- Medical Mutual of Ohio (Brooklyn, OH)
- …Advantage, Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product development of the ... colleagues to support the development and execution of Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in… more
- Providence (CA)
- …people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible for developing and ... bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to… more
- Zelis (TX)
- Position Overview: The Medicare Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the company's goals by ... communicating rules, regulations, and procedures pertaining to public and private Medicare / Medicare Advantage payment systems. This position requires an in-depth… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- BeneLynk (Detroit, MI)
- …are eligible to lead healthier lives, is seeking to hire a Business Workflow Analyst I to join the Product Management Office (PMO). Our mission is to improve ... the functionality of the products/services that are designed to address these initiatives. Ensure Product Quality: The Business Workflow Analyst I will be… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Product Analyst **Job Description** The Product Analyst is ... in Agile and working in an Agile environment across interdependent teams, the Product Analyst clearly communicates with cross functional teams, collaborating to… more
- The Cigna Group (St. Louis, MO)
- …execution of key operations accountabilities associated with all regulated lines of business including Medicare , Medicaid, and Marketplace (Exchange / Health ... Owner for development and enhancement of grievance processes. Collaborates with Technical Product Owner to develop business requirements. + Coordinate or lead… more
- BeneLynk (Sunrise, FL)
- …for which individuals are eligible to lead healthier lives, is seeking to hire a Business Analyst to join the Product Management Office (PMO). Our mission ... employees to thrive in their ability to assist others. BUSINESS ANALYST POSITION SUMMARY BeneLynk, a leading...Medicare /Medicaid lives in every state in the USA. Business analysts are the drivers of our continued growth… more
- The Cigna Group (Morris Plains, NJ)
- **Position Summary** The Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and ... client contractual needs. This role is highly cross-functional, with the lead analyst working across multiple departments in the company (eg Supply Chain, Knowledge… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Intelligence Analyst ** Education and Experience + Bachelor's degree in Business , Marketing, Economics, or a related field. Advanced degree is preferred. + ... Competitive Intelligence Analyst ** Education and Experience + Bachelor's degree in Business , Marketing, Economics, or a related field. + Master's degree or MBA… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Business Systems Analyst 2 (NYHELPS), Central Office; Occupational Category Other Professional Careers Salary ... Albany State NY Zip Code 12229 Duties Description This Business System Analyst -2 (BSA-2) position will support...at improving the efficiency and effectiveness of the system, business process, or product /service to fulfill the… more
- The Cigna Group (Bloomington, MN)
- The ** Product Management Lead Analyst ** will be a resourceful professional responsible for assisting with the Regulatory Process within the Regulated Markets ... impacted by applicable laws. + Ensuring feedback and documentation from impacted Business , Compliance, and Legal stakeholders is meaningful and supports that we have… more
- Wolters Kluwer (Riverwoods, IL)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims processing ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...and story grooming. **Qualifications:** + 3+ years as a Medicare /Medicaid Compliance Analyst - Revenue Cycle +… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Medicare Supplement, and individual plans. Reviews, evaluates, and monitors business compliance activities. Assists with product filings, gathers ... compiles, and reports compliance data. Supports regulatory change management, product development, market conduct exams, and compliance review. **Responsibilities**… more
- Mount Sinai Health System (New York, NY)
- …IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within Mount Sinai and is looking for team members who: + Are ... of patients. We are accelerating a transition to a business model focused on population health management - our...Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison between Contracting, Population Health,… more
- HCA Healthcare (Corpus Christi, TX)
- …Do you want to join an organization that invests in you as a(an) Finance Analyst Lead? At Corpus Christi Medical Center, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated Finance Analyst Lead like you to be a part of...and reconciliation of internal accounts + You will utilize Business Objects to extract utilization, reimbursement, and costing information… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Data Quality Analyst Exemption Status Exempt Department Business Intelligence Manager Title IS ... Enterprise Data Warehouse (EDW). In collaboration with EDW and Business Intelligence Teams, the Data Quality Analyst ...+ Experience with managed care concepts and health plan business processes + Experience with Medicaid and Medicare… more
- HCA Healthcare (Houston, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Financial Analyst Lead you want with your current employer? We have an exciting ... caring group of colleagues. Do you want to work as a(an) Financial Analyst Lead where your passion for creating positive patient interactions is valued? If… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Healthfirst (NY)
- …+ Supporting Annual Medicare Part C/D Bids + Monitoring performance on Medicare lines of business and update forecasts as appropriate + Compare actual ... Part C/D bid pricing model + Co-ordinate input from Product and Finance for each of our quarterly forecast...quarter + Other ad-hoc analysis on all lines of business **Minimum Qualifications:** + Bachelors degree in Actuarial Science,… more
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