- Insight Global (Newtown, PA)
- …Skills and Requirements - 8+ years of experience as a Business Systems/ Data Analyst - 5+ years in the healthcare ( Medicare /Medicaid/payor space) - Strong SQL ... insurance company's Enterprise Data Office is hiring for a Data / Business Systems Analyst with strong techno functional experience to lead data … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … Medicare population. + Partners with technical teams to design and improve Medicare data intake and storage infrastructure to enable efficient analytics. + ... member of the Government Programs Star Performance team, the Medicare Stars Analyst provides ongoing analytic support...have an established track record of identifying and executing data driven solutions across a myriad of projects, including… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... score calculation, enrollment, premiums, medical and pharmacy claims, and provider data . Incumbent is responsible for performing complex analyses and problem… more
- Geisinger (Danville, PA)
- Job Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate ... will have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the ability to… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also...and report outcome results on edits implemented. + Utilize data to examine large claims data sets… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Data Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data ... join us. The Impact You Will Have The Senior Data Analyst directs and provides analysis required...issues. The ideal candidate will have experience with Encounter Data , Medicare Advantage, Medicaid, ACA commercial, and… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director...- including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid… more
- Johns Hopkins University (Baltimore, MD)
- …implementing, and managing a plan to translate data into insights. The Sr. Data Analyst will provide expertise in data analysis and illustrations to ... manage, analyze, and interpret large healthcare datasets, including Medicaid, Medicare , commercial, and all-payer claims. We are seeking a...monitor programs, projects, and general business success. The Sr. Data Analyst will serve as a … more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Analyst ( Data Science Analyst I) collaborates with stakeholders from across the organization to develop sophisticated ... This individual demonstrates sound understanding of the healthcare domain, technical data manipulation and analytic development skills and impact the patient… more
- UTMB Health (Galveston, TX)
- Healthcare Data Analyst , Health and Clinical Outcomes Research (Onsite) **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health ... Center for Health and Clinical Outcomes Research (H-COR) invites applications for a ** Data Analyst ** to help convert complex clinical and population-health … more
- Huntington Ingalls Industries (Woodlawn, MD)
- …necessary to support integrated ISR operations and accelerated decision-making. With data fusion and mission management capabilities for the Department of Defense, ... leading the next evolution of national defense - the data evolution - by accelerating a breadth of national...Mission Technologies is seeking a Health and Policy/Economics Intelligence Analyst for a hybrid work arrangement, combining telework and… more
- Harvard University (Cambridge, MA)
- Details Title Research Associate/ Data Analyst School Harvard School of Dental Medicine Department/Area Oral Health Policy and Epidemiology Position Description ... We are seeking a research Data Analyst in the Department of Oral...research projects + Previous experience with health care claims ( Medicare , Medicaid, and private insurance plans) strongly preferred +… more
- Prime Therapeutics (Harrisburg, PA)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data ... and consultative work such as analyzing and interpreting client pharmacy benefit data , trends and reports and partnering with analytics team to deliver… more
- Waystar (Duluth, GA)
- …learning. **WHAT YOU'LL DO** Waystar is seeking a curious, analytical, and detail-driven Data Analyst Intern to join our Summer 2026 Internship Program. This ... smarter decisions in the healthcare technology space. As a Data Analyst Intern, you'll collaborate with cross-functional...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- TEKsystems (Montgomery, AL)
- …is configured to meet the business needs. This will require the Business Analyst to be very comfortable understanding the contract, the business, and the ... this effort, the AMA is seeking an experienced Business Analyst to be a member of the Medicaid Enterprise...software configuration activities * Assist with Centers of Medicaid, Medicare Service (CMS) reporting and certification process * Maintain… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The ... the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end… more
- AmeriHealth Caritas (Detroit, MI)
- **Role Overview:** ;The Provider Network Operations Data Analyst plays a key role in maintaining accurate provider data and fostering strong relationships ... the health plan and its contracted and non-contracted providers across Medicaid, Medicare , and Exchange products. This role ensures provider information is correctly… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... system specifications that support claims payment and criteria for data bases that support analysis as well as training...use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** +… more
- University of Maryland, Baltimore (Baltimore, MD)
- …to work primarily physically within the State of Maryland.*/ *_Primary Duties_* /Research Analyst / * Develop effective methods of data collection and assessment. ... part of data collection, analysis, and reporting process. /Senior Research Analyst / * Responsible for conducting advanced analysis and support for research… more
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