- The Cigna Group (Franklin, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the ... data science, strategic insights, and collaboration with our internal partners. The Data Scientist Lead analyst will interface across multiple business areas,… more
- The Cigna Group (Bloomfield, CT)
- …amounts of information with attention to detail and accuracy + Work experience as a Data Analyst in Medicare Stars, specifically in operations and reporting ... for Cigna Healthcare, performing research and analysis within the Medicare Stars program with a focus on HEDIS Stars... Star Ratings. The Business Analytics Advisor will analyze data including healthcare claims, clinical outcomes and Stars quality… more
- The Cigna Group (Nashville, TN)
- **Job Description** Medicare Technology Operations - Data Measurement and Reporting Lead Analyst **Overview** Guides the team to deliver tasks in the Data ... and correction of data abnormalities through sustainable means. **Responsibilities** The Data Measurement and Reporting Lead Analyst will play an important… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare Advantage Products Analyst plays an integral role in the product ... of the Medicare Advantage. This role supports Medicare product management by evaluating data trend...Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in the building of plan… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …activities. May include the collection, preparation, review, and submission of information, data , and documents to Medicare Advantage Compliance Officer or ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans..... Working knowledge of SQL, QMF, and or other data extract methods. Medical Mutual is looking to grow… more
- Providence (WA)
- …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
- The Cigna Group (Denver, CO)
- … will be responsible for performing reporting and analysis within the Clinical & Data Science Analytics team for Medicare Strategic Analytics. Reporting to the ... Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes associated...partners to improve customer care and affordability for Cigna Medicare . This role will help us accomplish this through… more
- Actalent (Phoenix, AZ)
- Job Title: Clinical Trial Coverage Analyst Job Description We are seeking a Clinical Trial Coverage Analyst to join our pre-award team. The primary ... items to insurance, based on federal and state billing regulations, including Medicare 's National Coverage Decision (NCD) 310.1. This role requires a keen… more
- The Cigna Group (Plano, TX)
- **Summary** The Business Analytics Lead Analyst will be an individual contributor responsible for supporting the analytics strategy for Medicare Health Services, ... Clinical Analytics team. This role will help us accomplish this through data -driven analytics, strategic insights, and collaboration with our internal partners. In… more
- The Cigna Group (Philadelphia, PA)
- Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense analyses and projections, financial forecasts, ... Medicare Part C bid development, regulatory (CMS) filings, actuarial...field strongly preferred + 3+ years of actuarial / data analytics experience + Actively progressing through Society of… more
- Molina Healthcare (WI)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence...existing health plans. + Must have experience working on QNXT/ Medicare /NetworX + Must have experience working on SQL. +… more
- Waystar (Duluth, GA)
- **ABOUT THIS POSITION** The Technical Support Analyst is responsible for providing superior support to our clients with the highest degree of care and client ... Waystar's healthcare payments platform combines innovative, cloud-based technology, robust data , and unparalleled client support to streamline workflows and improve… 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
- The Cigna Group (Nashville, TN)
- …experience in healthcare analytics; value-based care experience preferred + Experience with government medicare data highly desired + Data extraction and ... a value-based care arrangement + Extract, analyze, and validate large sets of data used to analyze trends + Deliver monthly analytics packages to Network Operations,… 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
- Medical Mutual of Ohio (Brooklyn, OH)
- …us and help our members achieve their best possible health and quality of life. Master Data Management Analyst I-IV The MDM Analyst within the Enterprise ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....as well as Integrations from/to Source/Target systems across multiple data domains. The MDM Analyst will utilize… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Analyst / Professional generates ad hoc reports and regular datasets ... data warehouse queries and scripts. The Senior Data and Reporting Analyst / Professional +...recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years.… more
- Delta Dental of Iowa (Johnston, IA)
- Associate Data Analyst - Government Programs Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time ... Join us at Delta Dental of Iowa as anAssociate Data Analyst - Government Programsand be part...deliverables and program oversight related to our Medicaid and Medicare Advantage business. You will compile data … more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Operations Data Analyst II position allows you the_** **_flexibility to work a hybrid schedule (on-site and at home)_** **_as long as you reside within a ... pre-employment substance abuse and nicotine testing._ **Title:** _PAR - Operations Data Analyst II_ **Location:** _OH-Toledo_ **Requisition ID:** _2400303_ more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Operations Data Analyst III position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Toledo, OH Medical ... pre-employment substance abuse and nicotine testing._ **Title:** _PAR - Operations Data Analyst III_ **Location:** _OH-Toledo_ **Requisition ID:** _2400444_ more
Related Job Searches:
Analyst,
Data,
Data Analyst,
Medicare,
Medicare Analyst,
Medicare Data Analyst SAS