• Sr Actuarial Analyst - Medicare

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** Are you an experienced actuarial professional with a passion for Medicare Advantage? Join our dynamic team as a Senior Actuarial Analyst , ... actuarial research, experience studies, and statistical analyses using Excel, SQL, and SAS . + Calculate premiums, risk scores, and reserves for new and existing… more
    BlueCross BlueShield of North Carolina (01/07/25)
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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 ... of our Elevance Health PulsePoint locations.** The **Risk Adjustment Advanced Analyst Senior** is responsible for creating statistical models to predict, classify,… more
    Elevance Health (01/10/25)
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  • Clinical Quality Data Analyst

    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
    Medical Mutual of Ohio (12/08/24)
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  • Clinical Data Analyst III (Tableau,…

    LA Care Health Plan (Los Angeles, CA)
    …preferred. Licenses/Certifications Required Licenses/Certifications Preferred Statistical Analysis System ( SAS ) Certification Certified Healthcare Data ... Clinical Data Analyst III (Tableau, SQL) Job.... Develop automatic, robust and sharable Statistical Analysis System ( SAS ) or Structured Query Language (SQL) procedures and programs… more
    LA Care Health Plan (11/20/24)
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  • Provider Reimbursement Analyst

    Medical Mutual of Ohio (OH)
    … Supplement, and individual plans.** **Responsibilities** **Provider Reimbursement Analyst II** Under general supervision, supports assigned provider network ... on various projects related to the analysis of claims, clinical and financial data , with a focus on improvement of financial and/or clinical outcomes. . Gathers… more
    Medical Mutual of Ohio (11/20/24)
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  • Government Programs Data Analyst III

    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
    Medical Mutual of Ohio (01/11/25)
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  • Business Intelligence Programmer Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. The Business Intelligence ... Programmer Analyst is responsible for transforming business requirements into BI...not limited to understanding and retaining knowledge of corporate data sources; working collaboratively with Business and Quality Analysts… more
    Medical Mutual of Ohio (12/04/24)
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  • Sr. Data Analyst , Risk Adjustment

    Point32Health (Canton, MA)
    …and submission trends. + Create various reconciliations and ad hoc reports. + Use SAS to extract and transform data to create reports from multiple sources. ... or auditing firm. + Understanding of claims systems, provider information, Medicaid/ Medicare , and/or experience working with large data sets preferred.… more
    Point32Health (01/03/25)
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  • Consulting Analyst

    Medical Mutual of Ohio (OH)
    …organization. . Master's degree preferred. . Advanced experience and expertise in data extraction and analytical programming languages ( SAS , SQL, Databricks, ... organization. . Master's degree preferred. . Advanced experience and expertise in data extraction and analytical programming languages ( SAS , SQL, Databricks,… more
    Medical Mutual of Ohio (01/07/25)
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  • Provider Network Performance Analyst

    Medical Mutual of Ohio (Brooklyn, OH)
    …contracting regions with quality, utilization, and cost analysis. **Provider Network Performance Analyst I** + Gathers and maintains data from multiple sources ... Analyst II** + Conducts quality assurance analysis on data from multiple sources to identify potential errors or...Office and database reporting skills. + Basic knowledge of SAS . + Strong knowledge of insurance concepts, plan administration,… more
    Medical Mutual of Ohio (12/12/24)
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  • Data Analyst

    Convey Health Solutions (Chicago, IL)
    As a Data Analyst , you will be responsible...with Jupyter Hub & EMR Studio and Statistical software SAS * Pareto utilizes Tableau for data ... for analyzing, interpreting, and reporting data related to Pareto's various solutions, with a primary concentration on Pareto's Quality solutions, which are focused… more
    Convey Health Solutions (01/25/25)
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  • Statistical Analyst /Programmer

    Harvard University (Cambridge, MA)
    …- MA - Boston Business Title:Statistical Analyst /ProgrammerSub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) :056Time Status:Full-time Union:00 ... years of related work experience required + Statistical programming experience in SAS required + Strong database management and computer skills required Additional… more
    Harvard University (01/03/25)
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  • HEDIS Quality Improvement Analyst I

    Medical Mutual of Ohio (Brooklyn, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... goals in alignment with regulatory specifications for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for all lines of… more
    Medical Mutual of Ohio (12/04/24)
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  • Senior Actuarial Analyst

    Point32Health (Canton, MA)
    …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Senior Actuarial Analyst will support the financial Forecasting and Pricing needs for ... Medicare Supplement Products as well as the Forecasting and...what you will be doing** Support the analysis and data needs for a broad range of financial and… more
    Point32Health (01/03/25)
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  • Programmer Analyst for Cancer Health…

    University of Southern California (Los Angeles, CA)
    …Keck School of Medicine Los Angeles, California Cancer Health Services Data Analyst (Programmer Analyst I) The USC ... science. The successful candidate will possess expertise in quantitative data analysis, use of large datasets, including SEER- Medicare...SAS , STATA, or R programming is required. The analyst will be an integral part of the research… more
    University of Southern California (12/23/24)
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  • Sr. Statistical Programmer Analyst

    Johns Hopkins University (Baltimore, MD)
    …submission, and publication of study manuscripts. + Support the mentorship of junior data analyst colleagues. **Special Knowledge, Skills, & Abilities** + Direct ... Institute of Mental Health. The position will involve analysis of Medicaid and Medicare claims and encounters data , including implementing code to identify… more
    Johns Hopkins University (11/15/24)
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  • Employer Group Consulting Analyst

    Medical Mutual of Ohio (OH)
    …preferred. Technical Skills and Knowledge . Experience and demonstrated expertise in data extraction and analytical programming languages (Databricks, SAS , SQL, ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Design and execute… more
    Medical Mutual of Ohio (12/19/24)
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  • Actuarial Analyst

    Healthfirst (NY)
    …NYDOH, etc.) as well as routine internal reports + Perform risk score, pricing and other data analytics for Medicare products + Assist in the Medicare Part C ... working with large and complex datasets, including both financial and healthcare data + Work experience within Managed Care, Medicare /Commercial Healthcare or… more
    Healthfirst (01/12/25)
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  • Actuarial Analyst I

    CareOregon (Portland, OR)
    …duties as needed. Knowledge, Skills and Abilities Required Technical: + Working knowledge of data management techniques + Exposure to SAS , SQL, R or similar ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Position Title: Actuarial Analyst I Department: Finance Title of Manager: Actuarial Services Manager… more
    CareOregon (01/21/25)
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  • Senior Actuarial Analyst

    Healthfirst (NY)
    **Duties and Responsibilities:** + Supporting Annual Medicare Part C/D Bids + Monitoring performance on Medicare lines of business and update forecasts as ... Economics or any related degree + Work experience within Managed Care, Medicare /Commercial Healthcare or Hospital in the actuarial field + Experience with… more
    Healthfirst (01/11/25)
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