- The Cigna Group (Philadelphia, PA)
- …operations accountabilities associated with all regulated lines of business including Medicare , Medicaid, and Marketplace (Exchange / Health Care Reform). The team ... will be to support the Grievance functions as it relates to the Medicare , Medicaid and Marketplace (Exchange / Healthcare Reform) initiatives to ensure member/client… more
- The Cigna Group (Philadelphia, PA)
- **Position Summary** The Lead Analyst will be a part of the Regulated Markets Network Quality team. This critical role coordinates client and pharmacy reporting and ... client contractual needs. This role is highly cross-functional, with the lead analyst working across multiple departments in the company (eg Supply Chain, Knowledge… more
- Evolent (Trenton, NJ)
- …We value humility, intellectual curiosity, creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities:** ... The Senior Analyst , Client Analytics role will be serving key internal...health plan billing and reimbursement structures associated with Commercial, Medicare , and Medicaid lines of business. Healthcare claims: specifically,… more
- Highmark Health (Trenton, NJ)
- …of strategy activities essential to risk adjustment accuracy goals for Medicare , ACA, and Medicaid lines of business. Strategy Analysts provide ... subject matter expert (resource) to staff and stakeholders on membership, growth and operational strategy issues. + Provide periodic informal work guidance/direction… more