- Baylor Scott & White Health (Des Moines, IA)
- …of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- Evolent (Des Moines, IA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Client Analytics The Client Analytics team provides a unique opportunity to ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS,… more
- CVS Health (Des Moines, IA)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Humana (Des Moines, IA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2 + years of experience with Optum Rate Manager +… more
- Molina Healthcare (Des Moines, IA)
- …pricing, forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional ... role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …of monitoring program compliance/alignment with budget. Track, monitor and document claims for payment processing and ensure contract payments are documented. This ... work in program administration, program development, program operations, or management. 2 ) A total of seven years of education and/or full-time experience… more