- Banner Health (OR)
- …workplace, promoting work-life balance, and boosting employee engagement. As a Medicare STARS Senior Data Analyst , you will be an important member of the ... Banner Plans & Networks Team, where your Medicare STARS data analysis skills, quality assurance, and Medicare Advantage experience will be vital. You will… more
- Providence (OR)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible ... for developing and maintaining actuarial models, analyzing data , and providing strategic insights to support the pricing...to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of… more
- Humana (Salem, OR)
- …community and help us put health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its ... Fund team. Humana is seeking an individual for the Senior Business Intelligence Data Analyst ...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Highmark Health (Salem, OR)
- …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 (Salem, OR)
- …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
- CareOregon (Portland, OR)
- …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Quality Improvement Analyst II Department Informatics & Evaluation Exemption Status Exempt Requisition # ... 24297 Direct Reports n/a Manager Title Director, Data Science, and Informatics Pay & Benefits Estimated hiring...for use at the staff, program manager, director, and senior leadership levels to assess the effect of key… more
- CareOregon (Portland, OR)
- …Nevada, Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title System Coordination ... with some management oversight to support the efficient administration and data integrity of multiple systems: + QNXT, including claims, utilization management,… more
- Providence (Portland, OR)
- …FUNCTIONS + Direct commercial group pricing, individual (both ACA and Medicare ) rate setting, valuation (eg reserves), forecasting, budgeting, projecting provider ... of industry and organization specific concepts including: + Stars performance + Medicare Advantage Bids and Benefit Modifications + Medical and Pharmacy Trends +… more
- Highmark Health (Salem, OR)
- …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