- Mindlance (Atlanta, GA)
- …IT staff to determine system components and functional flow of components and data between components. Business System Analyst - Healthcare - Health Insurance ... Job Title: Business System Analyst Job Location: Complete Remote Job Job Responsibilities:...- EDI, HL7, Medicare / Medicaid - IT - Information Technology Job Requirements .… more
- Benchmark Human Services (Augusta, GA)
- …place for you! We are seeking a Behavior Specialist or Board-Certified Behavior Analyst (BCBA) to provide behavior supports to individuals and staff working in the ... Ensure that all services are documented and meet all criteria for Medicaid waiver billing. Provide direct monitoring, assessment, intervention, and staff training.… more
- Marion County (Salem, OR)
- …will have experience supporting high performing, diverse teams and making data -driven decisions that support our department mission. A commitment to excellent ... regular feedback on performance to supervisors and their employees. Use reports and data to provide transparent, data -driven feedback on outcomes and performance… more
- CVS Health (Hartford, CT)
- …solutions to make health care more personal, convenient and affordable. Position Summary The Medicaid Risk Adjustment Sr. Analyst will play a critical role in ... extracting, analyzing, and interpreting healthcare and financial data from multiple sources to address business opportunities regarding...other business needs. Reporting to the Sr. Manager of Medicaid Risk Adjustment Analytics, the Sr. Analyst … more
- New York State Civil Service (Albany, NY)
- Agency Health, Department of Title Medicaid Redesign Analyst 2 - 80158 Occupational Category Financial, Accounting, Auditing Salary Grade 23 Bargaining Unit PS&T ... State Department of Health employee with permanent or contingent-permanent status as a Medicaid Redesign Analyst 2, Grade 23.OR: New York State employee with… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Utilization Review Analyst - DMS Posting Begin Date: 2024/03/27 Posting End Date: 2024/04/25 Category: Accounting and Finance Sub Category: Medical ... Compliance is searching for a self-motivated individual to investigate and ensure Medicaid provider compliance with Medicaid rules, regulations, and policies to… more
- CVS Health (Hartford, CT)
- …incumbent will support the Lead Director in the ongoing maintenance and management of Medicaid compliance data and reporting in the CVS Health governance, risk, ... level compliance position that supports the compliance program activities of Aetna's Medicaid managed care business. In partnership with and under the direction of… more
- Mathematica (Chicago, IL)
- …or health care. program is highly desirable, as is prior experience working with Medicaid data . * Experience with management tools, such as Microsoft Project, ... and supports, measures of delivery and quality of services for beneficiaries, data analytics, Medicaid managed care programs, value-based purchasing and… more
- UPMC (Pittsburgh, PA)
- …Plan's Medicaid /Government Product actuarial team is seeking an Actuarial Analyst III to support the team's Behavioral Health work.** This position applies ... and statistics to identify issues, and gather and analyze data on a wide variety of topics affecting the...from either management or senior positions when necessary. The Medicaid actuarial team supports PA Medicaid products… more
- Public Consulting Group (Tallahassee, FL)
- …learn more, visit www.publicconsultinggroup.com. **Responsibilities** **We seek an IT Business Analyst with direct work experience with** ** Medicaid Eligibility ... and Work Experience:** + Bachelor's degree or equivalent work experience + ** Medicaid Eligibility Systems** work experience + 3 years of work experience in… more
- CVS Health (Hartford, CT)
- …into models. - Demonstrate basic understanding and working knowledge of internal data sources. - Provide technical support for planning, forecasting and reporting ... process. Pricing, Trend & Benefit Design- Support pricing and trend analysis function. - Develop creative technical solutions to a variety of problems. - Demonstrate spreadsheeting proficiency and familiarity with database and web-based applications. - Support… more
- IBM (Charleston, WV)
- …provider management organization, including client-facing responsibility 3. Demonstrated expertise in Medicaid policy, Medicaid data and claims processing, ... analysts and development and Quality Assurance (QA) teams. Manages business analyst resources, assigns tasks, oversees work products and their completion, monitors… more
- DATAMAXIS (IL)
- …three trips to Springfield, IL for quarterly onsite meetings. Functional Description: The Business Analyst / Data Analyst will perform business and data ... and implementation (DDI) of the project. Primary Responsibilities: + Analysis of Medicaid enrollment, provider, and claims data , current business processes and… more
- Delta Dental of Iowa (Johnston, IA)
- Associate Data Analyst - Government Programs Johnston, IA (http://maps.google.com/maps?q=9000+Northpark+Drive+Johnston+IA+USA+50131) Apply Job Type Full-time ... Join us at Delta Dental of Iowa as anAssociate Data Analyst - Government Programsand be part...Medicaid and Medicare Advantage business. You will compile data from multiple sources, analyze, and convert data… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality...for Quality Assurance (NCQA), HEDIS, Centers for Medicare and Medicaid Services (CMS), and State. Must demonstrate advanced SAS… more
- Public Consulting Group (Albany, NY)
- **Overview** **Healthcare Data Analyst - Provider Network Data System in Albany, NY** **Item 1002** **Summary:** The incumbent will be responsible for ... quality and master data management solutions in support of larger data enterprise including linking provider populations in Medicaid and Medicare programs +… more
- EssilorLuxottica (Mason, OH)
- Senior Analyst - Business Data (Reporting Design) Date: Apr 15, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 841486 ... America's fastest growing vision benefits company. **GENERAL FUNCTION** The Senior Analyst is responsible for implementing, executing and supporting routine and ad… more
- State of Massachusetts (Boston, MA)
- …the Massachusetts Department of Public Health (DPH) is seeking an experienced and committed Data Analyst (Management Analyst II) for the Quality Department ... at the hospital campus in Jamaica Plain. The Data Analyst provides analytical and operational support...of Mental Health (DMH) and Centers for Medicare and Medicaid Services (CMS) rules, regulations, and standards. * Intermediate-Expert… more
- WellSense (Boston, MA)
- Health Data Analyst III WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... no matter their circumstances. Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294249) **Position:** Health Data Analyst III (2 positions available) **Location:**… more