- Humana (Trenton, NJ)
- …our organization's standing within the Medicaid markets. **Complex Ad-Hoc Requests:** The Data and Reporting Professional 2 will address complex ad-hoc ... caring community and help us put health first** The Medicaid Data and Reporting Analyst...operating objectives, including their linkages to related areas. The Data and Reporting Professional 2… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the ... and regulatory standards. Assignments are varied and often require interpretation of Medicaid -specific policies and data . The role demands independent judgment… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results.… more
- Humana (Trenton, NJ)
- …and Medicaid program requirements to drive accurate and timely submissions. The Senior Data and Reporting Professional integrates data from multiple ... operations across multiple states. This role ensures compliance with state-specific Medicaid reporting implementations and requirements, will collaborate with… more
- Ascendis Pharma (Princeton, NJ)
- …Guide the design and enhancement of automation tools and dashboards to streamline data aggregation, analytics, and executive reporting for GTN and government ... develop their skills. Position Summary The Director, Finance Gross-to-Net (GTN) Reporting will lead the development, execution, and oversight of government pricing… more
- Humana (Trenton, NJ)
- …contracting requirements and data integrity as required in the Ohio Medicaid Provider Agreement and internal reporting compliance. This role will support ... contracting governance, process development, and data governance Ohio Medicaid , including developing contracting requirements, internal reporting compliance… more
- Humana (Trenton, NJ)
- … requires an in-depth evaluation of variable factors. The Senior Workforce Management Professional plays a pivotal role in supporting Medicaid Inpatient and ... community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and … more
- Humana (Trenton, NJ)
- …model designs including analyzing provider performance, reporting , and scorecard/reconciliation reporting . + Understanding of Medicaid and/or Medicaid ... first** Humana Healthy Horizons is seeking a Senior Value-Based Programs professional who will support successful value-based provider relationships with a focus… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Senior Agency Management Professional provides support for handling and analyzing data that pertains to ... determination of the appropriate courses of action. The Senior Agency Management Professional provides support for handling and analyzing data that pertains… more
- City of New York (New York, NY)
- …including Cash Assistance, the Supplemental Nutrition Assistance Program (SNAP), Medicaid , Domestic Violence Services, Home Care Services, Child Support Services, ... one (1) Administrative Staff Analyst NM-II, to function as a EPMO Data Analytics Director, who will: - Identify technological, analytical, and algorithmic processes… more
- Humana (Trenton, NJ)
- …caring community and help us put health first** The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and ... reporting to develop strategic and operational insights for workforce...management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require… more
- Humana (Trenton, NJ)
- …to drive sales program effectiveness and to ensure cost efficiencies. Provide data driven expertise and management reporting to improve sales performance ... help us put health first** The Senior Enterprise Transformation Professional manages all aspects of a large-scale program, from...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **The… more
- Humana (Trenton, NJ)
- …and help us put health first** The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to programs that impact members' lives by ... promoting preventive health activities. The IHWA Follow-up Senior Program Delivery Professional works on problems of diverse scope and complexity ranging from… more
- Ascendis Pharma (Princeton, NJ)
- …of monthly, quarterly, and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting , per legislative ... Guide the design and enhancement of automation tools and dashboards to streamline data aggregation, analytics, and executive reporting for government pricing +… more
- Molina Healthcare (New York, NY)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- Mount Sinai Health System (New York, NY)
- …cycle environment. + Proficiencies: Extensive knowledge of revenue cycle processes and professional charging/billing. Extensive knowledge of code data sets, Epic ... Faculty Practice Plan) combines advanced financial analysis with a strong professional healthcare revenue cycle background to ensure accurate and compliant charge… more
- GMHC (New York, NY)
- … reporting requirements, including the HRA-SSA supportive housing census. Professional Development & Collaboration: + Stay current on housing policies, benefits ... such as: + . eCOMPAS, AWARDS, or similar platforms for documentation and compliance reporting . + . Data entry and management to ensure contract deliverables are… more
- Ascendis Pharma (Princeton, NJ)
- …CPQ, Model N, iCyte), ERP systems (eg, SAP, Oracle, D365), and Microsoft Excel for data analysis and reporting . + Leadership experience, with the ability to lead ... the Senior Director, Pricing and Contracting Strategy. + Performance Tracking and Reporting : Develop and maintain metrics, KPIs, and dashboards to monitor contract… more
- GMHC (New York, NY)
- …deliverables reports, DDAS, and time and effort forms by deadlines. Ensure accurate data entry into reporting systems such as eCOMPAS, TREAT, and AWARDS. ... managing relationships to resolve conflicts and foster a cooperative environment. Professional Development: + Leads the onboarding process for new hires, ensuring… more
- GMHC (New York, NY)
- …such as: + eCOMPAS, AWARDS, or similar platforms for documentation and compliance reporting . + Data entry and management to ensure contract deliverables are ... proactive engagement with clients experiencing crises. Compliance Documentation & Reporting : + Ensure timely and accurate documentation compliance. + Maintain… more