- 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)....claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting gaps, risk gaps,… more
- Prime Therapeutics (Annapolis, MD)
- …and maintain financial and complex actuarial models + Lead, perform, and review data analyses, reporting , and projections + Lead, perform, and review complex ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial ...for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in… more
- Prime Therapeutics (Annapolis, MD)
- …+ Build, support, and maintain financial and actuarial models + Perform and review data analyses, reporting , and projections + Perform and review ad hoc pharmacy ... drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst ... data mining and analyses to help investigate and answer… more
- Evolent Health (Annapolis, MD)
- …Be Doing:** The Client Analytics team offers candidates the opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We ... have a unique mix of health care domain and data expertise enabling analytics offerings relevant to our stakeholders' needs. We are advocates for creating patient… 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
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality, Center for Clinical ... Quality (CCSQ), Business Operations Group (BOG). As a Management Analyst , GS-0343-11, you will provide guidance and serve as...allowable per HHS/CMS travel regulations. Documents, analyzes and evaluates data to perform data clean up, update… more