- State of Oregon (Portland, OR)
- …Position Type: Employee Position Title: Senior Quality of Care and Quality Assurance Analyst (Operations & Policy Analyst 4) Job Description: This position is ... to serve people who receive health care coverage under the Oregon Health Plan ( Medicaid ). Today, there are 16 CCOs operating in communities around Oregon. The CCO… more
- Highlights Healthcare (Raleigh, NC)
- …Functional Behavior Assessments. Provide parent training. Provide mentoring, supervision, and support to clients. Conduct clinic meetings as appropriate and ensure ... and Federal specific laws, Tricare/Governmental programs, Medical Insurance Providers, Medicaid Waiver Programs and ensure compliance with regulations. Promote the… more
- Waystar (Louisville, KY)
- …develop a broad knowledge of Waystar's business, industry, and operations in order to support analysis and decision making. WHAT YOU'LL DO What You'll Do Review ... conduct research, identify insights and develop written and verbal communications to support a variety of internal and external stakeholders. Individuals in this… more
- Indiana University Health (Indianapolis, IN)
- …role offers an exciting opportunity to work on both 340B and Medicare/ Medicaid reimbursement initiatives, helping to grow our programs and optimize financial ... members, business/managed care/governmental agencies, insurance company representatives, self-funded employer decision makers, human resource departments, and transplant patients and… more
- Louisiana Department of State Civil Service (Opelousas, LA)
- MEDICAID LTC ANALYST 1 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5019873) Apply MEDICAID LTC ANALYST 1 Salary $2,978.00 - ... The ability to serve the needs of those who support and/or rely on the services provided. Following Policies...This position has a Special Entrance Rate (SER) of: Medicaid LTC Analyst 1 - $17.56 hr… more
- Molina Healthcare (Grand Island, NE)
- **JOB DESCRIPTION** **Job Summary** ** Support the Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service ... using data from internal and external sources to provide insight to decision -makers. Identifies and interprets trends and patterns in datasets to locate influences.… more
- Robert Half Finance & Accounting (Eatontown, NJ)
- Description 185,000 - 200,000 Benefits include: + comprehensive benefits and resources to support employees + Paid Time Off (PTO) + Medical and Prescription Drug ... Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/ Medicaid Reimbursement. + The Director will have advanced level of knowledge of… more
- CommonSpirit Health (Phoenix, AZ)
- …Collection Capital and Fixed Assets Reimbursement - Monthly Analysis Process Decision Support General Accounting Cost Reporting **Qualifications** **Minimum ... **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit… more
- Public Consulting Group (Lincoln, NE)
- …public sector. To learn more, visit www.publicconsultinggroup.com . The Education Data Analyst works as part of a deadline-oriented, fast-paced team consisting of ... systems, data warehousing, federal reporting, and other programs. The Analyst will be responsible for reviewing, formatting, importing/exporting, transforming,… more
- NorthWest Senior & Disability Services (Salem, OR)
- …performing a wide range of advanced professional and analytical accounting activities in support of the Agency's Finance and Budget Manager. Serves as a technical ... resource to fiscal services staff. Essential Functions + Support Finance and Budget Manager to meet goals and...other agency personnel. + Facilitate confidence in the Finance Analyst , and therefore the Agency and programs. + Protect… more
- Molina Healthcare (Roswell, NM)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care… more
- Mount Sinai Health System (New York, NY)
- …used, key decision points and caveats, with sufficient detail to support comprehension and replication. 11. Ensures customers are adequately trained to use ... **Job Description** The Data Science Analyst III is a senior role, collaborating with...(Business Intelligence) solutions that contribute to sound strategic planning, decision -making, goal setting, and effective performance measurement. The Data… more
- Mount Sinai Health System (New York, NY)
- …used, key decision points and caveats, with sufficient detail to support comprehension and replication. + Ensures customers are adequately trained to use ... **Job Description** The Data Science Analyst II collaborates with stakeholders from across the organization to develop sophisticated analytics to provide… more
- embecta (Parsippany, NJ)
- …varying needs of our diverse and global employees. The Pricing & Contracts Sr. Analyst will support the analytics, operations and contracting functions within US ... modeling for RFP's and contract renewals, PBM/payer rebate invoice reconciliation, support for internal/external audits and forecasting of rebates for PBMs and… more
- Prime Therapeutics (Montgomery, AL)
- …and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is responsible ... for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support... Medicaid ). This role will also provide actuarial support in complex projects that are highly visible to… more
- CommonSpirit Health (Phoenix, AZ)
- …commercial, Medicare, Medicaid , Health Insurance Exchange plans, and more. The Analyst leverages analytical tools such as PIC and EPIC, and manages their ... guide payer strategy formation. In addition to leading structured initiatives, the analyst performs ad hoc analysis to support real-time negotiation efforts,… more
- Prime Therapeutics (Salt Lake City, UT)
- …We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …integrates and manages the sensors, systems and other assets necessary to support integrated ISR operations and accelerated decision -making. With data fusion ... is seeking a Supply Chain Risk Management (SCRM) Intelligence Analyst for a hybrid of telework and work at...vital role in supporting our Centers for Medicare and Medicaid (CMS) and Health and Human Services (HHS) Supply… more
- Commonwealth Care Alliance (Boston, MA)
- …and ad hoc analytics to drive impactful material, recommendations, and data driven decision making to support overall payment integrity and claim operations ... indicators, and vendor performance associated with Service Level Agreements to support organizational decision -making, and identify opportunities to improve… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... + Extract and compile information from various systems to support executive decision -making + Mine and manage...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
