- Elevance Health (Miami, FL)
- …diagnostic and/or tracking data that will translate business requirements into usable decision support tools. + May make recommendations based upon data ... **Business Information Analyst Senior- Medicaid ** **Location:** This position will work a hybrid model (remote and in office 1-2 days per week). Ideal candidates… more
- ProMedica Health System (Toledo, OH)
- …and establishes processes to ensure the accurate flow of information into the decision support systems and the processing of data into information. Participates ... understanding of financial databases and the techniques for providing information for decision support for management. Demonstrates ownership of the integrity of… more
- ProMedica Health System (Toledo, OH)
- Senior Reimbursement Analyst is responsible for hospital month-end revenue accounting, cost report preparation, audits and regulatory analyses. The position will ... duties listed below are essential unless noted otherwise* 1. Prepare Medicare, Medicaid and Tricare cost reports in compliance with government regulations. Cost… more
- J&J Family of Companies (Raritan, NJ)
- …and completeness of payment packages, claim review, commentary and approval for all analyst payments, per the Medicaid Operational Guidelines + Assist in ... Senior Analyst , Government Rebate Operations (GRO) - 2406214136W **Description**...ensuring efficient and compliant participation in base and supplemental Medicaid , Medicare Part D Coverage Gap Discount Program (CGDP)… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a strategic roadmap to recover, ... eliminate, and prevent unnecessary medical expense spending and support the execution for a comprehensive claim accuracy program. The individual will optimize… more
- NorthWest Senior & Disability Services (Salem, OR)
- …performing a wide range of advanced professional and analytical accounting activities in support of the Agency's Finance and Budget Manager. Serves as a technical ... resource to fiscal services staff. Essential Functions + Support Finance and Budget Manager to meet goals and...other agency personnel. + Facilitate confidence in the Finance Analyst , and therefore the Agency and programs. + Protect… more
- WellSense (Boston, MA)
- Business Encounter Data Analyst WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...matter their circumstances. **Job Summary:** The Business Encounter Data Analyst is responsible for compiling and analyzing encounter data… more
- UNC Health Care (Kinston, NC)
- …of the unique communities we serve. **Summary:** This position reports to the Decision Support Manager of Finance and is responsible for the calculation, ... decisions. Analyst will translate requirements into tools that enable appropriate decision support and reporting. Position will be involved in the design,… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is responsible ... for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support... Medicaid ). This role will also provide actuarial support in complex projects that are highly visible to… more
- Mount Sinai Health System (New York, NY)
- …solutions to drive performance for value-based contracts for Medicare Advantage, Managed Medicaid and Commercial arrangements. * Support the development of ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Prime Therapeutics (Columbus, OH)
- …We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The ... support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support , and maintain financial and actuarial… more
- New York State Civil Service (Menands, NY)
- NY HELP Yes Agency Health, Department of Title Business Systems Analyst 2 (Health) (NY HELPS) - 282 Occupational Category Other Professional Careers Salary Grade 23 ... or experience with the New York State Medical Assistance ( Medicaid ) Program in a New York State agency, or...with permanent or contingent-permanent service as a Business Systems Analyst 2 Health, Grade 23 OR NYS employee with… more
- MyFlorida (Tallahassee, FL)
- HUMAN SERVICES PROGRAM ANALYST - 60053568 1 1 1 Date: Sep 19, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 837807 Agency: Children and Families Working Title: HUMAN SERVICES PROGRAM ANALYST - 60053568 1 1 1 Pay Plan: Career Service Position Number:… more
- Center For Health Information And Analysis (Boston, MA)
- …as well as statistical software programs such as R, will enable you to support health care policy decision -making. + Specialized Expertise: Bring at least three ... and insights, and play a pivotal role in evidence-based decision -making. Our work directly impacts the health care system,...health policy impact! CHIA is seeking a Health Policy Analyst to provide hands-on contributions in the development and… more
- Mount Sinai Health System (New York, NY)
- …used, key decision points and caveats, with sufficient detail to support comprehension and replication. 11. Ensures customers are adequately trained to use ... **Job Description** The Data Science Analyst I collaborates with stakeholders from across the organization to develop sophisticated analytics to provide information,… more
- CAI (Harrisburg, PA)
- … Department of Human Services decision -making processes + Analyses to support business-operating decisions related to Medicaid , Managed Care, and other ... Summary** As the HHS Consultant, you will analyze and support business operating decisions related to Medicaid ,...and support business operating decisions related to Medicaid , Managed Care, and other health and human services… more
- Trinity Health (Livonia, MI)
- …consulting experience in revenue management (eg, reimbursement, cost reporting, forecasting, decision support , health information management). Some knowledge and ... impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such regulatory changes.… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** For this position, Nurse Case ... Manager Senior Analyst , through the case management process, will promote the...candidate would have previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model… more
- The Cigna Group (Bloomfield, CT)
- **The job profile for this position is Nurse Case Management Senior Analyst , which is a Band 3 Senior Contributor Career Track Role.** **For this position, Nurse ... Case Manager Senior Analyst , through the case management process, will promote the...candidate would have previous case management experience with the Medicare/ Medicaid population specifically focusing on Special Needs Plan. Model… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... member of the Enterprise Project Management Office team, the Senior Business Analyst is responsible for the documentation of Business requirements at a… more