- Spherion (Madison, WI)
- …or a related field (or equivalent experience) 2+ years of experience in healthcare policy, Medicaid , or program administration Experience with Microsoft Office ... and delivered across Wisconsin? Spherion is seeking a Policy Analyst to support key benefit areas in the Division...analysis tools preferred Strong knowledge of federal and state Medicaid law and regulations Familiarity with healthcare … more
- Molina Healthcare (Long Beach, CA)
- Job Description Job Description Job Summary The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... on how to use reports related to Risk and Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. Assists with research, development, and completion of special… more
- Children's National Hospital (Silver Spring, MD)
- Under direction of the Reimbursement Manager, The Senior Reimbursement Analyst will be responsible for preparing and filing the annual Medicare and Medicaid cost ... various reimbursement departments functions. Qualifications: Minimum Education Bachelor's Degree Business , health care or related field (Required) Minimum Work… more
- JPS Health Network (Fort Worth, TX)
- Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across ... visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org. Job Title: Sr Financial Analyst Reimburse Requisition Number: 38860 Employment Type: Full Time… more
- Convey Health Solutions (Chicago, IL)
- …aggregation tools like Python (Jupyter), SQL, or SAS. 3+ years in analytics or business intelligence within the healthcare sector. Proficient in SQL for creating ... SUMMARY The Sr. Data Analyst will be responsible for utilizing technical and...suite. Additionally, the ability to understand / contribute to business requirements and documentation standards, supply critical thinking to… more
- MetroPlusHealth (New York, NY)
- …About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island ... list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus… more
- AmeriHealth Caritas Health Plan (Detroit, MI)
- …Network Management in dealings with provider agreements. The Contract Management Analyst will assist the Manager, Provider Network Management in administering the ... day-to-day business activities of developing, negotiating, and monitoring provider contract...or a related area or similar work experience Michigan Medicaid policies - state and federal managed health care… more
- Better-Health-Group (Tampa, FL)
- …The Quality Analyst - Risk Adjustment ("Quality") and HEDIS ( Healthcare Effectiveness Data and Information Set) is responsible for ensuring the accuracy ... background in Quality and HEDIS processes related to Medicare Advantage, Traditional Medicare, Medicaid , and Commercial healthcare programs, with a keen eye for… more
- Highlight Health (Philadelphia, PA)
- …Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We ... and pricing skeletons are found, and is tired of business as usual. Your deep knowledge has likely been...engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has… more
- CGS Administrators, LLC (Nashville, TN)
- …family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to ... buildings and out of town. Centers for Medicare and Medicaid Services (CMS) Requirements: Certain divisions within BlueCross BlueShield...of the last five (5) years. This is a business requirement - government contracts, not an HR requirement.… more
- Talent Software Services (Columbia, SC)
- …years large enterprise or e- business systems experience. *Background in healthcare operations (preferably Medicaid ) and business processes *Proficient ... and data ingestion endpoints. *Work closely with data engineers, analysts, and business users to clarify requirements and understand data flows. *Perform regression… more
- Macpower Digital Assets Edge (Los Angeles, CA)
- …to management for continuous process improvements. Collaborates with Customer Solution Center Business Analyst to track, trend, and analyze results of QA ... request and coverage determination, Appeals and Grievances across all lines of business ). This position is responsible for the ongoing progression and maintenance of… more
- Collabera (Dallas, TX)
- …entry analyst data entry operators data entry technician data entry medicare medicaid medical healthcare Medical Billing Medical coding Reach Out to a ... skills. PC skills required - Must be proficient with MS Office Suite for Business . Job Requirement data entry clerk data entry operator data entry specialist data… more
- MSys Inc. (Columbia, SC)
- Job summary: Title: Healthcare / Medicaid Analyst - Hybrid Location: Columbia, SC, United States Length and terms: Long term - W2 Only Position created on ... with benefits or long term hourly contract W2 only; DAILY DUTIES / RESPONSIBILITIES The Business Analyst will serve as a liaison between the business … more
- Molina Healthcare (Grand Island, NE)
- …on complex claims related issues and service recovery efforts.** Analyzes complex business problems and issues using data from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory ... What you'll bring to Zelis: + Bachelor's degree or equivalent experience in healthcare administration, business administration, or a related field + Five+ years… more
- Molina Healthcare (Roswell, NM)
- …adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be...needs. Performs analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** +… more
- Molina Healthcare (Long Beach, CA)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
- HCA Healthcare (Temple Terrace, FL)
- …**Introduction** Do you want to join an organization that invests in you as a BI Analyst ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...of our team. **Job Summary and Qualifications** Seeking a Business Intelligence Analyst , who provides operational and… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... to have):** + Masters Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+ years progressive… more
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