- 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
- 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 Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... score calculation, enrollment, premiums, medical and pharmacy claims, and provider data . Incumbent is responsible for performing complex analyses and problem… more
- Ochsner Health (New Orleans, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies… more
- State of Minnesota (St. Paul, MN)
- **Working Title: T-MSIS Lead Analyst and CMS Data Liaison** **Job Class: Research Scientist 3** **Agency: Human Services Dept** + **Job ID** : 89296 + ... be eligible for telework. This highly skilled and technical data position exists to support and lead ...perform Federal compliance duties pertaining to the Centers for Medicare and Medicaid Services (CMS) required T-MSIS (Transformed Medicaid… more
- Molina Healthcare (Dayton, OH)
- …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
- J&J Family of Companies (Raritan, NJ)
- …of Johnson & Johnson's Family of Companies is recruiting for a **Government Pricing Lead Analyst (Part-time),** located in **Raritan, NJ** . **This is a ... journey to wellness. Learn more at https://www.jnj.com/medtech A Government Pricing (GP) Lead Analyst generally supports all aspects of the government pricing… more
- CVS Health (PA)
- …Medicare Advantage products. **Preferred Qualifications** + 5+ years of experience as a Data Analyst or in a similar role. + Experience building, maintaining, ... States* **Position Summary** As an Individual Contributor Manager of Medicare Complaints Operations - Technical, you will play a...is available for management review. + Participates in audit data universe gathering and analyzing. + Lead … more
- Molina Healthcare (Milwaukee, WI)
- **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... solutions to assist HEDIS Outbound, Inbound extracts, Data Ingestions, Dashboards, Reports & Extracts for rate tracking...related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP * Develops custom health plan reports related to… more
- CVS Health (PA)
- …+ Collaborates efficiently with Cross-Sell Business Analysts and stakeholders in the Medicare Conversion program to lead process enhancement initiatives related ... day. **Position Summary** The primary responsibility of the Business Consultant - Medicare Conversions and Strategic Growth is to deliver business analytics and… 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
- Fair Haven Community Health Care (New Haven, CT)
- …medical and dental care, regardless of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights ... Haven Community Health Care (FHCHC). Duties and responsibilities Reporting to the Director of Data , the Senior Data Analyst will effectively prioritize and… more
- CVS Health (PA)
- …or managing large projects **Preferred Qualifications** + 3+ years of experience as a Data Analyst or in a similar role + Proficient in modifying QuickBase; ... + Participate in the gathering and analysis of audit data universes. + Lead the oversight of...data sources. + 2+ years of experience with Medicare Advantage products. + Proficient using QuickBase. + Experience… 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
- 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
- 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
- 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
- Molina Healthcare (Tacoma, WA)
- **Job Description** **Job Summary** The Lead Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and ... Supports existing lines of business and expansion into new states. The Lead Analyst , Reimbursement will be primarily responsible for implementation, maintenance,… 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