- Prime Therapeutics (Richmond, VA)
- …our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr . **Job Description** The Senior Claims Technical Analyst ... efforts for department level applications. **Responsibilities** + Serve as lead Analyst for complex and/or escalated analysis requests; coordinate requests from… more
- Prime Therapeutics (Richmond, VA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Data and Reporting Analyst **Job Description Summary** Collects ... data warehouse and/or department systems in response to data requests. + For positions supporting Medicare Part B, requires 2+ years of experience in pharmacy… more
- American Institutes for Research (Arlington, VA)
- **Overview** Join AIR as a ** Data Analyst ** with ourHealth (https://www.air.org/our-work/health) team. Our Health team works collaboratively to unravel the ... senior team members on various tasks including querying large datasets including Medicare , Medicaid, and commercial payer claims data , cleaning and imputing … more
- Humana (Richmond, VA)
- …a part of our caring community and help us put health first** The Senior Business Systems Analysis Professional who is part of the System Optimization team, is ... optimal performance and integration across the procurement landscape. The Senior Business Systems Analysis Professional performs analyses of systems, business,… more
- HealthEdge Software Inc (Richmond, VA)
- …accuracy in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data , as well as translating ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits… more
- Baylor Scott & White Health (Richmond, VA)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... management workflow. Supports program management activities around risk adjustment data management and submissions to government agencies such as Centers for … more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …and sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare , Medicaid, and other fiscal intermediary guidelines + ... coding. Sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare , Medicaid, and other fiscal intermediary guidelines +… more
- The Health Management Academy (Arlington, VA)
- …and demographic metrics over time (eg, percent of revenue tied to Medicare Advantage). Analysts are primarily responsible for conducting quantitative and qualitative ... primary and secondary research + Present analysis of findings from qualitative data collected from interviews, site visits, literature reviews etc. with independence… more
- Highmark Health (Richmond, VA)
- …and/or market and competitive intelligence. Gather and analyze internal and external data sources to identify trends, patterns, and insights. Develop and deliver ... virtual health, industry trends), and lines of business (ex. ACA, commercial, Medicare Advantage, Medicaid). The work can include new research and updating existing… more
- ICF (Reston, VA)
- …skills in Python/R, or other similar languages. + 3 or more years working in a data scientist/ analyst role. + 2 or more years of experience with any SQL dialect. ... experience with Master's degree. + Prior experience working with Medicare and/or Medicaid data , especially claims ...selecting methods and techniques for obtaining solutions. Networks with senior internal and external personnel in own area of… more
- Humana (Richmond, VA)
- …related data + Experience in Finance or financial reporting. + PL-300 "Microsoft Power BI Data Analyst " + Advanced in SQL, SAS and other data systems + ... work environment where continuous learning and growth are encouraged. The Senior Business Intelligence Engineer describes the tools, technologies, applications and… more
- HCA Healthcare (Dulles, VA)
- …and plan steps for ongoing improvement.** + **Work with Division CMO and Division Data Analyst to support data analysis, reporting, and outcomes improvement. ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more