- Molina Healthcare (Columbus, OH)
- …(using Power BI and Databricks) to inform and influence decision making for the Medicare Stars program * Responsible for data compilation, data management, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,...experience **PREFERRED EXPERIENCE:** 7-9 years Power BI and Databricks Medicare Stars experience To all current Molina employees: If… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will ... risk adjustment operational decisions, and working independently to improve process and data integrity. In addition, this person will work directly with vendors that… more
- UTMB Health (Galveston, TX)
- Reimbursement Analyst ( Medicare /Medicaid Reimbursement), Remote/Local - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & ... Accounting, Business, or related field. and a minimum of three years of Medicare and Medicaid Cost Report or related experience. An equivalent combination of… 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
- CVS Health (Tallahassee, FL)
- …And we do it all with heart, each and every day. **Position Summary** Aetna Medicare Product Tools & Technology is seeking a Technical Business Analyst to join ... our exciting team. We build and support internal Medicare related applications that allow our business users to...to complete crucial business processes for Aetna. The Business Analyst plays a role in business problem solving and… more
- Amazon (Boston, MA)
- …care experiences, and more value, within a better care team environment. Medicare Population Health Programs (MPHP) supports our Seniors business in identifying, ... to succeed in Value Based Care (VBC). As an Analyst on the MPHP team, you will lead the...MPHP team, you will lead the delivery of various data analytics functions including analyzing large data … more
- ERP International (Laurel, MD)
- …International, LLC** ( www.erpinternational.com ) is currently seeking Full-Time **Business Analyst ** to support of the **CMS Division of Enterprise Architecture** ... requirements affect CMS business processes, IT systems, organizational roles, data standards, and governance frameworks. + Maintain comprehensive regulatory… more
- Molina Healthcare (Columbus, OH)
- …rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + ... Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions. + Analyze results to identify early signs of trends or other issues related to medical care costs. + Design and perform actuarial studies related to… more
- Molina Healthcare (Columbus, OH)
- …rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks. **KNOWLEDGE/SKILLS/ABILITIES** + ... Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies. Document assumptions. + Analyze results to identify early signs of trends or other issues related to medical care costs. Recommend solutions to identified issues. + Design… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Master Data Management Analyst I** The MDM Analyst within the ... as well as Integrations from/to Source/Target systems across multiple data domains. The MDM Analyst will utilize...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Risk Adjustment Data Analyst to support a leading health insurance customer. The main purpose of a ... data analyst is to find meaning in data ...better business decisions. The individual will interpret and apply Medicare Advantage Risk Adjustment rules, regulations, and processes in… more
- Bloom Healthcare (Lakewood, CO)
- Job Title: Data Analyst , Value Based Care Location: Denver, Colorado; Hybrid About Bloom: Bloom Healthcare is a pioneering and employee-owned primary care and ... place to work. Job Summary: We are seeking a Data Analyst , Value Based Care, to lead...document these findings to support BI-centric solutions, particularly with Medicare Advantage, ACO, and claims data . +… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement… more
- City of Henderson (Henderson, KY)
- Principal Data Analyst Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/4899139) Apply Principal Data Analyst Salary $91,084.92 - ... fill one (1) vacancy for the classification of Principal Data Analyst in the Department of Utility...the Household, and Access to Work/Life Wellness Resources + Medicare - Employee and City each pay 1.45% RETIREMENT… more
- General Dynamics Information Technology (Fairfax, VA)
- …Deliver insights to help our clients turn data into action as a Data Analyst Associate at GDIT. Your work will provide transformative solutions to our ... our clients' mission and on your career. At GDIT, people are our differentiator. As a Data Analyst Associate you will help ensure today is safe and tomorrow is… more
- Methodist Health System (Dallas, TX)
- …:** 5 days **Work Shift :** **Job Description :** Your Job: The SR REIMBURSEMENT( MEDICARE ) ANALYST will assist the Manager of Regulatory Compliance, the Manager ... * CPA Preferred * Position requires extensive knowledge of governmental programs ( Medicare and Medicaid). * Good written and oral communication skills. * Good… 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 role, collaborating with stakeholders from across the organization to develop sophisticated ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS Data Quality Analyst Exemption Status Exempt Department Business Intelligence Manager ... one of the listed 9 states. Job Summary The Data Quality Analyst is responsible for monitoring...health plan business processes + Experience with Medicaid and Medicare programs + Experience applying system development methodologies +… more
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