- Curant Health (Smyrna, GA)
- …at the available career opportunities at Curant Health. Position Summary: The Contracts Analyst plays a key role in tracking and managing all pharmacy network ... contracts, supporting pharmacy accreditation efforts, and meeting other business compliance needs. This role partners with internal leaders, external partners, and… more
- U-Haul (Phoenix, AZ)
- …Ave, Phoenix, Arizona 85036 United States of America he Regulatory Compliance Analyst supports the Compliance, Actuarial, and Finance teams in the administration of ... policyholder communications . This position assists in ensuring compliance with Medicare Supplement regulations, coordinating with internal teams on state filings,… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... us on LinkedIn; Facebook; and Twitter. The Job The (Senior) Reporting Analyst is responsible for designing, creating, and maintaining reporting and analytic… more
- Tennessee Hospital Association (Brentwood, TN)
- …orientation/gender identity/national origin/disability/vet JOB SUMMARY The Financial Policy Analyst performs policy and data analysis and reimbursement research ... reimbursement topics to support member hospitals, including, but not limited to, Medicare and TennCare reimbursement. This position assists with the development of… more
- MetroPlusHealth (New York, NY)
- …including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, ... Yorkers to live their healthiest life. Position Overview The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover,… more
- Mount Sinai Hospital (New York, NY)
- …care each year for millions of patients. We are accelerating a transition to a business model focused on population health management - our goal is to keep entire ... implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Pyramid Consulting, Inc. (Deerfield, IL)
- Immediate need for a talented Financial Analyst III/ Government Price Reporting Associate. This is a 10+months contract opportunity with long-term potential and is ... Skills: Reviewing and validating government pricing which may include (Medicaid (AMP/BP), Medicare Part B (ASP), Public Health Service(340B) and Non-FAMP (VA) to… more
- LanceSoft (Detroit, MI)
- …activities with varying timelines. Familiarity with Chapter 2 - Medicare Advantage Enrollment and Disenrollment guidance Education/Certifications Include: Bachelor's ... Degree in a related field is preferred. more
- State of Washington (Olympia, WA)
- …the office at least 1 day per week or more as needed.This may change based on business needs. Who we are The mission of the (WSLCB) is to promote public safety and ... honest communication, transparency and accountability, data driven decisions, and business -initiated process improvement. Our commitment to DEIB The WSLCB strives… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, ... cost reports. You Will Prepare and analyze base period data for the Medicare bids and reconcile it to financials Develop comparisons between actual versus forecast… more
- Beacon Health System (Granger, IN)
- The Financial Analyst will define, create, distribute, and support financial performance and operational reports and analysis. The Financial Analyst will have ... support Beacon Managed Care including Accountable Care Organizations (ACO) and Medicare Shared Savings Programs (MSSP) and HealtheIntent by delivering standardized… more
- BG Consulting Services LLC (Bethesda, MD)
- …Appointment booking software, Government data repositories such as P2R2 Virtual Analyst , M2 Data Mart, EDW, Population Health Operational Tracking and Optimization ... Performance Reporting System, Defense Pharmacy System, Radiology and PACS, Automated Business System and Commanders' Resource Integration System. 1. Receive phone… more
- UHS (Riverside, CA)
- …and health plan requirements. The Delegation Oversight Nurse works closely with business leaders in the development and implementation of external vendor initiatives ... aligned with the plan's business , compliance, and performance improvement strategies. The role will...with Federal and State laws and regulations (Centers for Medicare and Medicaid Services, Department of Managed Health Care,… more
- Insight Global (Woonsocket, RI)
- …Education: Bach degree or equivalent 2-4 years or more years of Technical Business Analyst experience Medicare or Health Insurance experience: claims, ... Job Description Insight Global is seeking a Technical Business Analyst to support a large health insurance client of ours. Work with business partners and… more
- Centene Corporation (Tallahassee, FL)
- …objectives for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives through data analysis, ... + Perform data mapping and validation for large datasets related to Medicare provider directories + Support user acceptance testing (UAT) and troubleshoot issues… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... with the ability to analyze complex datasets. + Skilled in translating business questions and requirements into actionable reports, database views, and BI query… more
- NTT DATA North America (Merced, CA)
- …Overview:** We are seeking a detail-oriented and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ... overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in...**Required Qualifications:** + 5+ years pf proven experience with Medicare claims, including a deep understanding of CMS requirements… more
- Centene Corporation (Providence, RI)
- …healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion and performance ... of Medicare -focused VBP arrangements across New York, including ...terms, and generating insights to guide strategic decision-making. The Analyst will work closely with the VBP Manager, Director,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker with the ability to drive ... collaboratively with both technical and non-technical staff including Underwriting, Medicare Product Development, Provider Contracting, Sales, and others across the… more
- Elevance Health (Mendota Heights, MN)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...complex projects related to risk adjustment analytics in the Medicare Advantage line of business . **How You… more
