- CareFirst (Washington, DC)
- …The incumbent will have primary responsibility for issues related to Medicare / Medicare Advantage , prescription drugs, utilization management, and ... state public policy issues in support of the companys business objectives and requirements. The Analyst has...the companys business objectives and requirements. The Analyst has key responsibility for supporting policy development on… more
- CareOregon (Portland, OR)
- …healthcare, claims, data management, EDI experience Preferred + Experience with Medicare Advantage risk adjustment and payment methodologies Knowledge, Skills ... positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt...errors within the encounter data processing system. + Maintain business rules and policies and procedures for Medicare… more
- Banner Health (WA)
- …Banner Plans & Networks Team, where your data analysis skills, quality assurance, and Medicare Advantage experience will be vital. You will use your background ... balance, and boosting employee engagement. As a Senior Data Analyst , you will be an important member of the...and report building to help us excel in our Medicare reporting and performance objectives. You will lead projects… more
- The Cigna Group (Baltimore, MD)
- …Components** All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: ... Risk Adjustment in order to develop solutions for strategic business needs + May provide guidance to others in...HEDIS, Risk Adjustment and medical expense reduction, specific to Medicare Advantage required + Required - Microsoft… more
- Providence (OR)
- …data, and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare ... them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be...providing critical insights to enhance the performance of our Medicare Advantage plans **_Please note the following… 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' ... best possible health and quality of life. Ideal Agile Business Analyst candidates will have the follow...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Manages a ... corporate leadership. + 3 years' experience working with healthcare products/programs, preferably Medicare Advantage or government programs. + Proven ability to… more
- Medical Mutual of Ohio (OH)
- …including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II** Provides ... consumers. . Performs other duties as assigned. **Qualifications** **Provider Analyst II** **.** **Bachelor's degree in business ...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Support MA ... and individual business processes to promote the retention of existing ...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement 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' ... will utilize excellent communication skills to build collaborative business relationships with Data Owners/Stewards. The Analyst ...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans.** **Responsibilities** ... . Performs other duties as assigned. **Qualifications** **Provider Reimbursement Analyst II** . Bachelor's degree in business ...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business . **NATURE AND SCOPE** + This ... Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by developing… 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. Supporting the ... underwriting system, the Specialty Group Underwriting Systems Analyst collaborates with other system developers and liaisons to...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Henry Ford Health System (Troy, MI)
- …for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage , Medicare -Medicaid Program (MMP), and Medicaid lines of business . Analyst ... be demonstrated by passing a writing assessment. + Demonstrated knowledge of the Medicare Advantage , Federal Government, Medicare benefits, all Commercial… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Under general ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- Medical Mutual of Ohio (OH)
- …insured 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...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans ... contracting regions with quality, utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources and… more
- ChenMed (Miami, FL)
- …departments across the organization and will make data-driven strategy recommendations in the Medicare Advantage and health care industry. With the right mix of ... need great people to join our team. The Senior Business Intelligence Analyst is responsible for providing...statistical modeling. + Experience in health care models including Medicare Advantage Programs and provider risk models… more
- Martin's Point Health Care (Portland, ME)
- …most major insurance plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available throughout Maine and ... as a "Great Place to Work" since 2015. Position Summary The Delivery System Business Application Analyst is responsible for supporting optimization of the Athena… more
- Humana (Tallahassee, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... community and help us put health first** The Senior Financial Reporting Analyst / Professional prepares and distributes periodic financial statements for users other… more
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