• Data & Reporting Business…

    Prime Therapeutics (Trenton, NJ)
    …and drives every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** Serves ... analysis. Supports departmental management team by providing trending and performance data . Supports special projects. Maintains and monitors reporting queues… more
    Prime Therapeutics (06/26/24)
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  • Medicaid Financial Data

    Mathematica (Trenton, NJ)
    …our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance Mathematica is searching for a Medicaid Financial Data Analyst with ... level to support current and emerging analytics work. The Medicaid Financial Data Analyst will... Medicaid stakeholders to support the implementation of data collection, monitoring, and reporting programs Authoring… more
    Mathematica (06/22/24)
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  • Decision Support Analyst - Medicaid

    Highmark Health (Trenton, NJ)
    …This job works closely with customers and design teams in prioritizing data and information requirements. The incumbent provides analysis in the development and ... support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates… more
    Highmark Health (05/10/24)
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  • Risk Adjustment Analyst - Senior/Staff

    Intermountain Health (Trenton, NJ)
    **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 (06/27/24)
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  • Business Systems Consultant

    Highmark Health (Trenton, NJ)
    …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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  • Manager, Quality Improvement

    Humana (Trenton, NJ)
    …with the health equity team. + Tracks HEDIS measures with the assistance of the Quality Data Analyst to ensure the plan meets the goals set for the quality ... a team to implement quality improvement programs for Indiana Medicaid including annual program description, work plan, and annual...withhold measures. + Manages department reporting ; completes and submits state or federal reports as… more
    Humana (06/28/24)
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  • CVO Senior Credentials Manager

    Penn Medicine (Philadelphia, PA)
    …10,000 providers. As the CVO Senior Manager, you will collaborate with and provide data to health system operational leaders that include the Senior Manager of CVO ... (TJC), Department of Health (DoH), Centers for Medicare & Medicaid Services (CMS), and the National Committee on Quality...with focus on streamlined processes and the provider experience. Reporting to the Associate Vice President, the CVO Senior… more
    Penn Medicine (04/07/24)
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