- AdventHealth (Altamonte Springs, FL)
- …+ Create core reporting dashboards summarizing and trending all aspects of Medicare business , CMS Revenue, Enrollment, Risk Adjustment, cost trend, and ... **Senior Medicare Data & Finance Analyst ** **Location:**...**Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a… more
- Vanderbilt University Medical Center (Nashville, TN)
- …leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work ... Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial...of financial matters related to reimbursement, net revenue and Medicare cost reporting. The work performed by this role… 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 ... studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes...They are how we achieve our strategy, power our business outcomes and drive our shared success - for… more
- The Cigna Group (Philadelphia, PA)
- …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, support… 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
- 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 | ... and data analysis skills, focusing on healthcare and Medicare / Medicare claims. The ability to present information...manipulation (nice to have). Qualifications: - Experience as a Business /Data Analyst in the healthcare industry. -… more
- Prime Therapeutics (Glen Allen, VA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst ... are consistent with organization objectives by acting as the bridge between the business systems analyst team, business stakeholders, development team,… more
- UCLA Health (Los Angeles, CA)
- …an award-winning health system. Help improve patient experiences and operational efficiency as part of a world-class healthcare team. Take your career in an exciting ... can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is… more
- Insight Global (Coraopolis, PA)
- Job Description Insight Global is seeking Business Support Analyst to join a large health insurance client of ours. This team member will be responsible for ... issues/enhancements and documenting meeting notes. This position will be part of the broader NextGen Production Support team and...premium, medical claims, pharmacy claims, and providers for both Medicare and IFP lines of business . This… more
- Humana (Columbus, OH)
- …Eastern Time, occasional overtime as needed. + Available to travel to Miami, Florida based on business needs As part of our hiring process, we will be using an ... **Become a part of our caring community and help us...and help us put health first** The Compliance (UM) Analyst / Professional 2 conducts and summarizes compliance audits. The… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** As a Business Analyst you will be responsible for performing research and analysis to support business operations. Elicits, documents, ... leads, lead performance reporting, sales and issue escalations for Medicare , Core Medicare Advantage, and DSNP. +...business and organizational needs. Our base salary is part of a robust Total Rewards package that includes… more
- Delta Dental of Iowa (Johnston, IA)
- …change in your community? Join us at Delta Dental of Iowa as anAssociate Data Analyst - Government Programsand be part of our mission to improve the health ... manage key contract deliverables and program oversight related to our Medicaid and Medicare Advantage business . You will compile data from multiple sources,… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote in the California market **Job Description Summary** ... in Medicare Operations. **Work Experience** Work Experience - Required: Business Analysis Work Experience - Preferred: **Education** Education - Required: A… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Risk and Compliance supports the overall management and oversight ... and recommends controls and cost-effective approaches to minimize risks. The Actuarial Analyst 2, Risk and Compliance work assignments are varied and frequently… more
- Point32Health (Boston, MA)
- …are 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… more
- Elevance Health (Columbus, OH)
- **PBM Clinical/Benefit Testing Analyst III ( Business Analyst III)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal ... lens, to deliver member-centered, lasting pharmacy care. The **PBM Clinical/Benefit Testing Analyst III ( Business Analyst III)** is responsible for… more
- BayCare Health System (Clearwater, FL)
- …Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Senior Reimbursement Analyst **Location** Clearwater:BayCare Sys Office West | Business ... responsibility and clinical excellence. **Responsibilities:** + The Senior Reimbursement Analyst will work independently within their area of responsibility while… more
- Mount Sinai Health System (New York, NY)
- …and Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison between Contracting, Population Health, Clinical Documentation and ... of patients. We are accelerating a transition to a business model focused on population health management - our...mentorship from senior MSHP leaders + Opportunity to be part of a forward-thinking team driving a system-wide transformation… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Quality is hiring a Business Analyst , Value Based Care to join our team! This role will work standard business hours Monday through Fridays. ... anywhere from 2 to 3 days per month for mandatory meetings. This position will be part of the Value Based Care team at The Wolff Center. The Wolff Center is UPMCs… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply HEALTH CARE ... FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $76,615.68 - $103,240.32...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
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