- 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 ... to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of...pricing outcomes + Analyzing and interpreting healthcare claims data, enrollment data, and other relevant information to identify trends… more
- 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 Clinical, ... the data scientist will analyze healthcare claims, clinical outcomes, customer enrollment patterns, and financial information to make recommendations based on… more
- Health First (Rockledge, FL)
- …**Job:** **Operations* **Organization:** **HF Administrative Plan Inc* **Title:** *HFHP Premium Analyst - Member Enrollment Billing* **Location:** *Florida - ... provides appropriate plans to resolve. Reports reconciliations issues to Lead Premium Analyst or Director of Operations for resolution approval. * Assists Lead… more
- Healthfirst (NY)
- …+ Work collaboratively with finance analysis, sales, marketing, Intake & Enrollment , and other departments as necessary to support market growth plans ... a health care delivery system or a health insurance company + Knowledge of Medicare and Medicaid programs, health care, and managed care + Python skills with ability… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Enrollment Analyst II Job Category: Customer Service Department: Enrollment Services Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Customer Solution Center Enrollment Analyst II is responsible for maintaining various databases and queries… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and...you will only be allowed to enroll during Open Enrollment or within 60 days from the date on… more
- Akin Gump Strauss Hauer & Feld LLP (Washington, DC)
- …Europe, Asia and the Middle East. We are currently seeking a Benefits Analyst in the Human Resources department, reporting to the Benefits Manager (Health). The ... benefit-related payroll changes; and communication and carrier liaison duties. The Benefits Analyst is expected to perform all responsibilities with a commitment to… more
- Kepro (Albany, NY)
- …business analysis experience in Healthcare Domain knowledge with good knowledge on Medicare /Medicaid - Provider Management and Enrollment System experience. + ... in Albany NY Acentra is looking for a Business Analyst Manager to join our growing team. Job Summary:...supervision for one or more systems such as Provider Enrollment , Provider Credentialing and Screening and cross-module Integration with… more
- Kepro (Albany, NY)
- …for health solutions in the public sector. Acentra is looking for a Senior Business Analyst to join our growing team. Job Summary: Senior Business Analyst is ... solutions involving complex information systems with no supervision for Provider Enrollment , Screening and Credentialing sub systems. This role involves managing… more
- MyFlorida (Fort Pierce, FL)
- HUMAN SERVICES ANALYST - 64006332 Date: Oct 25, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 839757 Agency: Department of Health Working Title: HUMAN SERVICES ANALYST - 64006332 Pay Plan: Career Service Position Number: 64006332 Salary:… more
- State of Minnesota (St. Paul, MN)
- …care organization, or state or federal government agency on issues related to Medicare or Medicaid eligibility and enrollment . + Variety of experiences working ... **Working Title: Health Care Eligibility Policy Analyst ** **Job Class: Human Services Program Representative 2**...Iowa, North Dakota, or South Dakota._** The Eligibility Policy Analyst position is an exciting opportunity for someone who… more
- Baylor Scott & White Health (Columbus, OH)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... adjustment data management and submissions to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS). **SALARY… more
- Kepro (GA)
- …partner for health solutions in the public sector. Acentra seeks a Senior Business Analyst to join our growing team. Job Summary: The role of the Senior Business ... Analyst is responsible for analyzing business problems, identify gaps,...involving complex information systems with no supervision for Provider Enrollment , Screening and Credentialing sub systems. This role involves… more
- Healthfirst (NY)
- **Duties and Responsibilities:** + Handle premiums, claims, enrollment , and administrative expense data for reports to government and regulatory entities (such as ... + Perform risk score, pricing and other data analytics for Medicare products + Assist in the Medicare Part C and Part D bid process, including bid preparation… more
- CareOregon (Portland, OR)
- …Nevada, Texas, Montana, or Wisconsin. Job Title IS Business Intelligence Analyst II Exemption Status Exempt Department Business Intelligence Manager Title IS ... the position is a leader when needed to identify new development and analyst tools to self-learn, build governance processes, implement, and then support other… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst I collaborates with stakeholders from across the organization to develop sophisticated analytics to provide information, ... Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and… more
- Sunrun (Lehi, UT)
- …thrive in through our commitment to diversity, inclusion and belonging. **Overview** The Benefits Analyst is a functional analyst within the Benefits team and is ... non-discrimination testing etc. + Support the annual benefits Open Enrollment process, including partnering with vendors/brokers/consultants to manage employee… more
- UCLA Health (Los Angeles, CA)
- Description The Provider Data Management Senior Analyst will be responsible for processing, maintaining, and updating all aspects of the provider information ... and study business data via EPIC, MD Staff (provider enrollment and claim system) or other repositories + Create/pull...experience + 3-4 years of experience working in a Medicare Advantage health plan or Managed Care team -… more
- Cambridge Health Alliance (Cambridge, MA)
- PACE Health Plan Analyst Apply Refer a Friend Back **Date Posted:** 11/07/2024 **Requisition Number:** 8816 **Location:** CHA East Cambridge Care Center **Work ... The position also supports participant government program eligibility (MassHealth and Medicare ), as well as PACE business office functions. **Responsibilities:** +… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Healthcare Analyst Exemption Status Exempt Department Informatics & Evaluation Manager Title Director ... is responsible for performing complex research and analysis of healthcare claims, enrollment , and other related data to provide advanced analytics and statistical… more
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