- Banner Health (VA)
- …for diversity in the workplace, promoting work-life balance, and boosting employee engagement. As a Senior Data Analyst , you will be an important member of ... the Banner Plans & Networks Team, where your data analysis skills, quality assurance, and Medicare Advantage experience will be vital. You will use your… more
- Highmark Health (Richmond, VA)
- …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
- Prime Therapeutics (Richmond, VA)
- …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
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... hardware upgrade needs; and overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep application understanding… more
- HCA Healthcare (Richmond, VA)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Senior Collections Analyst with Parallon you can be a part of an ... in our organization. We are looking for an enthusiastic Senior Collections Analyst to help us reach...delays from various payer products including HMO, PPO, Medicaid, Medicare , Auto and Workers' Compensation. + Effectively utilize ERA… more
- The MITRE Corporation (Mclean, VA)
- …and Medicare Advantage Encounter claims. + Degree in a data related field (eg, computer science, management science, information technology, statistics), public ... 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
- The Cigna Group (Mclean, VA)
- …addition to base salary._** This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational ... assist in achieving accurate and complete coding documentation. Provider Data Lead Analysts will be responsible for the most...along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on… more
- CareFirst (Reston, VA)
- …as various other areas and levels of the company; preparing presentations for Senior Management and the Board of Directors; monitoring and analyzing monthly expenses ... in the resolution of any unusual trends or potential issues to assure data integrity and identify business issues, as appropriate. + Responsible for analyzing… more
- Humana (Richmond, VA)
- …The Market Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Market Finance Lead ... covers a 4 state geography and over 1.2 Million Medicare Advantage members. The position will report directly to...P&L support. The Market Finance Lead has 3 direct Analyst Staff directly providing support for all key functions… more
- Humana (Richmond, VA)
- …The Market Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Market Finance Lead ... Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead...P&L support. The Market Finance Lead has 2-3 direct Analyst Staff directly providing support for all key functions… more
- Highmark Health (Richmond, VA)
- …new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate ... for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process… more