• Medicaid Policy Advisory Services…

    Mathematica (Dover, DE)
    …analytic thinking to the collection and interpretation of quantitative and/or qualitative data , including analysis of Medicaid administrative data , managed ... Medicaid policy and practice * Assisting with quantitative analyses using Medicaid enrollment, claims/encounter, financial and program data to support program… more
    Mathematica (07/14/24)
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  • Risk Adjustment Analyst - Staff/Associate

    Intermountain Health (Dover, DE)
    **Job Description:** The Risk Adjustment Analyst performs data and analytical services in support of optimizing risk adjusted revenue, maintaining compliance ... sets that are used for risk adjustment analytical and reporting needs. The Analyst should leverage industry...Warehouse integrity issues. . Reconciles Data Warehouse data with CMS, HHS and Medicaid response… more
    Intermountain Health (08/07/24)
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  • Analyst , Clinical Rules Management

    Evolent Health (Dover, DE)
    …for better health outcomes and a more connected care journey. We are hiring for an Analyst to join our Clinical Rules Management Team. The Analyst will play a ... management systems. The ideal candidate will have a strong understanding of healthcare data and systems, with the ability to analyze and interpret complex clinical… more
    Evolent Health (07/30/24)
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  • Claims Analyst 1

    Public Consulting Group (Dover, DE)
    …to Claims Developer regarding specific tasks on claims. + Provides monthly reporting statistics. + Ensures adherence to claim timeliness and accuracy performance ... reports, process improvement meetings and meetings related to collection of required data . + Assists with quality control projects, including case reviews to ensure… more
    Public Consulting Group (07/24/24)
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  • Data Lake Architect - Remote US

    Public Partnerships LLC (Dover, DE)
    …Architect Expert Microsoft Certified: Azure DevOps Engineer Expert Microsoft Certified: Data Analyst Associate Microsoft Certified: Azure Administrator Associate ... design reviews, development, testing, UAT, delivery and support. + Understand client reporting and data analysis requirements holistically from both current and… more
    Public Partnerships LLC (08/06/24)
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  • Business Systems Consultant

    Highmark Health (Dover, DE)
    …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate… more
    Highmark Health (06/18/24)
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