- Phoebe Ministries (Allentown, PA)
- Medicaid Analyst Full-time - Allentown, PA Phoebe Ministries is hiring a Medicaid Analyst to join our long-term care facility in Allentown, PA. We show ... Reimbursement. + Service Awards & Recognition Gift Cards. Responsibilities for a Medicaid Analyst with Phoebe Allentown: The Medicaid Analyst will… more
- Baylor Scott & White Health (Harrisburg, PA)
- **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)....with cross functional groups. + Knowledge of ACA, Medicare, Medicaid , MCO, TPA business requirements preferred. + Experience with… more
- Humana (Harrisburg, PA)
- …actuarial model that estimates admit count and spend for each of Humana's Medicaid states. The analyst calculates inpatient trends, exercises actuarial judgement ... Prepare and communicate inpatient analyses to support trend saving opportunities for Medicaid markets The Actuarial Analyst 2, Analytics/Forecasting ensures data… more
- UPMC (Pittsburgh, PA)
- …Plan's Medicaid /Government Product actuarial team is seeking an Actuarial Analyst III to support the team's Behavioral Health work.** This position applies ... from either management or senior positions when necessary. The Medicaid actuarial team supports PA Medicaid products and this role will focus on support for… more
- MSys Inc. (Harrisburg, PA)
- Job summary: Title: Healthcare Data Analyst -Hybrid Location: Harrisburg, PA, United States Length and terms: Long term - W2 or C2C Position created on 09/18/2024 ... expertise for defining functional architecture and infrastructure using LEAN principles + Lead analyst in the oversight and tracking of data requests by using the… more
- WellSpan Health (York, PA)
- Reimbursement Analyst Senior Location: WellSpan Health, York, PA Schedule: Full Time Hours: M-F Days Full Time: 40 Hours/Week General Summary Responsible for ... Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental reimbursement… more
- Prime Therapeutics (Harrisburg, PA)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is ... for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in...or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 3 years of experience… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst is responsible for ... support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support, and maintain financial and actuarial models… more
- Aveanna (Morrisville, PA)
- Board Certified Behavioral Analyst ApplyRefer a FriendBack Job Details Requisition #: 197127 Location: Morrisville, PA 19067 Category: BCBA Salary: $55.00 - $65.00 ... the clinical team. Requirements + Current, non-restricted, certification by the Behavior Analyst Certification Board. + At least two (2) years verified BCBA… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 1, Analytics/Forecasting work assignments are often straightforward and of… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Payment Accuracy Analyst to support the Hospital Reimbursement team. This role will work in a hybrid structure, with most time ... some onsite presence at the US Steel Tower in Pittbsurgh. The Payment Accuracy Analyst is a key role responsible for supporting the Claim Editing team within UPMC… more
- Insight Global (Coraopolis, PA)
- Job Description Insight Global is seeking Production Support Analyst to join a large health insurance client of ours. This team member will be responsible for ... Support team and will serve as the Production Support Analyst for Train 6 processing. Train 6 processing includes...large, complex ecosystems - Experience in a Medicare or Medicaid space or environment - Experience analyzing data: data… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- CAI (Harrisburg, PA)
- …Consultant, you will analyze and support business operating decisions related to Medicaid , Managed Care, and other health and human services programs **Job ... a HHS Consultant to analyze and support business operating decisions related to Medicaid , Managed Care, and other health and human services programs. This position… more
- Aveanna (West Chester, PA)
- Lead Board Certified Behavioral Analyst - Full Time Salary Position with Comprehensive Benefits ApplyRefer a FriendBack Job Details Requisition #: 196362 Location: ... setting with early intervention programs. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Public Consulting Group (Harrisburg, PA)
- …for state behavioral health authorities. + Conducts financial analysis for Medicaid rate studies and supplemental payment programs. + Conducts quantitative and ... Bachelor's degree preferred or 4+ relevant years' experience required + 4+ years analyst experience + Office Setting **The above is intended to describe the general… more
- CVS Health (Blue Bell, PA)
- …and financial reporting. **Required Qualifications** 1+ years' experience with Medicare/ Medicaid Data -1+ years' experience with data transmissions through FTP ... and other data transmission software's -1+ years of data management experience **Preferred Qualifications** Self-Starter who can recognized and analyze data discrepancies and inconsistencies. Strong analytical skills. Experience with MSP (Medicare Secondary… more
- CVS Health (Harrisburg, PA)
- …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. ... With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we… more
- CVS Health (Harrisburg, PA)
- …+ CRC, CDMS, CRRN, COHN, or CCM certification + Medicare and Medicaid experience + Managed care experience + Experience working with geriatric special ... needs, behavioral health and disable population + Knowledge of assessment, screenings and care planning + Bilingual (English/Spanish; English/Creole) **Education:** + Bachelors Degree or equivalent experience required **Pay Range** The typical pay range for… more
- CVS Health (Blue Bell, PA)
- …constant change Preferred Qualifications + Prior Pharmacy, Medicare Part D, Medicare or Medicaid experience + Successful completion of 2 or more Society of Actuaries ... Exams + Experience with SQL, SAS, and/or Python **Pay Range** The typical pay range for this role is: $46,988.00 - $112,200.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this… more