- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...contracted provider demographic records by validating and submitting all data management requests for completion. + Prepare for and… more
- Highmark Health (Phoenix, AZ)
- …The incumbent provides analysis in the develop and support of HEDIS and Medicare Star data analysis. Determines how decision support systems will provide ... MUST BE US Citizen (due to contractual/access requirements) This job understands end-to-end data processes and flows and using that knowledge to design and implement… more
- Prime Therapeutics (Phoenix, AZ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...+ Collaborate with Underwriters, other areas of Prime, and senior leaders on pricing initiatives, data analyses,… more
- The Cigna Group (Scottsdale, AZ)
- …Pharmacy line of business is a critical driver of enterprise earnings and ongoing Medicare growth. The Medicare Part D Actuarial organization currently drives a ... that work to drive insights that span across the Medicare Part D landscape. As a dedicated analytics partner...for developing analytical outputs and communicating the results to senior business leaders. In particular, they will develop our… more
- Mathematica (Phoenix, AZ)
- Position Description: Mathematica applies expertise at the intersection of data , methods, policy, and practice to improve well-being around the world. We collaborate ... (HCLS) practice in our Health Business Unit. As a *Business Development Strategy* * Analyst *,** you will be part of the strategy and operations team within the… more
- Banner Health (Phoenix, AZ)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 5. Able to… more
- Highmark Health (Phoenix, AZ)
- …new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate ... for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process… more
- Humana (Phoenix, AZ)
- …help us put health first** We are looking for an EMR interface analyst to support seamless integration and interoperability between various systems as PCO migrates ... related field + 8 or more experience as a senior developer in large IT projects + Experience with...large IT projects + Experience with leading and conducting Data Extractio Migration, Data conversion and archiving… more