- Baylor Scott & White Health (Annapolis, MD)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... data, submission requirements and performance metrics per the regulatory and health plan guidelines. + Performs analysis and reporting activities related to… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... of risk adjustment results and quality, accuracy and identification of member health conditions. Update, create and maintain business process and technical workflow… more
- Humana (Annapolis, MD)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue… more
- Elevance Health (Hanover, MD)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the… more
- CVS Health (Annapolis, MD)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...heart, each and every day. **Position Summary** A Sr. Analyst , Project Management (IC) role, reporting to the AVP… more
- Prime Therapeutics (Annapolis, MD)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... participates inclient and stakeholder meetings + Reviews proposedfederal and state public policy and rule changes and prepares position papers for internal and… more
- Huntington Ingalls Industries (Woodlawn, MD)
- … Team Lead, you will play a vital role in supporting our Centers for Medicare and Medicaid (CMS) and Health and Human Services (HHS)SCRM efforts. Your ... highly skilled and experienced Supply Chain Risk Management Intelligence Analyst to be a Team Lead at our Woodlawn,...of SCRAs + Work with various team members on policy development, project management, and SCRAs + Initiate, integrate,… more
- Prime Therapeutics (Annapolis, MD)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Senior Compliance Analyst assists in ... and maintained. **Responsibilities** + Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are… more
- CVS Health (Annapolis, MD)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and maintaining the SOP library within the Medical Pre-Payment Policy and Pre-Certification Management team. This role is essential… more
- Humana (Annapolis, MD)
- …help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more