- Dana-Farber Cancer Institute (Brookline, MA)
- The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements, and other ... and which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies are a Qualifying Clinical… more
- Prime Therapeutics (Washington, DC)
- …our passion and drives every decision we make. **Job Posting Title** Compliance Analyst - Medicare Part B- REMOTE **Job Description** Job Description The ... Compliance Analyst assists in the implementation of Prime's compliance programs...**Preferred Qualifications** + Pharmacy Benefit Management/health care experience + Medicare Part D, Medicaid, and/or Affordable Care Act experience… 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
- Molina Healthcare (Albany, NY)
- …Power BI and Databricks) to inform and influence decision making for the Medicare Stars program * Responsible for data compilation, data management, data analysis, ... education and experience **PREFERRED EXPERIENCE:** 7-9 years Power BI and Databricks Medicare Stars experience To all current Molina employees: If you are interested… more
- CVS Health (Austin, TX)
- …Fully Remote ANYWHERE within the continental US **The schedule is Monday through Friday, 11:00am to 7:30 pm Eastern Time.** Training hours may differ from the shift ... you are hired for. The WorkLife Consultant (WLC) is part of the WorkLife Team and provides consultation, assessment, and resource referrals to a variety of customers for a variety of needs including child care, elder/adult care, and basic/everyday needs. The… more
- CVS Health (Phoenix, AZ)
- …Fully Remote ANYWHERE within the continental US **Training hours 9 - 5:30 EST or CST** **Work hours after training 10 - 6:30 pm EST** **The WorkLife Consultant (WLC) ... is part of the WorkLife Team and provides education about community resources, resource needs assessment, and community and/or national referrals to a variety of customers for a variety of needs including childcare, elder/adult care, and basic/everyday needs.… more
- Molina Healthcare (Albany, NY)
- …**Job Summary** Responsible for estimating liabilities, establishing premium 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… more
- Molina Healthcare (Seattle, WA)
- …**Job Summary** Responsible for estimating liabilities, establishing premium 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… 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
- CareFirst (Baltimore, MD)
- …The Quality, Stars, and Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person will support the Director ... Qualifications:** + Experience in healthcare industry and deep understanding of Medicare risk adjustment (clinical, submission cycle, and financial experience). +… more
- CVS Health (St. Louis Park, MN)
- …it all with heart, each and every day. **Position Summary** The Senior Analyst , Project Management will support the Minnesota Medicare market with coordination ... of operational excellence for the Allina Health | Aetna Medicare plan. The Senior Analyst will facilitate project teams to prioritize work, meet deadlines,… more
- UCLA Health (Los Angeles, CA)
- Description 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 and delivery requirements + work… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Master ... Data Management Analyst I** The MDM Analyst within the...self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... services of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal regulations. The Sr. Reimbursement… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Prepares various ... Greater Cleveland, Ohio residents preferred._** **Responsibilities** **Product Line Financial Analyst III** + Analyzes product line profitability and makes… more
- UTMB Health (Galveston, TX)
- Reimbursement Analyst (Remote/Local) - Government Reimbursement **Galveston, Texas, United States** Business, Managerial & Finance UTMB Health Requisition # 2501941 ... 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
- Advanced Systems Design (Montgomery, AL)
- Advanced Systems Design is seeking a Senior Business Analyst for our client located in Montgomery, AL. This position is onsite in Montgomery, AL, and requires ... the business needs. + This will require the Business Analyst to be very comfortable understanding the contract, the...years of experience in MMIS or domain knowledge of Medicare , Medicaid or with a major health care payer… more
- The Cigna Group (Jefferson City, MO)
- **Product Management Lead Analyst - Centene Operations Management** The job profile for this position is Product Management Lead Analyst , which is a Band 3 ... operations accountabilities associated with all regulated lines of business including Medicare , Medicaid, and Marketplace (Exchange / Health Care Reform). The team… more
- AON (San Francisco, CA)
- Job Title: H&B Analyst - Actuarial Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people ... succeed. What the day will look like Aon Consulting, Inc. seeks an H&B Analyst - Actuarial in San Francisco, California to perform health and benefits actuarial… more
- Humana (Concord, NH)
- …and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those ... directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts financial, economic, and other data to provide… more
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