- CareOregon (Portland, OR)
- Candidates hired for remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department ... role is available to candidates residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process for the end-to-end … more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- Medical Mutual of Ohio (OH)
- …coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **HEDIS Analyst I** Supports ... for quality improvement across all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid). Integrates diverse data sources to… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Business Data Analyst II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... achieve that purpose. Job Summary The Care Management Business Data Analyst II supports quality and process...plan. Previous experience with report generation using health care data with focus on elements from encounter /claims,… more
- Mathematica (Columbus, OH)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance Mathematica is searching for a Medicaid Financial Data Analyst with interest in Medicaid ... state or federal level to support current and emerging analytics work. The Medicaid Financial Data Analyst will likely be connected to 1-3 projects at a time,… more
- The Cigna Group (St. Louis, MO)
- …support from others. + Develop and support analytics of claims, adjustment, and PDE/ Encounter data to support client initiatives + Oversee the timely completion ... Prescription Drug Event (PDE)/encounters reporting and regulatory communications. The Lead Analyst will support analytics of operational data , specific to… more
- UCLA Health (Los Angeles, CA)
- …with CMS processes required + Computer proficiency with Microsoft Office, SQL, and data visualization tools + Knowledge of encounter regulatory reporting and ... at UCLA Health. As a key member of our Medicare Advantage Operations team, you will develop detailed requirements...to contractual requirements + Ability to research and resolve encounter issues + Understanding of the healthcare model, capitation,… more
- The MITRE Corporation (Mclean, VA)
- …Carrier, Durable Medical Equipment, Prescription Drug Event (PDE), and Medicare Advantage Encounter claims. + Degree in a data related field (eg, computer ... difference with us. MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in...engagement, or program implementation to support the Centers for Medicare and Medicaid Services (CMS) through all phases of… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …Technology staff, Benefits Administration staff, Provider Audit, Network Administration and/or Medicare Advantage staff, and entry level Reimbursement Analyst by ... system specifications that support claims payment and criteria for data bases that support analysis as well as training...use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** +… more
- Molina Healthcare (Florence, KY)
- …well as Reporting modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in designing and ... **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs… more