- Phoebe Ministries (Allentown, PA)
- Medicaid Analyst Full-time - Allentown, PA Phoebe Ministries is hiring a Medicaid Analyst to join our long-term care facility in Allentown, PA. We show ... + Tuition Reimbursement. + Service Awards & Recognition Gift Cards. Responsibilities for a Medicaid Analyst with Phoebe Allentown: The Medicaid Analyst … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025...& Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim ... our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for ...and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions.… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18,...& Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and ... us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for ...and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions.… more
- Sumitomo Pharma (Columbus, OH)
- …a dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for ... clean up historical utilization that is routinely submitted with Medicaid claims. In addition, the analyst will...validity of rebate invoices. Work with large amounts of data and be able to analyze for anomalies, outliers,… more
- MyFlorida (Miami, FL)
- MEDICAID FRAUD ANALYST II - 41000989 Date: Jan 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 844143 Agency: Office of the Attorney General Working Title: MEDICAID FRAUD ANALYST II - 41000989 Pay...matters and analytical projects. Create customized downloads from on-line Medicaid claims data warehouse as requested by… more
- Molina Healthcare (TX)
- …metrics in healthcare + Ability to mine and manage information from large data sources. **Preferred Qualifications:** + Experience with Medicaid + Experience ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- CareFirst (Owings Mills, MD)
- **Resp & Qualifications** **PURPOSE:** The Actuarial Analyst II will perform individual project tasks as requested, execute calculations of moderate complexity, and ... incumbent is responsible for utilizing various sources to procure data and then turning that data into...in a variety of actuarial analyses that may include Medicaid rate review, financial forecasts, trend analysis, provider contract… more
- Molina Healthcare (NY)
- …rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + Support ... the development of the IBNR estimates and rate adequacy studies. Document assumptions. + Analyze results to identify early signs of trends or other issues related to medical care costs. + Perform actuarial studies related to medical care costs and trends. +… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Sign Up for Job Alerts Office of the Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL… 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
- State of Montana (Helena, MT)
- …be considered on a case-by-case basis. o Preference given for experience using a Medicaid data system such as Medicaid Management Information Systems (MMIS), ... Analyst on development, tracking and projecting the divisions Medicaid budget expenditures. The Operations Research Section Supervisor assists the division… more
- Staffing Solutions Organization (Albany, NY)
- …they serve. ** Medicaid Program Advisor, Albany NY** **DDSA - 1140** **Summary** The ** Data Analyst ** will work within the Division of Data Services & ... and provide insight into the management and quality of data in the NYS Department of Health's Medicaid... data in the NYS Department of Health's Medicaid program. Comprehensive on-the-job training and peer/supervisory support will… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Principal Healthcare Data Analyst - Albany, NY** **DDSA - 1167** **Summary** The AI Solutions ... methodologies to solve problems. The role will help leverage accelerators within OHIP's Medicaid Data Warehouse (MDW) Google-based AI platform by helping create… 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 ... required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality...for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. Must demonstrate advanced SQL… more
- American Institutes for Research (MA)
- **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
- Children's Hospital Los Angeles (Los Angeles, CA)
- …rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Data Science Analyst III, under the direction and supervision ... play a hands-on role in our Office of Enterprise Data (OED). The Data Science Analyst...data ) and analytics, data management, and data visualization. Understanding of Medicaid programs and… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Senior Healthcare Data Analyst - Albany, NY** **DDSA - 1176** **Summary** This position is a ... this title will gain and maintain a strong working knowledge of the Medicaid data , solution testing principles and best practices. + The candidates must be… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Data Quality Analyst Exemption Status Exempt Department Business Intelligence Manager ... one of the listed 9 states. Job Summary The Data Quality Analyst is responsible for monitoring...concepts and health plan business processes + Experience with Medicaid and Medicare programs + Experience applying system development… more
- MyFlorida (Tallahassee, FL)
- 68064836 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Jan 7, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Health Care Administration Working Title: 68064836 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064836 Salary: $1,794.92… more
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