- Baylor Scott & White Health (Annapolis, MD)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... to government agencies such as Centers for Medicare and Medicaid Services (CMS) or Health & Human Services (HHS)....processing and submission issues and develops recommendations based on data and industry standards. + Performs various financial… more
- Humana (Annapolis, MD)
- …health first** The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 1, Analytics/Forecasting… more
- Humana (Annapolis, MD)
- …health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting… more
- Prime Therapeutics (Annapolis, MD)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is ... and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in complex projects that are… more
- Prime Therapeutics (Annapolis, MD)
- …pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support, and maintain financial and ... drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst ...and projections + Perform and review ad hoc pharmacy data mining and analyses to help investigate and answer… more
- Elevance Health (Hanover, MD)
- **Business Analyst II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The **Business Analyst II** works within the Cost Containment Unit (CCU) which is… more
- Public Consulting Group (Annapolis, MD)
- …specific timeline and budget while working at a detailed level. + Strong analytical and financial data analysis skills. + Attention to detail and ability to work ... to succeed. Services: + Teaching + Learning Solutions + Data Systems + IT Solutions + Financial ...service delivery for state behavioral health authorities. + Conducts financial analysis for Medicaid rate studies and… more
- Public Consulting Group (Annapolis, MD)
- …client relationships. + Strong quantitative skills and ability to analyze and interpret financial data . + Ability to research, analyze and interpret policy, ... HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal… more