• Senior Medicare Compliance Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare Advantage ( Part C) and Prescription Drug ( Part D) ... compliance. . Triage compliance issues and questions received from business areas, understand the underlying intent of the questions,...required with at least 2 years directly involved in Medicare Advantage or Part D auditing activities.… more
    Medical Mutual of Ohio (11/06/24)
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  • Actuarial Analyst III - Medicare

    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
    Elevance Health (10/30/24)
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  • Actuarial Lead Analyst - Medicare

    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
    The Cigna Group (10/23/24)
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  • EAP WorkLife Analyst - Medicare Team

    CVS Health (Denver, CO)
    …CST Normal work Hours 11:45 - 8:15 EST The WorkLife Consultant (WLC) is part of the WorkLife Team and provides education about community resources, resource needs ... or customer service oriented. * Additional responsibilities assigned based on business need, including staffing an online chat platform. **Required Qualifications**… more
    CVS Health (11/10/24)
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  • Medicare EAP Worklife Analyst

    CVS Health (Phoenix, AZ)
    …hours after training 10 - 6:30 pm EST** **The WorkLife Consultant (WLC) is part of the WorkLife Team and provides education about community resources, resource needs ... or customer service oriented.** Additional responsibilities assigned based on business need, including staffing an online chat platform.** **Required… more
    CVS Health (11/10/24)
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  • Jr. Business and Workflow Analyst

    BeneLynk (Detroit, MI)
    …conjunction with BeneLynk's Manager of Business Analysis, Quality Assurance, the Sr. Business Analyst - Quality Assurance, and the Engineering (ENG) team to ... business , and operational departments. This cohort will be part of a team that is structured to understand,... Business Analysis, Quality Assurance and the Sr. Business Analyst - Quality Assurance regarding QA/UAT… more
    BeneLynk (11/08/24)
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  • Business Analyst

    BeneLynk (Sunrise, FL)
    …environment for our employees to thrive in their ability to assist others. BUSINESS ANALYST POSITION SUMMARY BeneLynk, a leading national provider in identifying ... to lead healthier lives, is seeking to hire a Business Analyst to join the Product Management...Medicare /Medicaid lives in every state in the USA. Business analysts are the drivers of our continued growth… more
    BeneLynk (11/08/24)
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  • Lead Business Analyst

    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
    Prime Therapeutics (09/15/24)
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  • Provider Network Senior Data Reporting…

    Humana (Columbus, OH)
    …App, Power Automate + Python **Additional Information** Travel to office, based on business needs **Additional Information** As part of our hiring process, we ... **Become a part of our caring community and help us...us put health first** The Senior Data and Reporting Analyst / Professional generates ad hoc reports and regular… more
    Humana (10/31/24)
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  • Associate Data Analyst - Government…

    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
    Delta Dental of Iowa (10/30/24)
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  • Business Systems Analyst lll…

    Fallon Health (Worcester, MA)
    …or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** A Business Systems Analyst III will work on projects that generally involve a ... and technical needs. **Responsibilities** **Primary Job Responsibilities:** + A Business Systems Analyst III will work on...solutions, when necessary, to ensure the proper balance between business and technical needs. + Works as part more
    Fallon Health (10/17/24)
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  • Business Analyst II - Remote in…

    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
    Prime Therapeutics (11/01/24)
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  • Sr Actuarial Analyst

    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
    Point32Health (10/29/24)
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  • Business Systems Analyst ll…

    Fallon Health (Worcester, MA)
    …or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** A Business Systems Analyst II will work on projects that generally involve a ... or seeks alternative solutions, when necessary, to ensure the proper balance between business and technical needs. **Responsibilities** Works as part of the… more
    Fallon Health (10/10/24)
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  • Senior Reimbursement Analyst

    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
    BayCare Health System (10/23/24)
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  • Senior Contracting Performance Analyst

    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
    Mount Sinai Health System (09/06/24)
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  • Health Care Financial Analyst / Emergency…

    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
    The County of Los Angeles (11/01/24)
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  • Senior Contracting Analyst

    Mount Sinai Health System (New York, NY)
    …and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all ... 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
    Mount Sinai Health System (09/06/24)
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  • Senior Analyst ; Part D Actuarial

    CVS Health (Omaha, NE)
    …in a fast-paced environment with constant change Preferred Qualifications + Prior Pharmacy, Medicare Part D, Medicare or Medicaid experience + Successful ... actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business ....position will provide modelling and analytical support for the Part D Business , with a focus on… more
    CVS Health (11/09/24)
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  • Reimbursement Analyst -Hybrid 150 East 42nd…

    Mount Sinai Health System (New York, NY)
    **Job Description** Reimbursement Analyst -Hybrid 150 East 42nd Street The Reimbursement Analyst initiates systems to capture all inpatient and outpatient ... in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** + Associates degree in… more
    Mount Sinai Health System (08/29/24)
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