- Medical Mutual of Ohio (Brooklyn, OH)
- …Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product development of the ... the development and execution of Medicare Advantage product strategy and corresponding benefits. The Analyst ...the annual CMS Bid development in partnership with the Product Managers, ensuring the products are competitive,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of Statutory and Federal Regulations that affect our various company products , specifically Medicare Advantage program regulations, and Statutory Requirements. ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve… 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 ... as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare... product design impacts on financial performance for Medicare Advantage plans to optimize performance + Analyzing and… 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
- Healthfirst (NY)
- …Support team in analysis of the financial performance of e Integrated Products , identify favorable and unfavorable trends, develop recommendations to improve trends, ... 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
- R1 RCM (Chicago, IL)
- …systems to deliver quality work products to R1' s clients. The Medicare Advantage Analyst is primarily responsible for researching underpayments as they ... you will leverage your experience and expertise in complex Medicare Advantage payor methodology, payment screenings and experience maneuvering...relate to Medicare Advantage payor population and researching processing issues, examining… more
- Point32Health (Boston, MA)
- …on the Medicare Preferred population and support the goal of providing Medicare products that are competitively priced and increase the quality of care ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** This Senior Actuarial Analyst will support the Medicare Part C Pricing work. The… more
- The Cigna Group (Bloomfield, CT)
- This position, the Nurse Case Manager Senior Analyst , through the case management process, will promote the improvement of health outcomes to members and assist ... clinical care to the consumer + Case Management exp strongly preferred + Medicare experience strongly preferred + CCM Certification preferred + Requires high speed… more
- DCCA (Ellicott City, MD)
- Product Owner Analyst Location Ellicott City, MD Job Code 2336 # of Openings 1 Apply Now ... compensation and benefits package. Visit our website at: www.dcca.com Product Owner Analyst Candidate must have or...Framework (SAFe). . 5+ Years of experience supporting CMS Medicare or Medicaid Programs . Strong understanding of Agile… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve...possible health and quality of life. **Sr. Competitive Intelligence Analyst ** **Plays a pivotal role in driving our competitive… more
- Convey Health Solutions (Fort Lauderdale, FL)
- The Product Configuration Analyst is responsible for the implementation of system configuration and ongoing support to ensure successful delivery of technology ... that will result in optimum user experience and maximized product value * Assist the client management team with...or complementary position leading projects * Experience in the Medicare Managed Care environment preferred, but not required Convey… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve...best possible health and quality of life. Business Systems Analyst II Provides the interface between the business and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve...possible health and quality of life. Master Data Management Analyst I-IV The MDM Analyst within the… more
- Medical Mutual of Ohio (OH)
- … Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned provider network ... payment models. . Performs other duties as assigned. **Provider Reimbursement Analyst III** Under general to limited supervision, supports assigned provider network… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve...best possible health and quality of life. Business Systems Analyst III Provides the interface between clinical business teams… more
- Medical Mutual of Ohio (OH)
- …coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II** ... and training. . Performs other duties as assigned. **Senior Provider Analyst ** Provides analytical support during contract negotiation process. Assists contracting… more
- Medical Mutual of Ohio (Brooklyn, OH)
- Financial Analyst I Provides basic analysis and accurate and timely financial information. Generates management reports and interfaces with corporate departments ... solve problems, complete special projects, and conduct monthly activities. Financial Analyst II Provides analysis and accurate and timely financial information.… more
- Medical Mutual of Ohio (OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** Senior ... Employer Group Consulting Analyst Design and execute analyses and reports for clients...strategic decision making and demonstrate the value provided by products and services purchased, Synthesizing and communicating, in writing… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The_** **_Government Data Analyst III_** **_position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans....pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve… more
- Medical Mutual of Ohio (OH)
- …coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Financial Analyst III** ... of complex "what if" scenarios for business planning decisions relative to new products , new territories, new projects, and other important aspects of the Company's… more