• Medicare Products Analyst

    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 ... development of the Medicare Advantage. This role supports Medicare product...Medicare Advantage product strategy and corresponding benefits. The Analyst will be instrumental in the building of plan… more
    Medical Mutual of Ohio (11/12/24)
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  • Senior Medicare Coverage Analyst

    Dana-Farber Cancer Institute (Brookline, MA)
    …location for this position is full remote with occasional time onsite.** The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research ... and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical… more
    Dana-Farber Cancer Institute (10/22/24)
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  • Senior Medicare Data & Finance…

    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 + ... Monday - Friday **The role you'll contribute:** The Senior Medicare Data & Finance Analyst is responsible for serving analytics needs across operations and… more
    AdventHealth (11/26/24)
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  • Senior Actuarial Analyst , Medicare

    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... Advantage plans + Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong… more
    Providence (10/31/24)
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  • Financial Analyst III - Medicare

    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)...analysis and report preparation. + Can prepare and file Medicare and Medicaid cost reports on a timely and… more
    Cleveland Clinic (11/22/24)
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  • Finance Medicare Reimbursement…

    AdventHealth (Altamonte Springs, FL)
    …Wednesday and Thursday onsite **The role you'll contribute:** The Reimbursement Analyst is responsible for assisting the Reimbursement Manager with the preparation ... of work papers for the filing of the annual Medicare , Medicaid, and Champus/Tricare cost reports, audit preparation and...of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for… more
    AdventHealth (11/20/24)
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  • Senior Public Policy Analyst

    CareFirst (Washington, DC)
    **Resp & Qualifications** **PURPOSE:** The Senior Public Policy Analyst monitors, evaluates, and provides recommendations on strategy and communications regarding ... issues in support of the company's business objectives and requirements. The Analyst has key responsibility for supporting policy development on key issues, ensuring… more
    CareFirst (10/01/24)
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  • Senior Product Analyst - Medicare

    Centene Corporation (Jefferson City, MO)
    …offering quality, competitive product solutions for growth and retention of our Medicare members. Support the development and execution of product changes within the ... performance. Support the development and execution of product changes within the Medicare product life cycle and be responsible for delivering fully compliant… more
    Centene Corporation (11/23/24)
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  • Actuarial Lead Analyst - Medicare

    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...to management and associates. **Responsibilities:** Primary focus areas are Medicare pricing and CMS bid and supporting documentation development,… more
    The Cigna Group (10/23/24)
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  • Medicare Advantage EDI Analyst

    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 ... required * Five or more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5 years of experience with Encounter… more
    UCLA Health (10/17/24)
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  • LPN/LVN Case Management Analyst

    The Cigna Group (Bloomfield, CT)
    …goals, and service levels + Proficient knowledge of policies and procedures, Medicare , HIPPA and NCQA standards; + Professional demeanor and the ability to ... work effectively within a team or independently; + Flexible with the ability to shift priorities when required + Other duties as required **Qualifications:** + Current Licensed Practical Nurse LPN or Licensed Vocational Nurse LVN. + Active unrestricted license… more
    The Cigna Group (11/26/24)
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  • Business Analytics Lead Analyst

    The Cigna Group (Nashville, TN)
    **Job Description** The Cigna Medicare Strategic Analytics Team (MSAT) offers solutions which provide actionable insights to internal and external business partners ... and customers to help reduce health costs, improve outcomes, provide financial security and measure and forecast business performance. This position is a hands-on role responsible for providing requirements to develop business reporting objects and for… more
    The Cigna Group (11/23/24)
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  • Analyst , Medicare Sales…

    Healthfirst (NY)
    …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 ... to create automated data pulls and manipulations WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity,… more
    Healthfirst (11/07/24)
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  • Data Business Analyst

    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 | Remote ... a blend of business and data analysis skills, focusing on healthcare and Medicare / Medicare claims. The ability to present information and findings to leadership… more
    TEKsystems (11/21/24)
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  • Actuarial Analyst III - Medicare

    Elevance Health (St. Louis, MO)
    …Elevance Health PulsePoint locations. **Preferred Location: Indianapolis, IN.** The **Actuarial Analyst III** will complete very diverse and complicated projects and ... complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements risk… more
    Elevance Health (10/30/24)
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  • Medicare Risk Adjustment Advanced…

    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
    Elevance Health (11/21/24)
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  • Health Plan Commission & Operations Analyst

    Banner Health (AZ)
    …prompt payment of broker commissions and HRA payments. ** Medicare Sales and/or Medicare Sales Commission Analyst work history required for this role.** You ... in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs...work settings. As a Health Plan Commissions and Operations Analyst , your role will be to ensure the accurate… more
    Banner Health (11/22/24)
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  • Medicare Provider Performance Enablement…

    The Cigna Group (Sunrise, FL)
    …primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance Enablement Lead Analyst 's responsibilities ... **Role Summary** The Provider Performance Enablement Lead Analyst is a key member of the market...members contribute to the growth and profitability of the Medicare Advantage business in their market in the following… more
    The Cigna Group (10/03/24)
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  • Medicare Cost Reporting and Reimbursement…

    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...trend analysis. Supports preparation and detail analytics associated with Medicare reimbursement including: + Preparation of the annual cost… more
    Vanderbilt University Medical Center (11/22/24)
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  • Sr Analyst , Config Info Mgmt-…

    Molina Healthcare (WI)
    …conversion of new and existing health plans. + Must have experience working on QNXT/ Medicare /NetworX + Must have experience working on SQL. + Medicare claims ... experience is a huge plus + Medicare Fee Schedule knowledge is desired. + Must be able to work in a fast paced environment while also meeting the SLAs and high volume work. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent… more
    Molina Healthcare (11/07/24)
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