- SCAN (Long Beach, CA)
- …corporate 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, ... such as Python/R is preferred. Knowledge of operations and data utilized in Medicare Advantage or other managed care models. Ability to delivery solutions… 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
- SCAN (Long Beach, CA)
- …corporate 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, ... related results as needed Assist the actuarial team with the development of Medicare Advantage bid pricings by keeping track of various input parameters,… 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 ... 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… 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
- BlueCross BlueShield of North Carolina (NC)
- …of degree, 7+ years of experience in related field **Bonus Points** + Deep Medicare and/or Medicare Advantage regulatory experience + Extensive Medicare ... and communicates the downstream impact of process weaknesses and gaps on the business /organization. + In the course of investigation, may be required to provide… more
- Centene Corporation (Providence, RI)
- …and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). This role ... in transforming healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion… more
- Elevance Health (Mendota Heights, MN)
- …for completing diverse and complex projects related to risk adjustment analytics in the Medicare Advantage line of business . **How You Will Make an ... ** Medicare Risk Adjustment Actuarial Analyst III**...develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker...and senior products. + Provide effective technical and non-technical business advice and support to internal and external customers… more
- Centene Corporation (Madison, WI)
- …Knowledge & Experience:** + Foundational understanding of the healthcare industry or ** Medicare Advantage ** (preferred but not required) + Strong technical ... offering broad exposure to the financial landscape of the ** Medicare ** business . You'll gain visibility into key...in shaping strategy and performance. **In this Sr. Actuarial Analyst role, you will:** + Assist ** Medicare **… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …well as Medicare Advantage , Medicare Supplement, and individual plans. Business System Analyst I Provides the interface between the business and ... business needs. Experience with Microsoft Dynamics 365 preferred. Business System Analyst II Provides the interface...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responsibilities** ... will utilize excellent communication skills to build collaborative business relationships with Data Owners/Stewards. The Analyst ...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Provides basic ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT ... external partners. This role is responsible for gathering and documenting business and system requirements, analyzing and interpreting data to support… 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 ... not just a method of gaining a one-time cost advantage , but an effective strategy for gaining and maintaining...overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** We're looking for an experienced and seasoned Sr. Business Intelligence Analyst to partner with Commercial Operations leadership and ... detail-oriented with the ability to rapidly learn and take advantage of new concepts, business models and...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- NTT DATA North America (Merced, CA)
- …years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific ... continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of...not just a method of gaining a one-time cost advantage , but an effective strategy for gaining and maintaining… more
- Waystar (Lehi, UT)
- **ABOUT THIS POSITION** We're looking for an ambitious Business Intelligence Analyst to help us identify insights and trends in sales data that maximize ... detail-oriented with the ability to rapidly learn and take advantage of new concepts, business models and...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed ... non-functional requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing,...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- ChenMed (Miami, FL)
- …leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior-level analyst position has the ... Minimum of four (4) years of related experience + Experience in a Medicare Advantage , Hospital Systems and/or risk-based healthcare organization, preferred We're… more
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