- AdventHealth (Altamonte Springs, FL)
- **Senior Medicare Data & Finance Analyst ** **Location:** Virtual **All the benefits and perks you need for you and your family:** + Benefits from Day One + ... **Schedule:** Full-Time, Monday - Friday **The role you'll contribute:** The Senior Medicare Data & Finance Analyst is responsible for serving analytics… 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
- 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
- Vanderbilt University Medical Center (Nashville, TN)
- …**Organization:** Finance Reimb/Acct **Job Summary:** The primary purpose of the financial analyst is to support and perform analyses of financial matters related to ... reimbursement, net revenue and Medicare cost reporting. The work performed by this role...span both technical and professional services. Compiles and analyzes data from various internal/external databases and provides information to… more
- Cleveland Clinic (Independence, OH)
- Financial Analyst III - Medicare /Medicaid Reimbursement Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide ... most respected healthcare organizations in the world. The Financial Analyst III provides Financial or Revenue Cycle Management (RCM)... III provides Financial or Revenue Cycle Management (RCM) data , metrics and standard or ad hoc reporting to… more
- Centene Corporation (Jefferson City, MO)
- …operational implementation aligns to the original product intent. + Suggest data -based product portfolio recommendations to improve Medicare portfolio results, ... offering quality, competitive product solutions for growth and retention of our Medicare members. Support the development and execution of product changes within the… 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
- 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 ... locations.** **Preferred Location: Norfolk, VA.** The **Risk Adjustment Advanced Analyst Senior** is responsible for creating statistical models to predict,… 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
- TEKsystems (Honolulu, HI)
- ALOHA, Seeking a Medicare Analyst with a Data and Business Analyst experience | Full-time, contract to hire | Monday to Friday, 8:00 am- 5:00 pm HST | ... work. This position requires a blend of business and data analysis skills, focusing on healthcare and Medicare...manipulation (nice to have). Qualifications: - Experience as a Business/ Data Analyst in the healthcare industry. -… 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
- 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
- TEKsystems (Montgomery, AL)
- …no limits here on the resources you'll have or the challenges you'll encounter. As a Data Analyst within the Enterprise Data Services (EDS) team, you will be ... Report Developers and other analysts. Primary Responsibilities of the Data Analyst : * Provide qualitative program and...experience with one or more of the following: Medicaid data , Medicare data , Healthcare Exchange… 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
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst I collaborates with the principal investigator to develop sophisticated analytics that contribute to scientific ... Care - ISM, Icahn School of Medicine **Responsibilities** 1. Manages longitudinal claims data , including Medicare Carrier file and medication (Part D) data… more
- American Institutes for Research (Chapel Hill, NC)
- **Overview** Join AIR as a ** Data Analyst ** with ourHealth (https://www.air.org/our-work/health) team. Our Health team works collaboratively to unravel the ... senior team members on various tasks including querying large datasets including Medicare , Medicaid, and commercial payer claims data , cleaning and imputing… more
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