- 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...non-technical stakeholders. + _Power BI or other BI tools, SAS for analytics, VBA._ **Why This Role Stands Out:**… 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 ... + Intermediate proficiency in database reporting (SQL) and analytics programming languages ( SAS ). **HEDIS Analyst III** **Education and Experience** + Bachelors… 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 ...and problem-solving skills are strongly preferred. + Knowledge of SAS . + Knowledge of systems capabilities and Healthcare business… more
- University of Michigan (Ann Arbor, MI)
- …and pediatric clinical documentation improvement (CDI) space. Utilizing numerous types of data , both modeled and disparate, this analyst will produce relevant, ... decisions are made from accurate findings. In addition, the analyst will work with the data owners/stewards...using statistical tools like Microsoft Excel and Access, SQL, SAS and others. Conduct regression analysis. + Advanced Reasoning… more
- Prime Therapeutics (Montgomery, AL)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...and complex actuarial models + Lead, perform, and review data analyses, reporting, and projections + Lead, perform, and… more
- University of Utah Health (Murray, UT)
- …HCC mappings, and risk score calculations. **Qualifications (Preferred)** **Preferred** + Medicare Data experience. **Working Conditions and Physical Demands** ... are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's risk...plan or healthcare organization. + Proficiency in SQL and data analysis tools (eg, SAS , Python, R,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …analyze, and synthesize data ; develop analyses and reporting to guide the Medicare strategy. + Assist in creation and maintenance of reports that monitor key ... + Support requests for ad hoc analysis leveraging disparate data sources including Medicare reporting and the...Access, Excel, and SQL + Experience with Tableau and SAS is a plus + Demonstrated ability to handle… more
- Novant Health (NC)
- …of 2 teams: payor relationship management and financial strategy. The Sr. Pricing Analyst role is in the financial strategy group. This group partners with the ... limited to CMS and commercial episodes + Utilizing internal data systems and external data to drive...including CPT4, ICD10CM, and DRGs, as well as current Medicare reimbursement methodologies. + Knowledge of pricing, healthcare finance,… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... and LinkedIn. **Brief summary of purpose:** The Risk Adjustment Analyst (RAA) will be a SME for the MassHealth...SME for the MassHealth risk adjustment model(s) and related data submission requirements. This role will be familiar with… more
- University of Utah (Salt Lake City, UT)
- …the College of Health. Dr. Kumar's research focuses on health service research, utilizing Medicare claims data , epidemiological data , qualitative data ... analysis, and electronic health record ( EHR ) data . This Research Analyst will provide a... management of large survey, state, health system, and Medicare claims data * Proficiency with Microsoft… more
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