- Prime Therapeutics (Richmond, VA)
- …and drives every decision we make. **Job Posting Title** Documentation Management & Reporting Business Analyst - Louisiana Medicaid **Job Description ... analysis. Supports departmental management team by providing trending and performance data . Supports special projects. Maintains and monitors reporting queues… more
- Mathematica (Richmond, VA)
- …analytic thinking to the collection and interpretation of quantitative and/or qualitative data , including analysis of Medicaid administrative data , managed ... Medicaid policy and practice * Assisting with quantitative analyses using Medicaid enrollment, claims/encounter, financial and program data to support program… more
- Highmark Health (Richmond, VA)
- …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
- CAI (Richmond, VA)
- …(FFP). **Job Description** We are looking for a **Financial/ Data Analyst ** to ensure timely federal financial reporting and documentation requirements ... **Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As the Financial/ Data Analyst , you will be responsible for ensuring timely federal… more
- Prime Therapeutics (Richmond, VA)
- …and maintain financial and complex actuarial models + Lead, perform, and review data analyses, reporting , and projections + Lead, perform, and review complex ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial ...for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in… more
- Elevance Health (Norfolk, VA)
- **Business Analyst II** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **BUSINESS ANALYST II** works within the Cost Containment Unit (CCU)...+ Request and/or run queries as needed to retrieve data . + Meet with various business partners as needed.… more
- CVS Health (Richmond, VA)
- …of the Medicaid provider management team with focus on assignment, reporting , project management, and non production activities.- This role will focus on ... collaboration sessions.- Take detailed notes to shared with in across analyst .Preferred Qualifications- Medicaid Implementation knowledge - Provides technical… more
- Evolent Health (Richmond, VA)
- …for better health outcomes and a more connected care journey. We are hiring for an Analyst to join our Clinical Rules Management Team. The Analyst will play a ... management systems. The ideal candidate will have a strong understanding of healthcare data and systems, with the ability to analyze and interpret complex clinical… more
- Public Consulting Group (Richmond, VA)
- …to Claims Developer regarding specific tasks on claims. + Provides monthly reporting statistics. + Ensures adherence to claim timeliness and accuracy performance ... reports, process improvement meetings and meetings related to collection of required data . + Assists with quality control projects, including case reviews to ensure… more
- Prime Therapeutics (Richmond, VA)
- …lines of business (Medicare Part D, Employer, Government, Coupons, Managed Medicaid , Migrations, etc.) to ensure benefit plans are programmed appropriately and ... in the project management, programming, testing and documentation aspects of the analyst responsibilities to drive the highest level of performance and meet or… more
- Highmark Health (Richmond, VA)
- …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