- BlueCross BlueShield of North Carolina (NC)
- …a passion for Medicare Advantage? Join our dynamic team as a Senior Actuarial Analyst , where you'll leverage your expertise in mathematics, probability, ... and business principles to support our rating/pricing, valuation, healthcare economics, and financial forecasting efforts. + Collaborate with a team of actuaries to… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …departments, ensuring financial processes are efficient and aligned with company goals. Sr Financial Analyst Responsible for analyzing financial ... V-lookups, macros and formulas** **.** **Power BI (preferred)** **.** **SQL (preferred)** ** Sr Financial Analyst ** **.** **Advanced Microsoft Office and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …pre-employment substance abuse and nicotine testing._ **Title:** _Competitive Intelligence Analyst Sr .-Lead_ **Location:** _OH-Brooklyn_ **Requisition ID:** ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....achieve their best possible health and quality of life. ** Sr . Competitive Intelligence Analyst ** **Plays a pivotal… more
- Commonwealth Care Alliance (Boston, MA)
- …. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective claims auditing ... This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for… more
- WMCHealth (Valhalla, NY)
- Sr . Revenue Integrity Analyst - On-site position Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Professional/Non-Clinical ... Internal Applicant link Job Details: Job Summary: The on-site Sr . Revenue Integrity Analyst reviews and revises...to ensure uniform coding and documentation. + Recommend sound financial best practices that are able to withstand audits.… more
- Providence (OR)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible ... well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance + Analyzing… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. + Analysis and reporting related to Managed care data like Medical… more
- Healthfirst (NY)
- **Duties & Responsibilities:** + Value new medical cost initiatives, applying financial modeling expertise and using independent judgement to determine the best ... and perform due diligence on potential value-based arrangements to assess financial impact, ensure operational feasibility, and identify impact on existing programs.… 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 one of our Elevance Health PulsePoint locations.** The **Risk Adjustment Advanced Analyst Senior ** is responsible for creating statistical models to predict,… more
- Healthfirst (NY)
- …management meetings to discuss analysis requests, inform network management on the latest financial trends, and to keep abreast of the changes occurring in our ... community. + Keep abreast of New York Medicaid and Medicare reforms and their impact on the health plan...Qlik View or, Power BI) + Experience in modeling financial impact of provider reimbursement changes. + Experience in… more
- Point32Health (Canton, MA)
- …or auditing firm. + Understanding of claims systems, provider information, Medicaid/ Medicare , and/or experience working with large data sets preferred. **SKILL ... of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit… more
- Healthfirst (NY)
- …internal and external audiences + Support team in analysis of the financial performance of e Integrated Products, identify favorable and unfavorable trends, develop ... competitive reports + Prepare ad-hoc reporting as required by senior management and external partners + Support team in...in creation of models to forecast growth performance and financial outcomes + Effectively manage projects by setting clear… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Sr Financial & Provider Compensation Analyst Full time, 80 hours per pay period, Day shift Covenant Medical Group is Covenant Health's employed and ... Responsible for providing support to the VP of Finance by analyzing financial information and developing proformas on new practices, capital purchases, expense… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and purpose of the job. Reporting to the Director of Physician Revenue Cycle, the Senior Revenue Cycle Analyst ( Sr . RCA) is both a transformational leader ... and an analyst . The Sr . RCA has an in-depth...Children?s Healthcare Alliance (PCHA) and hospital revenue cycle. The Senior Revenue Cycle Analyst will collaborate with… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Senior Financial Analyst II (Remote) **Cost Center:** 101651010 ... (United States of America) **Job Description:** **JOB SUMMARY** The Senior Financial Analyst II is...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Medical Mutual of Ohio (OH)
- …stakeholders. + Strong financial modeling, budgeting, analysis skills ** Sr . Corporate Strategy Analyst ** Education and Experience + Bachelor's ... thinking, motivation to learn, and a proactive approach to problem solving. ** Sr . Corporate Strategy Analyst ** Assists in developing Medical Mutual's multi-year… more
- HCA Healthcare (Brentwood, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...make a difference. We are looking for a dedicated Financial Analyst like you to be a… more
- J&J Family of Companies (Titusville, NJ)
- Johnson & Johnson Innovative Medicine is recruiting for a Senior Financial Analyst , Government Contract Compliance Finance. This position is based in ... forecast cycles to provide handoffs related to the Medicaid, Medicare , Federal Supply Schedule & 340B Programs for supported...Finance degree preferred. + MBA, CPA, CMA, or other financial certifications preferred Experience / Skills: + A minimum… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will...best practices. + Compile, monitor and report on project financial data, including but not limited to, planned spend,… more
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