- Carrington (Washington, DC)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... - $70,000.00/yr. **What you'll do:** + Ability to pull data from multiple databases, analyze, compile and create reports....reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build… more
- Evolent Health (Washington, DC)
- …- **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of ... associated with Commercial, Medicare, and Medicaid lines of business. Healthcare claims : specifically, differences between institutional vs professional… more
- American Institutes for Research (Washington, DC)
- **Overview** AIR is seeking a full-time **Python Programmer ( Data Analyst II)** with data management skills and strong statistical software package ... The selected candidate will contribute to the analysis of healthcare data and provide support to the...querying large datasets including Medicare, Medicaid, and commercial payer claims data , cleaning and imputing data… more
- Prime Therapeutics (Washington, DC)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Elevance Health (Hanover, MD)
- … processing experience is preferred. + 2+ years of experience with data analysis, claims processing, provider billing, FWA investigations, cost containment, ... **Business Analyst II** **Supports the Payment Integrity line of...+ Request and/or run queries as needed to retrieve data . + Meet with various business partners as needed.… more
- Baylor Scott & White Health (Washington, DC)
- …Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting gaps, risk gaps, or ... **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst )...Medicaid, MCO, TPA business requirements preferred. + Experience with healthcare encounters, enrollment and pharmacy data preferred.… more
- Norstella (Washington, DC)
- …with and querying large databases + Experience working with healthcare databases (eg, claims , EMR, lab data ) + Strong proficiency in SQL and one high-level ... Analyst to join our team and support our data -driven initiatives. The ideal candidate will have a strong...Life Sciences industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes &… 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 ... overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep application understanding and displays excellent verbal and… more
- Prime Therapeutics (Washington, DC)
- …in addressing these issues. **Job Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data . + ... developing efficient and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and… more
- Prime Therapeutics (Washington, DC)
- …these issues. **Job Description** + Job DescriptionPerforms exploratory data analysis and data mining of healthcare claims and authorizations data . ... developing efficient and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and… more
- Somatus (Mclean, VA)
- …Analytics to create impact among Somatus' clients and leadership by analyzing Somatus' healthcare claims and care management data . This position will ... on quantitative skills + 3-5 years of relevant experience working with data in a Healthcare environment + At least 2 years of experience conducting data… more
- Elevance Health (Washington, DC)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will ... Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr** is responsible for providing technical and consultative support relative… more
- American Institutes for Research (Washington, DC)
- **Overview** AIR is seeking a confident, self-motivated, and creative **Policy Analyst ** to join our Health Payment Innovation, Transformation, and Supports Program ... (MACRA) and the Quality Payment Program (QPP). The policy analyst will lead tasks related to AIR Health's work...project leadership. + Coordinate with programmer staff to implement claims -based and other measures. + Mentor and train junior… more
- General Dynamics Information Technology (Fairfax, VA)
- …Contract (MPIC) is designed to support this oversight. Through research, investigation, and data analysis, the desired outcomes of the MPIC efforts are to prevent, ... NEED TO SUCCEED:** **Education** **: Bachelor's degree or equivalency in healthcare field that includes 2-4 years' ACA and/or Medicaid-Medicare experience**… more
- Evolent Health (Washington, DC)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The **EDI Analyst ** at Evolent will serve as a key technical expert to analyze, monitor and ... remediate EDI X12 Transaction data issues, working with tools such as but not...such as but not limited to the following: Edifecs Healthcare Suite, Edifecs Transaction Manager, Edifecs Specbuilder, SQL, PowerBI,… more
- Evolent Health (Washington, DC)
- …datasets and Evolent Data Warehouse tables, including medical, pharmacy and ancillary claims data , membership data , clinical operational data (UM ... solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role will be serving as a strategic advisor...& CM), or other healthcare data - **Required.** + Familiarity with Power BI or BI… more
- Highmark Health (Washington, DC)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment… more
- Prime Therapeutics (Washington, DC)
- …analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + 3 years of experience ... Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create… more