: + Preparation of the annual cost… more
- Molina Healthcare (WI)
- …conversion of new and existing health plans. + Must have experience working on QNXT/ Medicare /NetworX + Must have experience working on SQL. + Medicare claims ... experience is a huge plus + Medicare Fee Schedule knowledge is desired. + Must be able to work in a fast paced environment while also meeting the SLAs and high volume work. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent… more
- R1 RCM (Chicago, IL)
- …Accounting systems to deliver quality work products to R1' s clients. The Medicare Advantage Analyst is primarily responsible for researching underpayments as ... you will leverage your experience and expertise in complex Medicare Advantage payor methodology, payment screenings and experience maneuvering...they relate to Medicare Advantage payor population and researching processing issues, examining… more
- Point32Health (Boston, MA)
- …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 will also… more