- Providence (OR)
- …people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible for developing and ... maintaining actuarial models, analyzing data , and providing strategic insights to support the pricing...to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of… more
- TEKsystems (Honolulu, HI)
- …you. Responsibilities: + Be the subject matter expert in Medicare and Medicare claims. + Analyze healthcare data to identify trends, patterns, and insights. ... local healthcare company that is looking to become an Analyst . This position will play a crucial role in...This position will play a crucial role in analyzing data , developing insights, and supporting the decision-making process with… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** Are you an experienced actuarial professional with a passion for Medicare Advantage? Join our dynamic team as a Senior Actuarial Analyst , ... analysts and actuaries as needed. + Retrieve and validate data for actuarial models, build model enhancements, and analyze...required). + Minimum of 4 years of experience in Medicare Advantage. + Completion of at least 5 actuarial… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …of benefits information and proactively resolving COB issues. **Job Title: Medicare Benefits Validation Analyst ** **Location: Pearland Administrative Office** ... maximize revenue, creating queries and reports to analyze claims cost trends. It synthesizes data into reports, validates data , and presents issues and trends to… more
- G-TECH Services, Inc. (Detroit, MI)
- …. Familiar with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. . **Top 3 Required ... activities with varying timelines. . Familiarity with Chapter 2 - Medicare Advantage Enrollment and Disenrollment guidance . . **Required Skills/Experience -… more
- AmeriHealth Caritas (Philadelphia, PA)
- …Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** Support Medicare by managing various workflows essential to effectively executing ... and respond to audits. The ability to analyze and visually interpret large data sets is critical. Responsible for analyzing, maintaining, and deduplicating data … more
- UCLA Health (Los Angeles, CA)
- …this and more at UCLA Health. As an important member of our Medicare Advantage Operations team, you will be instrumental in maintaining and running processes/jobs ... This will involve working with external trading partners, transferring/loading data through secure channels, and testing files from new...more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5… 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 ... of our Elevance Health PulsePoint locations.** The **Risk Adjustment Advanced Analyst Senior** is responsible for creating statistical models to predict, classify,… more
- Healthfirst (NY)
- …growth and retention trends and identifying drivers + Ability to efficiently validate data and analyses to identify potential errors in final results + Highly ... and written communication skills with the ability to translate data to business insights (in other words, you are...system or a health insurance company + Knowledge of Medicare and Medicaid programs, health care, and managed care… more
- Molina Healthcare (AZ)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …achieve their best possible health and quality of life. **Responsibilities** **Clinical Quality Data Analyst I** **Supports the design, execution and delivery of ... knowledge, skills and abilities. . Performs other duties as assigned. **Clinical Quality Data Analyst II** **Designs, executes and delivers analyses and reports… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The_** **_Government Data Analyst III_** **_position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, ... related field. Advanced degree preferred. . 3 years' experience as a Government Programs Data Analyst or equivalent experience in statistical or data … more
- Medical Mutual of Ohio (OH)
- …(Will need to be onsite 1 day/week)** **Responsibilities** **Value-Based Contracting Data Analyst ** **JOB SUMMARY:** Working under general supervision, supports ... within the pricing and payment tool (EZ Cap). **Senior Value-Based Contracting Data Analyst ** **JOB SUMMARY:** Working under limited supervision, coordinates the… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III (Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement… more
- University of Colorado (Aurora, CO)
- ** Data Analyst (Open Rank Research Instructor, Research Associate)** **Description** **University of Colorado Anschutz Medical Campus** **Department: Center for ... Bioethics and Humanities** **Job Title:** ** Data Analyst (Open Rank Research Instructor, Research...physicians, and health services researchers in quantitative research using data sources including Medicare claims and survey… more
- AmeriHealth Caritas (Southfield, MI)
- …providers for all products, Medicaid, Medicare and Exchange. The Provider Network Data Analyst I ensures that providers' status with the health plan is ... MUST LIVE IN THE GREATER SOUTHFIELD, MI AREA **Responsibilities:** The Provider Network Data Analyst is responsible for supporting the development of positive… more
- CVS Health (Albany, NY)
- …personal, convenient and affordable. Aetna Medicare Product Tools & Technology is seeking a Data Analyst to join our exciting team. As a Data Analyst ... tasks, creating/validating reports, and testing in support of Aetna's Medicare business. You will work closely with other developers,...Required Qualifications : 2+ years of experience as a Data analyst . 2 + years of experience… more
- Johns Hopkins University (Washington, DC)
- …Modeling at Johns Hopkins University is seeking a motivated and experienced **_Research Data Analyst /Pre-Doctoral Researcher_** (Research Data Analyst ) ... and collaboratively. + Excellent organizational and time-management skills. Classified Title: Research Data Analyst Job Posting Title (Working Title): Research … more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... achieve their best possible health and quality of life. **Corporate Strategy Analyst III** The Corporate Strategy team works closely with senior leaders across… more
- New York State Civil Service (Albany, NY)
- …Agency People With Developmental Disabilities, Office for Title Employment First Data Analyst Occupational Category Administrative or General Management Salary ... NY Zip Code 12229 Duties Description The Employment First Data Analyst will be part of an...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
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