- The Cigna Group (Denver, CO)
- **Summary** The Business Analytics Lead Analyst will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for ... Medicare Strategic Analytics. Reporting to the Manager of Care...reporting, dashboards, and collaboration with our internal partners. The Business Analytics Lead Analyst will interface across… more
- 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 company's business objectives and requirements. The Analyst has...the company's business objectives and requirements. The Analyst has key responsibility for supporting policy development on… more
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running ... for claim encounter data submissions and the coordination of business transactions for all HIPPA/CMS standard sets. You will...more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5… more
- 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 ... team colleagues to support the development and execution of Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental… 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. Implements and ... manages the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare … more
- Providence (WA)
- …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
- Carle (Urbana, IL)
- …REQUIREMENTS Two (2) years experience in compliance or health insurance with previous Medicare Advantage , or Part D experience. SKILLS AND KNOWLEDGE Knowledge of ... Medicare Compliance Analyst + Department: HA... Medicare Compliance Analyst + Department: HA - Compliance & Risk...Medicare and Medicaid Services (CMS) related to the Medicare line of business . This position is… more
- The Cigna Group (Seattle, WA)
- …Components:** All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: ... + Growing the MA Business : The Provider Performance Lead Analyst is...HEDIS, Risk Adjustment and medical expense reduction, specific to Medicare Advantage required + Ability to apply… more
- The Cigna Group (Sunrise, FL)
- …Components** All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: ... and the individual that represents Cigna Medicare Advantage . The Provider Performance Enablement Lead Analyst 's...Advantage requiredAbility to apply an enterprise mindset with business acumen resulting in meeting goals in growth and… more
- Elevance Health (St. Louis, MO)
- …very complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements ... would provide an equivalent background. **Preferred skills, capabilities, and experiences:** Medicare Advantage and/or Medicaid Risk Adjustment experience is… 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
- 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. Estimates ... field. + 1 year experience in health actuarial work. + 1 year of experience in Medicare Advantage or Medicare Supplement if assigned to Medicare area.… 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)
- …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
- TEKsystems (Seattle, WA)
- **Healthcare Business Analyst / Hybrid Work Schedule / (6 Month Contract)** **Must reside in the greater Seattle, WA area** Top Required Skills + Must reside in ... work a hybrid schedule + Healthcare environment experience. Medicaid, Medicare , and other health care industry experience. + Experienced...+ The company is looking to bring on a Business Analyst for a contract to hire… more
- Delta Dental of Iowa (Johnston, IA)
- …to manage key contract deliverables and program oversight related to our Medicaid and Medicare Advantage business . You will compile data from multiple ... Associate Data Analyst - Government Programs Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply...other initiatives for both Medicaid and Medicare Advantage . + Analyze data to derive business … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** **Financial Analyst III** Provides ... Analyst ** . Bachelor's degree with Accounting, Finance, or Business Administration major. . 5 years progressive accounting or...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** ... 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 ... process, research and projects. **.** **Performs other duties as assigned** **Financial Analyst III** . Builds, maintains, and calibrates business models to… more
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