- Humana (St. Paul, MN)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial models, reporting tools, and financial results.… more
- State of Minnesota (St. Paul, MN)
- …federal health care program payment policy requirements. + Proficiency with data analytics software **Preferred Qualifications** + Medicaid Management ... **Working Title: Medicaid Payment Quality Assurance & Improvement Analyst** **Job...+ **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Nonexempt + Designated… more
- Humana (St. Paul, MN)
- …and Medicaid program requirements to drive accurate and timely submissions. The Senior Data and Reporting Professional integrates data from multiple ... operations across multiple states. This role ensures compliance with state-specific Medicaid reporting implementations and requirements, will collaborate with… more
- Humana (St. Paul, MN)
- **Become a part of our caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of ... requires an in-depth evaluation of variable factors. The Senior Data & Reporting Professional begins...Adequacy requirements and process optimization, primarily focusing on the Medicaid line of business, with a deep understanding of… more
- Humana (St. Paul, MN)
- … requires an in-depth evaluation of variable factors. The Senior Workforce Management Professional plays a pivotal role in supporting Medicaid Inpatient and ... community and help us put health first** The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and … more
- Humana (St. Paul, MN)
- …our caring community and help us put health first** The Senior Agency Management Professional provides support for handling and analyzing data that pertains to ... determination of the appropriate courses of action. The Senior Agency Management Professional provides support for handling and analyzing data that pertains… more
- Humana (St. Paul, MN)
- …caring community and help us put health first** The Workforce Management Professional 2 applies and integrates advanced and predictive analysis, people metrics and ... reporting to develop strategic and operational insights for workforce...management, diversity and human resource compliance). The Workforce Management Professional 2 work assignments are varied and frequently require… more
- Humana (St. Paul, MN)
- …help us put health first** The Strategy and Visualization team with Humana's Medicaid Business intelligence organization solves complex data and process gaps to ... and actionable operational insights. We support innovation and governance across Medicaid 's reporting ecosystem, ensuring that analytics, automation, and… more
- Humana (St. Paul, MN)
- …and help us put health first** The IHWA Follow-up Senior Program Delivery Professional provides daily operational support to programs that impact members' lives by ... promoting preventive health activities. The IHWA Follow-up Senior Program Delivery Professional works on problems of diverse scope and complexity ranging from… more
- Fairview Health Services (Minneapolis, MN)
- …from external and/or internal partners and communicate in a friendly, welcoming, and professional manner. + Track and report data including number of ... as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted patient access to the… more
- State of Minnesota (St. Paul, MN)
- … Medicaid program -Third party liability and benefit recovery principles -Minnesota Medicaid Information System (MMIS) and the Data Warehouse -Minnesota ... Status** : Classified + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Exempt - Administrative + Designated in Connect… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …for all enterprise quality performance programs across the organization's Medicare, Medicaid , ACA, and Commercial lines of business. This position leads the ... by regulation or contract. They ensure that quality initiatives are data -driven, well-governed, and effectively executed, enabling the organization to achieve… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …a high performing team responsible for the execution and day-to-day management of data submissions for ACA Commercial, Medicare, and Medicaid risk adjustment and ... impacts using the risk adjustment and quality analytics models across ACA Commercial, Medicare, and Medicaid . * Develop, lead, and provide strategic direction for… more
- Humana (St. Paul, MN)
- …ranging from moderate to substantial. The Actuary, Analytics/Forecasting supports centralized reporting of external data sharing, oversees internal reporting ... The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …translated landing pages for various emails * Connect simple Cloudpage forms to Marketing Cloud data extensions Reporting * Work with data team and within ... abreast of changes in regulations in the rapidly evolving Medicare and Medicaid health insurance marketplace * Assist with materials-related process improvements and… more
- Humana (St. Paul, MN)
- …Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (St. Paul, MN)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (St. Paul, MN)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more
- Humana (St. Paul, MN)
- …Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational ... decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence....used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make and test… more
- Humana (St. Paul, MN)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more