- CGI (Fairfax, VA)
- Lead Business Analyst Category: Business Analysis (functional and technical) Main location: United States, Virginia, Fairfax Alternate Location(s): United ... more. Position Description: CGI Federal is seeking a Lead Business Analyst to help lead the Department...business analysis, with at least 3 years in Medicare call center environments. *Strong understanding of Medicare… more
- Innova solutions (Red Bank, NJ)
- Innova Solutions is immediately hiring a Lead Business Analyst Position type: Permanent Duration: Fulltime Location: New Jersey, US As a Lead Business ... used in healthcare claims across payers and lines of business (commercial, Medicare , Medicaid). Identify root causes...must have skills: 5+ years of experience as a Business Analyst or Product Owner in healthcare… more
- NYC Health Hospitals (New York, NY)
- …including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, ... Yorkers to live their healthiest life. Position Overview The Payment Integrity (PI) Analyst will assist in the development of a strategic roadmap to recover,… more
- CVS Health (Chicago, IL)
- Senior Analyst , Instructional Design At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who ... do it all with heart, each and every day. Position Summary The Senior Analyst , Instructional Design is accountable for designing and developing a wide range of… more
- Compunnel (Louisville, KY)
- Job Summary: We are seeking a detail-oriented and analytical Business Analyst to support initiatives in the healthcare payor domain, specifically within ... Medicare and/or Medicaid. The ideal candidate will have strong...collaboration to ensure alignment across teams. Key Responsibilities: Prepare business and technical scope documentation and impact assessments in… more
- SCAN (Long Beach, CA)
- …user". Resolve system issues. Develop routine and ad hoc Sales Leadership reports. Key analyst for sales business processes. You Will Support and maintain system ... member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in California, Arizona, Texas… more
- State of Washington (Olympia, WA)
- …required to work in the office at least 1 day per week.This may change based on business needs. Who we are The mission of the (WSLCB) is to promote public safety and ... honest communication, transparency and accountability, data driven decisions, and business -initiated process improvement. Our commitment to DEIB The WSLCB strives… more
- LanceSoft (Detroit, MI)
- …activities with varying timelines. Familiarity with Chapter 2 - Medicare Advantage Enrollment and Disenrollment guidance Education/Certifications Include: Bachelor's ... Degree in a related field is preferred. more
- University of Utah (Salt Lake City, UT)
- Announcement Details Open Date 06/19/2025 Requisition Number PRN42220B Job Title PS Financial Analyst Working Title PS Financial Analyst Job Grade E FLSA Code ... Seldom: Bending, reaching overhead. Minimum Qualifications Bachelor's degree in Business , Accounting, Healthcare Administration, or a related field or equivalency… more
- Waystar (Louisville, KY)
- …in this position are expected to develop a broad knowledge of Waystar's business , industry, and operations in order to support analysis and decision making. WHAT ... and forecasting WHAT YOU'LL NEED *bachelor's degree in economics, finance, business , accounting, or similar concentration required. *1-3+ years of similar work… more
- Pearl Health (New York, NY)
- …care across patient panels, and optimize performance in value-based care models for Traditional Medicare and Medicare Advantage. We are a team of physicians and ... storytelling, and a track record of managing high-performing teams that deliver measurable business impact. This is a unique opportunity to define and lead marketing… more
- CVS Health (Shreveport, LA)
- …various types of events. At these events, Lead Generation Specialists will engage Medicare -eligible seniors in the community with the ultimate goal of having those ... work very closely with their Outreach Director/Outreach Manager, Community Relationship Analyst and Outreach Executive(s) to help drive new patient growth locally… more
- eSimplicity (Columbia, MD)
- …and drill down to get details as needed Collaborate with the development and analyst to ensure implementation of the needed business , functional, and system ... to support staff. Attend requirements gathering meetings to better understand business needs, functional and system requirements Produce detailed testing documents,… more
- Indiana University Health (Indianapolis, IN)
- …role offers an exciting opportunity to work on both 340B and Medicare /Medicaid reimbursement initiatives, helping to grow our programs and optimize financial ... Communicate and resolve conflicts with physicians, healthcare team members, business /managed care/governmental agencies, insurance company representatives, self-funded employer decision… more
- Insight Global (Woonsocket, RI)
- …Education: Bach degree or equivalent 2-4 years or more years of Technical Business Analyst experience Medicare or Health Insurance experience: claims, ... Job Description Insight Global is seeking a Technical Business Analyst to support a large health insurance client of ours. Work with business partners and… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Centene Corporation (Tallahassee, FL)
- …objectives for assigned function. This role will focus on data mapping for Medicare provider directories. + Support business initiatives through data analysis, ... + Perform data mapping and validation for large datasets related to Medicare provider directories + Support user acceptance testing (UAT) and troubleshoot issues… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful ... with the ability to analyze complex datasets. + Skilled in translating business questions and requirements into actionable reports, database views, and BI query… more
- NTT DATA North America (Merced, CA)
- …Overview:** We are seeking a detail-oriented and experienced DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ... overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in...**Required Qualifications:** + 5+ years pf proven experience with Medicare claims, including a deep understanding of CMS requirements… more
- Centene Corporation (Providence, RI)
- …healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion and performance ... of Medicare -focused VBP arrangements across New York, including ...terms, and generating insights to guide strategic decision-making. The Analyst will work closely with the VBP Manager, Director,… more
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