- CareSource (Dayton, OH)
- Job Summary: The Actuarial Analyst II is responsible for providing timely, accurate, and actionable data, analysis and recommendations supporting the department, ... management relative to all analysis Calculates profitability reports on appropriate business segments Leads regular and ad-hoc analysis identifying opportunities to… more
- Knowledge Builders, Inc. (Austin, TX)
- …OF SERVICES Texas Health and Human Services Commission requires the services of 1 Business Analyst 2 , hereafter referred to as Candidate(s), who meets the ... general qualifications of Business Analyst 2, Applications/Software Development and the...system modernization project and ongoing enhancement efforts for existing Medicaid applications. The Worker will be a part of… more
- HonorVet Technologies (Austin, TX)
- Job - Business Analyst 2 Location - Austin, TX 78751, Position will be 3 days remote with 2 day (Tuesdays and Fridays ) required to be onsite Duration - 12 ... LOCAL TO THE AUSTIN AREA ONLY. Description - Reviews, analyzes, and evaluates business systems and user needs. Formulates systems to parallel overall business … more
- York Hospital (York, ME)
- We are currently seeking a Full-time, 40 hour per week, IT Business Analyst to join our Physician Practice Support Team. THIS IS NOT A REMOTE POSITION. REQUIRES ... PREVIOUS HEALTHCARE EXPERIENCE IN A HOSPITAL SETTING. The IT Business Analyst is a key supporting resource...reporting and documentation. Included in this is MIPS, ACO, Medicaid Meaningful Use and other quality programs. Conduct daily,… 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 ... presented throughout the day. 2. Assists management in understanding Medicaid regulatory issues, including reimbursement, Disproportionate Share Hospital (DSH)… more
- RIT Solutions, Inc. (Austin, TX)
- Healthcare Business Analyst Location:- Only send candidates who are currently located anywhere in Texas Employment :: Contract Job Description: We are seeking a ... Healthcare Business Analyst /Immunization systems for a long term...information system without a definitive identifier such as SSN, Medicaid Number or Master Patient Index. - This is… more
- 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
- 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 ... leave (depending on work location). Key Responsibilities: Review and payment of Medicaid Rebates and working with third-party vendor to resolve any disputes.… more
- City of New York (Long Island City, NY)
- …units including Local Services Planning Position Summary: The Senior Planning Analyst supports a variety of planning activities including analyzing and commenting ... policy recommendations, and managing ad hoc planning/policy/research projects. The Senior Planning Analyst will manage the Planning and Policy Analyst and… more
- MetroPlusHealth (New York, NY)
- …list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus ... 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 ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Mindlance (Albany, NY)
- …complex software systems or applications. 60 months of experience analyzing complex business processes and creating and reviewing test plans. 60 months of experience ... to achieve its goals. 60 months of experience providing written communications to business owners, IT program team members, and management. 60 months of experience… more
- University Health (San Antonio, TX)
- …Work cooperatively with configuration in testing of contracts used in business operations and reporting assuring auto adjudication. Perform in accordance with ... experience are required. Amisys claims processing system experience is preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid , HMO, PPO, ASO. 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...and State laws and regulations (Centers for Medicare and Medicaid Services, Department of Managed Health Care, Department of… more
- US Tech Solutions (Columbia, SC)
- **Job Title: Medicaid Business Analyst ** **Location: Hybrid (1 day remote & 4 days onsite - Columbia SC 29201)** **Duration: 12 months contract (with ... possible extension)** **DAILY DUTIES / RESPONSIBILITIES:** The Business Analyst will serve as a liaison between the business community and the IT… more
- CVS Health (Phoenix, AZ)
- …with heart, each and every day. **Position Summary** The Medicaid Intake Business Operations team seeks an analyst with expertise in electronic claim ... This team ensures the quality and integrity of Intake processes for all Medicaid incoming claim transactions. In this position, you will provide initial support for… more
- Public Consulting Group (Sacramento, CA)
- …of their user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance **Duties and ... key stakeholders + Provides IT job duties which include Business and Technical Leadership, System Analysis, Code + Development,...of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western… 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
- NTT America, Inc. (Little Rock, AR)
- …of experience supporting large, complex Medicaid system implementation projects and/or Medicaid business operations * Minimum 6 years of experience with ... organization, apply now. We are currently seeking a Senior Medicaid / T-MSIS Technical Analyst to join...candidate will work as part of a team providing Business Operations Support (BOS) for a state Medicaid… more
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