- RIT Solutions, Inc. (San Mateo, CA)
- Title: Data Analyst Location : Hybrid 2-3 days onsite in Mason, OH Length: 9-month Contract Industry: Healthcare (Vision) Need to be local to Mason, OH Top 3-5 ... Minimum Requirements: 4 years SQL/Database experience Experience with Medicaid and/or Medicare programs and reporting Experience with health provider and network … more
- City of Rancho Palos Verdes, CA (Rancho Palos Verdes, CA)
- …programs include and the installation of Automated License Plate Reader cameras. The Analyst will also conduct rigorous data analysis of public safety trends, ... to join the newly established Public Safety Division as a Senior Administrative Analyst . This is your chance to shape innovative public safety programs, enhance… more
- Magellan Health, Inc. (Frisco, TX)
- …in Medicare Operations. General Job Information Title Senior Business Analyst - Encounter Operations Grade 26 Work Experience - Required Business Analysis ... claims operations and/or encounter submissions preferred. Expertise in database management, data analysis, and process improvement. Proficiency in SQL and other… more
- Trinity Health (Livonia, MI)
- Employment Type: Full time Shift: Description: Claims Analyst Location: Trinity Health PACE Corp Michigan, Livonia, MI Status: Full time Shift: 730 am to 4 pm or 8 ... in the office each Wednesday. Position Purpose: The Claims Analyst is responsible for analyzing and reviewing claims for...Submit enrollments, disenrollments, and plan changes to CMS. Submits data to CMS to ensure compliance with all reporting… more
- SCAN (Long Beach, CA)
- …member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Texas ... Develop routine and ad hoc Sales Leadership reports. Key analyst for sales business processes. You Will Support and...areas of improvement, and develop and implement solutions Facilitate data integrity of system with knowledge of business rules… more
- The University of Miami (Miami, FL)
- …& Immuno department has an exciting opportunity for a Quality Management Analyst 3 position. The incumbent conducts highly complex analysis while leading the ... the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that… more
- Netpace, Inc. (Charlotte, NC)
- …is a resource to other reimbursement analysts. Essential Functions Gathers and maintains the data used in the preparation of the Medicare and Medicaid cost ... high complexity, judgment and scope. Assists the Reimbursement Manager in preparing Medicare and Medicaid cost reports, wage index reviews and other reimbursement… more
- Strategic Staffing Solutions (Detroit, MI)
- …strong foundation in medical terminology, medical coding and billing, CMS Medicare regulations, and clinical practices are necessary. *Health Insurance experience: ... Must have Medicare Advantage experience working for a health insurance provider....and analytical skills: The ability to conduct research, analyze data , and draw conclusions to inform policy development is… more
- Healogics (Jacksonville, FL)
- …also include interfacing directly with the Business Intelligence (BI) department on accessing data , building new metrics and reports and then putting the new metrics ... federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential...latitude is required. Proficiency in Great Plains, Spotfire, and data cubes a plus This range is an estimate,… more
- City of Santa Clara, CA (Santa Clara, CA)
- …CAD *A certificate in GIS *Experience using Supervisory Control and Data Acquisition (SCADA) systems *Experience using Computerized Maintenance Management Systems ... Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay Medicare and Social Security (FICA) Employee pays 6.20% up to $10,918.20 (Social Security) and… more
- eSimplicity (Columbia, MD)
- …Centers for Medicare and Medicaid Services (CMS) and/or Medicaid CHIP data Test automation experience on data -centric application and systems; Experienced ... testing documents, including a testing plan, test cases, test data , and test scripts to automate and rapidly perform...get details as needed Collaborate with the development and analyst to ensure implementation of the needed business, functional,… more
- Peak Vista Community Health Centers (Colorado Springs, CO)
- …RN to establish areas for process improvement plans Collaborates with Health Informatics Analyst to utilize population health data to identify trends, gaps in ... Quality Assurance RN works closely with the Quality Oversight RN and Health Informatics Analyst , as well as clinic staff and leadership to identify areas of focus… more
- Pearl Health (New York, NY)
- …care across patient panels, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage. We are a team of physicians and ... Elevate Pearl's presence in the healthcare ecosystem through original content, PR, analyst relations, and executive visibility efforts. Position the company and its… more
- County of San Mateo, CA (San Mateo, CA)
- …principles, and trauma informed care, for examples. Knowledge of Medi-Cal and Medicare regulations and managed mental health care. Strong knowledge of Avatar, EPIC ... of action during active crises that may involve law enforcement. Tracking data for established and pilot programs and reporting these statistics to leadership.… 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
- UTMB Health (Galveston, TX)
- Reimbursement Analyst (Cost Reporting - Medicare /Medicaid) - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & Finance UTMB ... Accounting, Business, or related field. and a minimum of three years of Medicare and Medicaid Cost Report or related experience. An equivalent combination of… 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
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