- Cambia Health Solutions, Inc (Portland, OR)
- …the most challenging and/or most elevated partners.Additional Minimum Requirements (Compliance Analyst III )Demonstrated mastery of legal requirements relating to ... data validation, marketing material oversight, DDE/FDR oversight.Minimum Requirements (Compliance Analyst II and III )Proven ability to deliver effective Core… more
- Cambia Health Solutions, Inc (Portland, OR)
- …Idaho or UtahPrimary Job PurposeAs a member of the Compliance team, the Compliance Analyst II/ III is responsible to deliver an effective compliance program. They ... or equivalent related experience, with experience in a health care or Medicare -regulated environment preferred.Compliance Specialist III would have at least a… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare...National Committee for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. Must demonstrate… more
- WellSense (Boston, MA)
- Health Data Analyst III WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through ... Medicare , Individual and Family, and Medicaid plans. Founded 25...no matter their circumstances. Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294249) **Position:** Health Data Analyst III (2 positions… more
- State of Colorado (Pueblo, CO)
- Data Management III - Clinical Applications Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4481108) Apply Data Management ... the maintenance, design and enhancement of various patient and management data systems. Additionally, the position develops, maintains, and enhances critical… more
- LA Care Health Plan (Los Angeles, CA)
- Operational Assurance Business Analyst III Job Category: Administrative, HR, Business Professionals Department: Enterprise Performance Optimization Location: Los ... Care's quality standards and strategic objectives. The Operational Assurance Business Analyst III , either individually or collaboratively, researches, elicits,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst III Date: Apr 17, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 54798 **Who ... of the managed care contract. Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify… more
- Centene Corporation (Raleigh, NC)
- … data analysis projects. This position will assist with Medicare financial analysis and project management. + Develop integrated revenue/expense analyses, ... workplace flexibility. **Position summary:** This position is responsible for the financial data analytic needs of the organization. The position will use a… more
- LA Care Health Plan (Los Angeles, CA)
- Revenue Financial Analyst III Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Revenue Financial Analyst III is responsible for the daily management of financial activity of… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …preferably Power BI and/or Tableau + Good written, verbal & presentation communication skills Data Quality Analyst III Education and Experience + Bachelor's ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....achieve their best possible health and quality of life. Data Quality Analyst I-IV The Data… more
- Medical Mutual of Ohio (OH)
- …of data analysis and report design/development. **Group Underwriting Operations Analyst III ** . Bachelor's degree in Computer Science, Business, Math ... hoc projects. . Performs other duties as assigned. **Group Underwriting Operations Analyst III ** Supporting the underwriting system, collaborates with other… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …contracting initiatives. + Performs other duties as assigned. **Provider Network Performance Analyst III ** + Develops Value Based Contract (VBC) amendments in ... planning, principles, and managed care delivery systems. **Provider Network Performance Analyst III ** **Education and Experience:** + Bachelor's degree in… more
- LA Care Health Plan (Los Angeles, CA)
- …The Healthcare Financial Analyst I will assist with gathering medical cost data to support the production of internal routine healthcare reports, ad hoc studies, ... Care Services (DHCS) such as Rate Development Template, Supplemental Data Request, Audit Request. Support of all Actuarial functions... anomalies. This position will work closely with Financial Analyst II and III to provide assistance… more
- The County of Los Angeles (Los Angeles, CA)
- …No Out-of-Class Experience will be accepted. DEFINITION: Assist a Health Facilities Evaluator III in charge of a district office or specialized unit by performing ... to this class report to a Health Facilities Evaluator III in charge of a district office or a...reviews of health facilities in the district. + Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions… more
- Prime Healthcare (Harlingen, TX)
- …ID2024-160910 Job LocationUS-IN-Bloomington FacilitySaint Mary's Regional Medical Center TitleApplication Analyst - SMRMC Data Processing The incumbent will ... are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the… more
