- Humana (Baton Rouge, LA)
- …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 (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... data warehouse queries and scripts. The Senior Data and Reporting Professional work...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Lincoln, NE)
- …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 (Columbus, OH)
- …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
- Iowa Department of Administrative Services (Des Moines, IA)
- …financial analysts, and other stakeholders to ensure accurate, compliant, and data -informed decision-making in support of Medicaid managed care financial ... Medicaid populations. + Ensure rate development and financial reporting meet CMS and state audit standards. + Maintain...SAS, R, SQL) to manage, analyze, and report financial data . + Support ongoing improvements in Medicaid … more
- Humana (Louisville, KY)
- …be a data scientist, financial analyst, economist, or other analytical professional ; though experience in Medicaid or government healthcare programs is ... health outcomes, optimized cost performance and measurable program value across Medicaid . This executive leverages advanced analytical, data science, and… more
- The Cigna Group (Franklin, TN)
- …are effective in mitigating risk. This position will be responsible for providing Medicaid regulatory and reporting guidance to internal stakeholders and will ... and business stakeholders, this role will be accountable for EviCore's Medicaid Compliance program and processes, applicable state and federal regulations, and… more
- Health Care Service Corporation (Richardson, TX)
- …clients., large employers, brokers, or consultants. + 7 years experience requiring data analysis and information reporting relating to healthcare data ... and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for planning, managing and… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports...& Abilities (must have):** + Proficiency with Excel and reporting tools for data analysis. + Understanding… more
- Humana (Augusta, ME)
- …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
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of ... requires an in-depth evaluation of variable factors. The Senior Data & Reporting Professional begins...Adequacy requirements and process optimization, primarily focusing on the Medicaid line of business, with a deep understanding of… more
- MyFlorida (Tallahassee, FL)
- …Field Office locations Position Overview and Responsibilities This is a professional position performing highly responsible project reporting , project ... and administrative work. This position will manage and produce monthly federal reporting for Florida Medicaid Information Technology projects. This position… more
- Houston Methodist (Houston, TX)
- …reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting , Federal and State Charity Reporting , ... regulations. **Preferred candidates will have the following:** Medicare and Medicaid Cost Reporting **PEOPLE ESSENTIAL FUNCTIONS** + Directs,… 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 (Washington, DC)
- …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
- Houston Methodist (Houston, TX)
- …and seek maximum reimbursement from various government programs. The Sr. Accounting and Reporting Analyst utilizes strong data analytic skills to identify issues ... At Houston Methodist, the Senior (Sr.) Accountng and Reporting Analyst position is responsible for identifying and...are paid timely. + Extracts correct and accurate financial data from appropriate sources to report and/or seek reimbursement… more
- CVS Health (Springfield, IL)
- …Strategy, you will be responsible for tracking, analyzing, and delivering pharmacy financial reporting for Medicare Part D, Medicaid , and Commercial. A key focus ... 7+ years of professional work experience analyzing, interpreting, and summarizing large data sets + 1+ years PBM industry experience + 1+ years coding experience… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …and metrics set by departmental priorities. + Prepare code and queries using the Medicaid Administrative Reporting System (MARS) data warehouse or other ... systems developed or used to track Medicaid data . + Meet with program staff...reporting and statistical analysis. + Two years of professional healthcare related experience, Medicaid program support,… more
- Idaho Division of Human Resources (ID)
- …processes to ensure timely and accurate data collection, assist with data visualization, reporting , and analysis to support program goals, support research ... Data Specialist - MED Posting Begin Date: 2025/11/18...Assurance Manager, program policy staff, field teams, and Idaho Medicaid providers. This position is ideal for someone who… more
- Nuvance Health (Norwalk, CT)
- …through identification and analysis of both organization-wide and service line specific data , utilizing appropriate data reporting tools and technology. ... database reports, report writers such as Tableau and Crystal, and other contemporary data reporting tools and technology. * Expertise in MS Excel, PowerPoint,… more