- Molina Healthcare (Fort Worth, TX)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- … and Medicaid Services (CMS) Next Generation Desktop platform initiative. The Business Analyst Lead is responsible for gathering, managing, and prioritizing the ... ** Lead Business Analyst ** **Category:** Business Analysis...playing this video you consent to Google/YouTube processing your data and using cookies -Learn more (xweb.asp?clid=21001&page=cookiespolicy#integrationofyoutube) . **Position… more
- Trinity Health (Columbus, OH)
- … Medicare population + Partners with technical teams to design and improve Medicare data intake and storage infrastructure to enable efficient analytics + ... understanding of NCQA and HEDIS is required. Knowledge of Medicare Stars-including CAHPS, HOS, Part D, and operational measures-is...audit, provider relations and more. **About the job:** The Lead Quality/Stars HEDIS and Technical Analyst .… more
- The Cigna Group (St. Louis, MO)
- Product Management Lead Analyst - Centene Operations Management We value our talented employees, and whenever possible strive to help one of our associates grow ... audit support), issue management, adjustment processing, and regulatory communications. The Lead Analyst will support initiatives to ensure member/client… more
- DATAMAXIS (IL)
- Primary Responsibilities: + Analyze and develop complex SQL supporting data warehouse downstream reporting and analytics + Analysis of current business processes and ... Assist with analysis of Medicaid enrollment, provider and claims data , and document requirements, use cases + Assist with...of experience in writing SQL + Proven ability to lead communication (written and verbal) at the customer leadership… more
- Bloom Healthcare (Lakewood, CO)
- …voted the best place to work. Job Summary: We are seeking a Data Analyst , Value Based Care, to lead data analytics initiatives that support Bloom ... Job Title: Data Analyst , Value Based Care Location:...document these findings to support BI-centric solutions, particularly with Medicare Advantage, ACO, and claims data . +… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency SUNY System Administration Title Healthcare Data Analyst Occupational Category No Preference Salary Grade NS Bargaining Unit PSNU - ... State NY Zip Code 12246 Duties Description The Healthcare Data Analyst will conduct analyses and synthesize...and recommendations, as needed.Duties and responsibilities include: - Assess data needs and lead analysis for team-based… more
- Aveanna Healthcare (Coatesville, PA)
- Lead Board Certified Behavior Analyst - Full Time Salary Position with Comprehensive Benefits ApplyRefer a FriendBack Job Details Requisition #: 204650 Location: ... Salary: $70,000.00 - $90,000.00 per year Position Details Job Title: Lead Board Certified Behavior Analyst (BCBA) -...as dressing, feeding, and toileting, to promote independence. + Data Collection and Progress Monitoring + Real-Time Data… 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
- Trinity Health (Columbus, OH)
- …financial analysis, audit, provider relations and more. **Position Purpose:** Pharmacy/Clinical Service Data Analyst is responsible for data collection, ... Shift **Description:** **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare… 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
- Dignity Health (Bakersfield, CA)
- **Responsibilities** The Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes ... the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to ensure end… more
- Silicon Valley Power (Santa Clara, CA)
- …and offering competitive rates for all customers. **The Position:** The Senior Resource Analyst is a lead position in the City's Electric Utility Department, ... **Senior Resource Analyst ** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/4922609) **Senior Resource Analyst ** Salary… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... ANALYST /COMMUNITY PROGRAMS Salary $76,615.68 - $103,240.32 Annually Location Los...and regulations and result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, ... and documenting business and system requirements, analyzing and interpreting data to support cross-functional operations, and driving system enhancements to… more
- Medtronic (Minneapolis, MN)
- …payers. + Reviews and understands US reimbursement and payment systems, including Medicare payment systems, payer coverage policies, claims data sets, and ... and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected,… more
- Belcan (Mason, OH)
- …Configuration workstream for large Government Implementations for Medicaid, Med/Surgical, and Medicare programs. * Provide Data Analysis and troubleshooting ... Configuration Analyst /Administrator Job Number: 357394 Category: Systems Administration Description:...attending cross functional meetings and capture requirements. Able to lead /represent cross functional meetings (this is one of the… more
- WTW (Raleigh, NC)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... Our diverse team of analysts, writers, engineers, designers, business leads, data scientists and sales professionals all work together to create thoughtful,… more
- Prime Therapeutics (Cheyenne, WY)
- …+ Own, build, support, and maintain financial and complex actuarial models + Lead , perform, and review data analyses, reporting, and projections + ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...Lead , perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan ... non-par claims. In the course of this work, the Analyst will be required to work closely with others...and efficiency in the varying payment methodologies. + Gathers data from a variety of sources; updates and maintains… more