- 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
- 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
- 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 (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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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