• Clinical Data Analyst III (HEDIS,…

    LA Care Health Plan (Los Angeles, CA)
    …preferred. Licenses/Certifications Required Licenses/Certifications Preferred Statistical Analysis System ( SAS ) Certification Certified Healthcare Data ... Clinical Data Analyst III (HEDIS, Tableau, SQL).... Develop automatic, robust and sharable Statistical Analysis System ( SAS ) or Structured Query Language (SQL) procedures and programs… more
    LA Care Health Plan (04/08/25)
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  • Research Data Analyst

    UCLA Health (Los Angeles, CA)
    … from electronic medical records, administrative and registry data , insurance claims data , including Medicaid and Medicare data , and large public survey ... Description Provide statistical data analysis, data management and reporting...clinical trials. + Experience utilizing statistical software applications including SAS and R. Experience using SQL, including interfacing between… more
    UCLA Health (05/01/25)
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  • Risk Adjustment Analyst

    CareOregon (Portland, OR)
    …but must reside in Oregon or SW Washington Job Summary The Risk Adjustment Analyst performs data extraction, conducts data analysis, and prepares various ... adjustment payment from CMS. + Use statistical software, including SAS , to retrieve, edit and tabulate data ...Medicare and Medicaid lines of business by compiling data and executing the risk adjustment models. + Study… more
    CareOregon (05/03/25)
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  • Research Analyst GME WFH

    HCA Healthcare (Nashville, TN)
    …electronic health records, Medicare claims, or other health care claims data sets preferred. + SAS , RDBMS, and SQL experience required. **Benefits** ... and process documentation for both the department and for assigned projects. + Perform data analyst functions that generate knowledge via data mining,… more
    HCA Healthcare (05/07/25)
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  • Actuarial Manager Analyst , Amazon One…

    Amazon (New York, NY)
    …will responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data , design and ... Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to...compared to plan expectations. Key job responsibilities -Analysis of Medicare Advantage and Accountable Care Organization data more
    Amazon (03/05/25)
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  • Senior Actuarial Analyst - REMOTE

    Prime Therapeutics (Cheyenne, WY)
    …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial Analyst is ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...and complex actuarial models + Lead, perform, and review data analyses, reporting, and projections + Lead, perform, and… more
    Prime Therapeutics (04/12/25)
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  • Actuarial Analyst - REMOTE

    Prime Therapeutics (Raleigh, NC)
    …our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst - REMOTE **Job Description** The Actuarial Analyst is responsible for ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). **Responsibilities** + Build, support, and maintain financial and… more
    Prime Therapeutics (03/20/25)
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  • Senior Financial Analyst - Pharmacy…

    Walgreens (Deerfield, IL)
    …role will develop, enhance, and create financial models to project future Medicare reimbursement or understand recent trends. ** Data Analytics and Management:** ... **Job Summary:** Responsible for managing the finances for the Medicare Part D Pharmacy contracts with PBMs and insurance...Where standard tools are insufficient, utilizes statistical analysis software ( SAS ) to model and analyze data as… more
    Walgreens (03/27/25)
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  • Senior HEOR Analyst - Remote

    Medtronic (San Francisco, CA)
    …interpretation, and messaging of retrospective analysis of administrative health care claims data (both public/ Medicare , commercial, and hospital claims data ... + Execute ad-hoc and publication-level retrospective analyses of claims data sources in SAS independently, including data cleaning & preparation, patient… more
    Medtronic (04/30/25)
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  • Claims Analyst

    CenterLight Health System (NY)
    …of healthcare experience, managed care setting is strongly preferred. + Proficiency in data analytics, ie SAS , SQL. + Claims adjudication and understanding of ... JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing...claims department by evaluating and refining processes, conducting comprehensive data analysis, and ensuring compliance with all applicable State,… more
    CenterLight Health System (04/26/25)
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  • Treasury And Provider Payment Analyst

    CenterLight Health System (NY)
    …products and services. + Advanced MS Excel and Access skills. + Experience with SQL, SAS or data analytics is strongly preferred. + Experience with Workday or ... JOB PURPOSE: The Treasury and Provider Payment Analyst will perform day-to-day cashflow operations including update/change...addressed and resolved. + Maintain and update provider payment data in Care Compass and working with PPi to… more
    CenterLight Health System (04/24/25)
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  • Lead Data Scientist

    Humana (Hartford, CT)
    …five years of experience at a research organization in roles such as researcher, data analyst /engineer, data scientist, or developer. + Expert proficiency in ... privacy, and governance principles. + Experience with R and SAS . + Experience with Data Vault 2.0....to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (05/13/25)
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  • Division Director of Research GME

    HCA Healthcare (Austin, TX)
    …sets including, electronic health records, Medicare claims, or other health care claims data sets preferred. + SAS , R, SPSS or Tableau experience is strongly ... and process documentation for both the department and for assigned projects + Perform data analyst functions that generate knowledge via data mining,… more
    HCA Healthcare (02/15/25)
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  • Senior Manager, Business Consultant

    CVS Health (Boston, MA)
    …Aetna's large customers, supporting both their Commercial and Medicare plans. The analyst will use various data and reporting sources to field requests for ... Sponsor Reporting and Analytics is searching for an experienced analyst to support customer reporting and analysis for one...will be responsible for ensuring the highest standard of data quality of the information provided as well as… more
    CVS Health (05/12/25)
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  • Senior Associate Business Intelligence

    NTT America, Inc. (Carson City, NV)
    …- it's a place where you can grow, belong and thrive. **Your day at NTT DATA ** The Production Control Analyst will contribute to the support of the NJ MMIS ... data protection and privacy laws. + Experience with Medicaid/ Medicare systems processing, including Claims, Provider, and Member Eligibility. Managed Care,… more
    NTT America, Inc. (04/25/25)
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  • Healthcare Network Pricing Associate

    AmeriHealth Caritas (Newtown Square, PA)
    …Education:** + At least three (3) years of experience. + Experience mining large data sets. + Advanced capabilities in Excel, SAS /SQL, and database applications ... Discover more about us at www.amerihealthcaritas.com . The **Network Pricing Analyst ** will collaborate with team members and other stakeholders toward delivering… more
    AmeriHealth Caritas (03/18/25)
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