- 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 ... 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)
- …better business decisions. The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This ... **Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in...technical documentation that is consistent with professional standards. + Lead in the design, development, validation and delivery of… 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** , ... with developing probability tables based on analysis of statistical data and other pertinent information + Analyze and evaluate...**Why This Role Stands Out:** + **High-Impact Work** : Lead critical Medicare Advantage bid initiatives with… 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
- University of Michigan (Ann Arbor, MI)
- Data Security Analyst Lead Apply...of over 3 million ESRD patients drawn primarily from Medicare data . **Additional Information** In addition to a ... employment opportunity employer. **Job Detail** **Job Opening ID** 268648 **Working Title** Data Security Analyst Lead **Job Title** Data Security … more
- Molina Healthcare (Provo, UT)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... lead level support as a highly capable business analyst who serves as a key strategic partner in...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… 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 ... in required training and performs other duties as assigned. ** Lead HEDIS Analyst ** + Schedules, assigns, and...data visualization tools such as Tableau. **Sr HEDIS Analyst ** **Education and Experience:** + Bachelors Degree in health… 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
- Sanford Health (Fargo, ND)
- …and have relatively little turnover except for retirements. **Job Summary** The Lead Reimbursement Analyst provides critical analytical and reimbursement related ... Directs the implementation and monitoring of reimbursement functions, which includes Medicare , Medicaid or other third party cost reports, related audits, appeals,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior...Health System. Serves as mentor to others in the Data Science team and takes the lead role ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- Aveanna Healthcare (Coatesville, PA)
- CCIU Lead Board Certified Behavior Analyst - Coatesville, PA - Full Time Salary Position with Comprehensive Benefits ApplyRefer a FriendBack Job Details ... run by the Chester County Intermediate Unit (CCIU). Position Title: Lead Board Certified Behavior Analyst (BCBA) -...as dressing, feeding, and toileting, to promote independence. + Data Collection and Progress Monitoring + + Real-Time … more
- Elevance Health (Grand Prairie, TX)
- **Business Information Analyst Senior - Medicaid Encounters Data ** The **Business Information Analyst Senior** is responsible for analyzing and validating ... healthcare encounter data submissions to CMS (Centers for Medicare ...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Ventura County (Ventura, CA)
- Behavioral Health Finance Analyst I/II/Senior Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5001534) Apply Behavioral Health Finance ... Analyst I/II/Senior Salary $78,312.00 - $133,993.60 Annually Location Oxnard,...basis; positions may also be assigned functional, technical and lead supervisory duties over lower level staff when such… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Lead Formulary Compliance Analyst - Parsippany, NJ (Hybrid) Date: Sep 2, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... of the managed care contract. Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify… more
- Commonwealth Care Alliance (Boston, MA)
- …this time._** Position Summary: Working under the direction of the SVP Claims, the Senior Data Analyst - Payment Integrity & Claims will provide routine and ad ... hoc analytics to drive impactful material, recommendations, and data driven decision making to support overall payment integrity and claim operations discussions and… more
- Robert Half Technology (Lexington, MA)
- Description Data Analyst Manager (2) Roles &...including HIPAA, GDPR, and HITECH Act. Claims & Billing Data - Experience analyzing claims from Medicare , ... Responsibilities Oversee an offshore team of Healthcare Data Analysts and QA engineers under the direction of...intra-departmental teams to address complex healthcare challenges. Take the lead in communicating with clients to resolve any technical… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …necessary to support integrated ISR operations and accelerated decision-making. With data fusion and mission management capabilities for the Department of Defense, ... leading the next evolution of national defense - the data evolution - by accelerating a breadth of national...- Mission Technologies is seeking a full-time On-Site Operations Lead for the Division of Strategic Information (DSI) in… more
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