- Curant Health (Smyrna, GA)
- …through dedicated patient care coordinator teams, the provision of SMART patient data and medication adherence assistance. Our client teams complement our partners' ... at the available career opportunities at Curant Health. Position Summary: The Contracts Analyst plays a key role in tracking and managing all pharmacy network… more
- SCAN (Long Beach, CA)
- …with scripting languages such as Python/R is preferred. Knowledge of operations and data utilized in Medicare Advantage or other managed care models. Ability ... 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,… 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 ... rules and regulations in which hospital finance operates in, Medicare and Medicaid payment structures, financial data ...in, Medicare and Medicaid payment structures, financial data analysis, and healthcare financial reports, such as … 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
- 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 ... working with third-party vendor to resolve any disputes. Responsible for all product data management in JDE, MDP (Government System), Model N and internal system… 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)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- LanceSoft (Detroit, MI)
- …with standard concepts, practices, and procedures for analyzing, interpreting data and applying contract and regulatory provisions. Required Skills/Experience ... activities with varying timelines. Familiarity with Chapter 2 - Medicare Advantage Enrollment and Disenrollment guidance Education/Certifications Include: Bachelor's… more
- State of Washington (Olympia, WA)
- …customer service, open and honest communication, transparency and accountability, data driven decisions, and business-initiated process improvement. Our commitment ... Division is announcing an exciting opportunity for a Budget Analyst 4 position in Olympia, WA . This position...Field miscellaneous inquiries received by the budget office. Provide data and analysis for inquiries received from program managers… more
- SCAN (Long Beach, CA)
- …projections and monthly pharmacy cost reports. You Will Prepare and analyze base period data for the Medicare bids and reconcile it to financials Develop ... SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in...success of the Actuarial team by preparing and analyzing data for Part D bids, maintaining bid models, performing… more
- UHS (Riverside, CA)
- …to work, practice medicine, and receive care. SUMMARY : The Compliance Analyst ensures compliance with the timeliness of decisions, initial notifications, and ... written notifications following the Centers for Medicare and Medicaid Services (CMS), the Department of Health Care Services (DHCS), the Department of Managed Health… more
- Beacon Health System (Granger, IN)
- …Programs (MSSP) and HealtheIntent by delivering standardized reporting and ad-hoc requests for data and analysis. The Financial Analyst will manage and maintain ... The Financial Analyst will define, create, distribute, and support financial...the security of HealtheIntent data and systems and will manage access control and… more
- BG Consulting Services LLC (Bethesda, MD)
- …MHS GENESIS, AHLTA, ICD programs, Microsoft Office TEAMS, Appointment booking software, Government data repositories such as P2R2 Virtual Analyst , M2 Data ... check on 100% of patients who request an appointment. 10. Correct demographic data , by performing a mini registration update in DEERS (as necessary). 11. Provide… 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 ... measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain… more
- CVS Health (Austin, TX)
- …the Medicare Sales organization by analyzing, compiling, and presenting data to various stakeholders, including senior leadership. The position requires strong ... Medicare Supplement external broker payment and program strategy. Experience with Medicare Supplement data , reporting, and KPIs. Having Tableau and/or Python… 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
- Centene Corporation (Madison, WI)
- …play a hands-on role in shaping strategy and performance. **In this Sr. Actuarial Analyst role, you will:** + Assist ** Medicare ** bid review and perform ... workplace flexibility. **Eligibility Requirement:** **To qualify for this Senior Actuarial Analyst role, applicants must be actively pursuing their ASA designation… 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...develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data… 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
- Insight Global (Woonsocket, RI)
- …Bach degree or equivalent 2-4 years or more years of Technical Business Analyst experience Medicare or Health Insurance experience: claims, member benefits, ... Job Description Insight Global is seeking a Technical Business Analyst to support a large health insurance client of ours. Work with business partners and technical… more
