- Highmark Health (Pittsburgh, PA)
- …supports the leadership of Highmark, or its affiliates, with a range of strategy activities essential to membership and margin goals. Strategy Analysts provide ... and own the outcome. + Under the guidance of Strategy Consultants and Leadership, participate in & lead small...technology experience + Operational improvement experience + Experience in Medicare or other Government lines of business **LICENSES OR… more
- Highmark Health (Pittsburgh, PA)
- …SUMMARY** Support leadership of Highmark, or its affiliates with a range of strategy activities essential to Highmark's membership and margin goals. Strategy ... and own the outcome + Under the guidance of Strategy Consultants and Leadership, participate in / lead small...technology + Experience in operational improvement + Experience in Medicare or other Government lines of business. **LICENSES or… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Need As a core member of the Government Programs Star Performance team, the Medicare Stars Analyst provides ongoing analytic support to the development and ... execution of the health plan's best in class 5-star strategy . In collaboration with the VP, Medicare Stars, this person will work with key stakeholders from… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy , Pricing & Analytics guides the investment of our network partners through contract valuation ... rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy , Pricing & Analytics guides the investment of our network partners through contract valuation ... rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- Leidos (Baltimore, MD)
- …The Digital Modernization Sector at Leidos currently has an opening for a Business Analyst Lead to work in our Baltimore, Maryland office. This is an exciting ... opportunity to use your experience helping the Center for Medicare and Medicaid (CMS) program operate, maintain, modernize and transform its highly visible legacy… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... location._** Come join our team as a Benefits Operations Analyst - Retirement Plans. We care for our community! Just...place comply with all regulations (Summary of Material Modification, Medicare Part D notices, privacy notices, etc.) + Manage… more
- Mount Sinai Health System (New York, NY)
- …and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include: analyzing medical and pharmacy trends, researching all ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Humana (Lincoln, NE)
- …part of our caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for supporting the implementation of rates, new plans and ... maintains pricing tools that price standard and custom benefits. The Actuarial Analyst 2, Pricing work assignments are varied and frequently require interpretation… more
- Johns Hopkins University (Baltimore, MD)
- …Initiative to manage, analyze, and interpret large healthcare datasets, including Medicaid, Medicare , commercial, and all-payer claims. We are seeking a **_Sr. Data ... and managing a plan to translate data into insights. The Sr. Data Analyst will provide expertise in data analysis and illustrations to articulate and monitor… more
- J&J Family of Companies (Titusville, NJ)
- …Johnson & Johnson Innovative Medicine is recruiting for a Lead Financial Analyst , Government Contract Compliance. This position is based in Titusville, New Jersey. ... cross functional teams to support the end-to-end implementation of the Medicare Drug Price Negotiations Program and related Medicaid program requirements including… more
- Novant Health (NC)
- …imperatives. The department consists of 2 teams: payor relationship management and financial strategy . The Sr. Pricing Analyst role is in the financial ... What We Offer Novant Health Business Development and Sales Financial Strategy team develops, evaluates and implements pricing strategies and tactics for all markets,… more
- TEKsystems (Nashville, TN)
- Business Intelligence Analyst - TEKsystems Location: 100% Remote Employment Type: Permanent - Full Time Position Overview We are seeking a Business Intelligence ... Analyst to join a fully remote team. This role...+ Analyze financial and claims data, including dialysis-level and Medicare claims. + Access and interpret Workday data for… more
- Highmark Health (Frankfort, KY)
- …Highmark Health **Job Description :** **JOB SUMMARY** The Senior Marketing Analytics Analyst plays a critical role in transforming customer, digital, and campaign ... analytics skills, and deep understanding of healthcare customer journeys-including Medicare , Medicaid, Commercial, and provider engagement pathways. Experience with… more
- AssistRx (Orlando, FL)
- The Health Policy Analyst is a strategic, research-driven role responsible for analyzing federal and state health policies and translating complex legislative and ... Growth Officer, this role connects policy intelligence with market strategy -helping shape patient support services, access programs, and pharmaceutical… more
- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require… more
- CareFirst (Baltimore, MD)
- …reviewing and analyzing information for various provider reimbursement and network strategy projects, preparing routine reports and fee disclosure related documents. ... Knowledge of Medicare or Medicare Advantage products preferred. We are looking for an experienced professional to live and work remotely from within the greater… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. **Job Duties** + Work with assigned health plan...users on how to use reports + Build intervention strategy reporting for the Risk and Quality interventions and… more
- Molina Healthcare (OH)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along with corresponding tracking of progress and impact of such… more