• Business Analyst ( Medicaid )

    Insight Global (Raritan, NJ)
    …in business discipline or related field. * Experience in Medicaid , Rebate Management, and/or compliance is preferred. Knowledge and understanding of product, ... to the Senior Manager, and will oversee the critical operational aspects of Medicaid Payments. The Contractor will provide oversight on all issues relating to rebate… more
    Insight Global (09/18/25)
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  • Senior Business Analyst

    Public Consulting Group (Sacramento, CA)
    …of their user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance **Duties and ... key stakeholders + Provides IT job duties which include Business and Technical Leadership, System Analysis, Code + Development,...of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western… more
    Public Consulting Group (10/01/25)
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  • Medicaid Provider Evaluation Analyst

    Koniag Government Services (Chantilly, VA)
    **Koniag Services (KSI),** a Koniag Government Services company, is seeking a Medicaid Provider Evaluation Analyst to support KSI and our government customer. ... paid time off, and more. We are seeking a highly skilled and motivated ** Medicaid Provider Evaluation Analyst ** with knowledge and experience in state … more
    Koniag Government Services (09/13/25)
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  • Senior Risk Adjustment Analyst

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... business process and technical workflow documents. + Understand Medicaid risk score methodology, including risk score calculation, financial risk receivable… more
    CareFirst (09/26/25)
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  • Senior Strategy Analyst - Medicaid

    Highmark Health (Tallahassee, FL)
    …thinking to identify business needs for growing and sustaining the Medicaid business . Apply SME knowledge and oversee multiple teams' activities related ... :** enGen **Job Description :** **JOB SUMMARY** Support enGen's Diversified Business Solutions leadership in strategic activities to expand IT capabilities for… more
    Highmark Health (10/01/25)
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  • Finance Analyst III - Medicaid

    Centene Corporation (Sacramento, CA)
    …role have the flexibility to work remotely. Due to the needs of the business , work schedule is Pacific Standard Time zone.** **Welcome to Centene!** At **HeathNet,** ... we're seeking a finance professional with strong **FP&A** expertise with ** Medicaid industry experience** to deliver strategic insights and drive operational… more
    Centene Corporation (09/28/25)
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  • Senior Analyst , Actuarial…

    CVS Health (Chicago, IL)
    …Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs actuarial functions by applying expanded quantitative skills ... solutions and demonstrate an advanced understanding of actuarial concepts and business acumen. + Set own priorities within pre-established overall deadlines. +… more
    CVS Health (09/18/25)
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  • Medicare/ Medicaid Claims Editing…

    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 ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
    Commonwealth Care Alliance (08/26/25)
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  • Director Of SNAP, Medicaid , & Fair Fares…

    City of New York (New York, NY)
    Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... York City's three major social services benefit programs: Cash Assistance, Medicaid and the Supplemental Nutrition Assistance Program. oversee reporting for three… more
    City of New York (09/19/25)
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  • Salesforce Business Analyst

    General Dynamics Information Technology (Fairfax, VA)
    …ensure today is safe and tomorrow is smarter. Our work depends on a Systems Analyst ( Business Analyst /Tester) joining our team remotely to support the ... Centers for Medicare & Medicaid Services (CMS) activities. HOW A SYSTEMS ...+ 3+ years of hands-on experience as a Salesforce Business Analyst and/or Salesforce Consultant. + 3+… more
    General Dynamics Information Technology (10/04/25)
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  • Business Analyst - Data Sharing

    Staffing Solutions Organization (Albany, NY)
    …workforce, which is a reflection of our clients and the people they serve. ** Business Analyst - Division of Data Services & Analytics** **Location: Albany, NY** ... **Hybrid Schedule: 50% Remote 50% Onsite** **Summary:** The ** Business Analyst ** will work within the Division...organize, and facilitate requests for healthcare data in the Medicaid Data Sponsorship process. The ideal candidate will utilize… more
    Staffing Solutions Organization (08/20/25)
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  • Business Analyst - Hybrid

    MSys Inc. (Austin, TX)
    Job summary: Title: Business Analyst - Hybrid Location: Austin, TX, USA Length and terms: Long term - W2 or C2C Position created on 10/02/2025 08:50 pm Job ... or modify computer programs. Additional job details and special considerations Senior Business Analyst with a strong background in digital transformation and… more
    MSys Inc. (10/04/25)
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  • Sr. AI Business Analyst - Remote

    Prime Therapeutics (Baton Rouge, LA)
    …fuels our passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems ... career in the IT AI space.** The Sr. IT Business Systems Analyst (BSA) is responsible for...Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA… more
    Prime Therapeutics (10/01/25)
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  • Business Requirements Analyst

    Staffing Solutions Organization (Albany, NY)
    …which is a reflection of our clients and the people they serve. ** Business Requirements Analyst in Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of System Quality Assurance & Business Requirements-Eligibility Systems Modernization Group** **50% Onsite 50% Remote** **Duties:**… more
    Staffing Solutions Organization (08/20/25)
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  • Business Analyst - Data Quality

    Staffing Solutions Organization (Albany, NY)
    …diverse workforce, which is a reflection of our clients and the people they serve. ** Business Analyst - Data Quality in Albany, NY** **Item 1302** The ** ... Business Analyst ** will work within the Division...Business Analyst ** will work within the Division of Data Services...for the research and understanding of healthcare data and business context of various elements related to Medicaid more
    Staffing Solutions Organization (09/06/25)
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  • Lead Analyst , Payment Integrity - REMOTE

    Molina Healthcare (Dayton, OH)
    **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... + At least 6 years of experience as a Business Analyst or Program Manager in a...synthesize complex information. **PREFERRED QUALIFICATIONS:** + Experience with Medicare, Medicaid , and Marketplace lines of business . +… more
    Molina Healthcare (09/28/25)
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  • Copy - Remote Business Systems…

    Insight Global (Philadelphia, PA)
    …insurance space ( Medicaid /Medicare) space is actively hiring for a REMOTE Sr. Business Systems Analyst to own the requirements of their Pharmacy Benefits ... responsible for delivering technical projects for the PBM line of business . As the Systems Analyst you will leverage your SDLC knowledge to drive projects… more
    Insight Global (09/30/25)
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  • Application Analyst III - Core

    NTT DATA North America (Merced, CA)
    …years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific ... continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of...strategy NTT DATA currently seeks a direct hire Application Analyst III - Core to join our team in… more
    NTT DATA North America (07/24/25)
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  • Revenue Data Analyst

    Robert Half Finance & Accounting (Kansas City, MO)
    …Validation, Analyze Trends, Microsoft Excel, Medicare, Medicaid , Medicaid , Medicaid Manage Care, Data reporting, Business reporting Robert Half is the ... healthcare organization that is looking for a Revenue Data Analyst . The Revenue Data Analyst plays a...Required Qualifications: + Bachelor's degree in Finance, Healthcare Management, Business Administration, or a related field. + Minimum of… more
    Robert Half Finance & Accounting (10/01/25)
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  • HEDIS Analyst

    Medical Mutual of Ohio (OH)
    …Data and Information Set (HEDIS) lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid ), including HEDIS audit ... fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the… more
    Medical Mutual of Ohio (08/16/25)
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