- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...contracted provider demographic records by validating and submitting all data management requests for completion. + Prepare for and… more
- The Cigna Group (Franklin, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the ... STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data ...strategic insights, and collaboration with our internal partners. The Data Scientist Lead analyst will interface across… more
- Providence (WA)
- …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
- Ventura County (Ventura, CA)
- Behavioral Health Finance Analyst I/II/ Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4617164) Apply Behavioral Health Finance ... Analyst I/II/ Senior Salary $75,660.36 - $129,463.29 Annually Location Oxnard, CA...State and federal entities; + Extracts and works with data from databases to establish revenue by program; +… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Senior Clinical Data Analyst ** is responsible for managing the collection, ... HMH. **Responsibilities** A day in the life of a ** Senior Clinical Data Analyst ** at...and reporting, particularly those identified by the Center for Medicare and Medicaid Services (CMS), the State of New… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first ... action employer. **Job Detail** **Job Opening ID** 229901 **Working Title** Reimbursement Analyst Senior **Job Title** Reimbursement Analyst Senior… more
- MetroLink (Los Angeles, CA)
- Senior Management Analyst (Project Controls) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4546555) Apply Senior Management Analyst ... of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will...practices. + Compile, monitor and report on project financial data , including but not limited to, planned spend, actual… more
- Highmark Health (Columbus, OH)
- …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
- Mount Sinai Health System (New York, NY)
- …for all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy ... contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team...for driving Mount Sinai's Facility models, and reconciling financial data . The Senior Contracting analyst … more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Financial Analyst - Remote **Job Description Summary** This position requires ... and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS...+ Experience working with databases to retrieve and analyze data + Ability to adapt and multi-task **Minimum Physical… more
- Prime Therapeutics (Columbus, OH)
- …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
- ChenMed (Miami, FL)
- …need great people to join our team. The Senior Health Economics Analyst is responsible for identifying and delivering data -driven insights and analytical ... will make data -driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level...the Medicare Advantage and healthcare industry. This senior -level analyst position has the opportunity for… more
- Mount Sinai Health System (New York, NY)
- …and Medicare Contracts with Mount Sinai. The Contract Performance Analyst will be a liaison between Contracting, Population Health, Clinical Documentation and ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Operations Data Analyst III** Under limited supervision, analyzes operations ... to complete projects. . Performs other duties as assigned. ** Senior Operations Data Analyst ** Working...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …and purpose of the job. Reporting to the Director of Physician Revenue Cycle, the Senior Revenue Cycle Analyst (Sr. RCA) is both a transformational leader and an ... cycle functional areas including the extraction and analysis of data impacting the revenue cycle. This includes, but is...Children?s Healthcare Alliance (PCHA) and hospital revenue cycle. The Senior Revenue Cycle Analyst will collaborate with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Senior Reimbursement-Chargemaster Analyst -Chargemaster/Projects -Hybrid East 42nd Street** The Senior Reimbursement and Chargemaster ... well as maintaining competitive pricing. This individual is a senior level analyst who assumes a lead...and communication skills. + Must have strong understanding of Medicare , Medicaid and third-party payor rules and regulations and… more
- J&J Family of Companies (Raritan, NJ)
- Senior Analyst , Government Rebate Operations (GRO) - 2406214136W **Description** Johnson & Johnson Health Care Systems, part of the Johnson & Johnson family of ... companies, is recruiting for a ** Senior Analyst , Government Rebate Operations (GRO)** ,...efficient and compliant participation in base and supplemental Medicaid, Medicare Part D Coverage Gap Discount Program (CGDP) and… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Provides complex analysis ... account reconciliations that involve manipulation of large amounts of data in excel and access. . Works directly with...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Managed Care Rebate Analyst Date: Sep 13, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57682 **Who we ... people to make a difference with. **The opportunity** The Senior Managed Care Rebate Analyst is responsible...collaborate with Contracting on terms and conditions, analyze utilization data , process and pay Managed Care Commercial, Medicare… more
- Gentiva (Mooresville, NC)
- …in people's lives every day. **Overview** We are looking for a **Medical Economics Analyst Senior ** to join our team. This position will directly report to ... 2 years of relevant experienceproven ability working as an analyst in the healthcare industry with medical claims, membership,...Query Language (SQL) required + Proven experience working with Medicare paid claims data sets; other applicable… more