- grabjobs (Indianapolis, IN)
- … data leadership powers better health outcomes. We're seeking a mission-driven Senior Data Analyst / Lead Developer who thrives at the intersection of ... and business consulting. If you're passionate about transforming Medicaid data into action, simplifying complexity, and supporting federal compliance, you… more
- grabjobs (IL)
- Primary Responsibilities: Analyze and develop complex SQL supporting data warehouse downstream reporting and analyticsAnalysis of current business processes and ... Operations GuideAssist with analysis of Medicaid enrollment, provider and claims data , and document requirements, use casesAssist with identifying and documenting … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be ... and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk...+ Experience in healthcare industry and deep understanding of Medicare risk adjustment (clinical,submission cycle, and financial experience). +… 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
- Molina Healthcare (Dallas, TX)
- …Effectively uses current and emerging technologies. This position will be focused on Medicare Stars requirements and data review. Please make sure to include ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- Elevance Health (Grand Prairie, TX)
- ** Medicare Risk Adjustment Advanced Analyst Senior** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The ** Medicare Risk Adjustment Advanced Analyst Senior** is...**How you will make an impact:** + Prepares analytical data sets in support of modeling studies. + Build,… more
- Centene Corporation (Charleston, WV)
- …analysis, pricing and risk assessment to estimate outcomes. **In this Sr. Actuarial Analyst role, you will:** + Support ** Medicare Advantage bid development** , ... + Assist with developing probability tables based on analysis of statistical data and other pertinent information + Analyze and evaluate required premium rates… more
- Molina Healthcare (Caldwell, ID)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Actuarial Analyst II will perform individual project tasks as requested, execute calculations of moderate complexity, and ... incumbent is responsible for utilizing various sources to procure data and then turning that data into...in a variety of actuarial analyses that may include Medicare bid pricing, financial forecasts, trend analysis, experience analysis,… more
- Highmark Health (Harrisburg, PA)
- …Health Network **Job Description :** GENERAL OVERVIEW: Responsible for the Medicare Coverage Analysis (MCA) for sponsored projects within WPAHS, budget development ... Trial Management System (CTMS), to guide users in accurate data recording to prevent billing errors, ensuring data...the creation, revision and management of spreadsheets related to Medicare coverage analysis and compliance with Medicare … more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also...and report outcome results on edits implemented. + Utilize data to examine large claims data sets… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to 50% local travel requirement between provider locations. **Description** The Clinical Quality Data and Reporting Analyst serves as a liaison between the Emory ... with EHN-affiliated practices to ensure accurate documentation in structured data fields within their EMRs to meet Medicare... data fields within their EMRs to meet Medicare and Commercial payer quality reporting requirements. + Facilitates… more
- Robert Half Finance & Accounting (Kansas City, MO)
- …Robert Half is working with a dynamic healthcare organization that is looking for a Revenue Data Analyst . The Revenue Data Analyst plays a key role ... or someone you know is interested in a Revenue Data Analyst and come with 3+ years...Analyze Revenues, Revenue Recognition Accounting, Data Analysis, Data Validation, Analyze Trends, Microsoft Excel, Medicare ,… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director...- including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid… more
- Medical Mutual of Ohio (OH)
- …or MHA) preferred. + 7 years progressive experience as a Clinical Quality Data Analyst or equivalent experience conducting analyses and delivering analytic ... (SAS) and data visualization tools such as Tableau. **Sr HEDIS Analyst ** **Education and Experience:** + Bachelors Degree in health care administration, public… more
- UCLA Health (Los Angeles, CA)
- …As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst II collaborates with stakeholders from across the organization to develop sophisticated analytics to provide ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more… more
- University of Michigan (Ann Arbor, MI)
- Data Security Analyst Lead Apply Now...of over 3 million ESRD patients drawn primarily from Medicare data . **Additional Information** In addition to ... opportunity employer. **Job Detail** **Job Opening ID** 268648 **Working Title** Data Security Analyst Lead **Job Title** Data Security Analyst … more
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