- CVS Health (Providence, RI)
- …with heart, each and every day. **Position Summary** The Medicaid Intake Business Operations team seeks an analyst with expertise in electronic claim ... This team ensures the quality and integrity of Intake processes for all Medicaid incoming claim transactions. In this position, you will provide initial support for… more
- Prime Therapeutics (Providence, RI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA… more
- Public Consulting Group (Providence, RI)
- …public sector. To learn more, visit www.publicconsultinggroup.com . The Education Data Analyst works as part of a deadline-oriented, fast-paced team consisting of ... systems, data warehousing, federal reporting, and other programs. The Analyst will be responsible for reviewing, formatting, importing/exporting, transforming,… more
- Prime Therapeutics (Providence, RI)
- …change process + Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned ... passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible… more
- Prime Therapeutics (Providence, RI)
- …on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 3 years of experience… more
- Prime Therapeutics (Providence, RI)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... launch and beyond, focusing on balancing customer needs with business goals. + Consults with business areas...within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- Evolent (Providence, RI)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is...the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food and Drug Administration (FDA), and… more
- Elevance Health (Smithfield, RI)
- **Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... as required by law._ The **Medicare Risk Adjustment Actuarial Analyst III** is responsible for completing diverse and complex...risk adjustment analytics in the Medicare Advantage line of business . **How You Will Make an Impact** Primary duties… more
- Prime Therapeutics (Providence, RI)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Intelligence Compliance Analyst ... governance across the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory guidance +… more
- Cognizant (Providence, RI)
- **About the role** As a QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued member of the ... on decision making for right configuration by working with Business team **Work model:** Remote We strive to provide...functionality. + Have worked with QCS. + Familiarity with Medicaid and Medicare programs are minimum requirements, as well… more
- CenterWell (Providence, RI)
- …Advancement Professional provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and ... Senior Strategy Advancement Professional for its Accountable Care (ACO) business . This role will be responsible for supporting the...payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and… more